Migraine-Like Visual Auras Among Traumatized Cambodians with PTSD: Fear of Ghost Attack and Other Disasters.
Saved in:
| Title: | Migraine-Like Visual Auras Among Traumatized Cambodians with PTSD: Fear of Ghost Attack and Other Disasters. |
|---|---|
| Authors: | Hinton, Devon E., Reis, Ria, de Jong, Joop |
| Source: | Culture, Medicine & Psychiatry. Jun2018, Vol. 42 Issue 2, p244-277. 34p. 1 Black and White Photograph, 5 Diagrams, 3 Charts. |
| Subjects: | Post-traumatic stress disorder, Migraine, Supernatural, Phosphenes, Cambodians, Psychiatric clinics, Diseases, Therapeutics |
| Abstract: | This article profiles visual auras among traumatized Cambodian refugees attending a psychiatric clinic. Thirty-six percent (54/150) had experienced an aura in the previous 4 weeks, almost always phosphenes (48% [26/54]) or a scintillating scotoma (74% [40/54]). Aura and PTSD were highly associated: patients with visual aura in the last month had greater PTSD severity, 3.6 (SD = 1.8) versus 1.9 (SD = 1.6), t = 10.2 (df = 85), p < 0.001, and patients with PTSD had a higher rate of visual aura in the last month, 69% (22/32) versus 13% (7/55), odds ratio 15.1 (5.1-44.9), p < 0.001. Patients often had a visual aura triggered by rising up to the upright from a lying or sitting position, i.e., orthostasis, with the most common sequence being an aura triggered upon orthostasis during a migraine, experienced by 60% of those with aura. The visual aura was often catastrophically interpreted: as the dangerous assault of a supernatural being, most commonly the ghost of someone who died in the Pol Pot period. Aura often triggered flashback. Illustrative cases are provided. The article suggests the existence of local biocultural ontologies of trauma as evinced by the centrality of visual auras among Cambodian refugees. [ABSTRACT FROM AUTHOR] |
| Copyright of Culture, Medicine & Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 129889686 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Migraine-Like Visual Auras Among Traumatized Cambodians with PTSD: Fear of Ghost Attack and Other Disasters. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hinton%2C+Devon+E%2E%22">Hinton, Devon E.</searchLink><br /><searchLink fieldCode="AR" term="%22Reis%2C+Ria%22">Reis, Ria</searchLink><br /><searchLink fieldCode="AR" term="%22de+Jong%2C+Joop%22">de Jong, Joop</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Culture%2C+Medicine+%26+Psychiatry%22">Culture, Medicine & Psychiatry</searchLink>. Jun2018, Vol. 42 Issue 2, p244-277. 34p. 1 Black and White Photograph, 5 Diagrams, 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Migraine%22">Migraine</searchLink><br /><searchLink fieldCode="DE" term="%22Supernatural%22">Supernatural</searchLink><br /><searchLink fieldCode="DE" term="%22Phosphenes%22">Phosphenes</searchLink><br /><searchLink fieldCode="DE" term="%22Cambodians%22">Cambodians</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+clinics%22">Psychiatric clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This article profiles visual auras among traumatized Cambodian refugees attending a psychiatric clinic. Thirty-six percent (54/150) had experienced an aura in the previous 4 weeks, almost always phosphenes (48% [26/54]) or a scintillating scotoma (74% [40/54]). Aura and PTSD were highly associated: patients with visual aura in the last month had greater PTSD severity, 3.6 (SD = 1.8) versus 1.9 (SD = 1.6), t = 10.2 (df = 85), p < 0.001, and patients with PTSD had a higher rate of visual aura in the last month, 69% (22/32) versus 13% (7/55), odds ratio 15.1 (5.1-44.9), p < 0.001. Patients often had a visual aura triggered by rising up to the upright from a lying or sitting position, i.e., orthostasis, with the most common sequence being an aura triggered upon orthostasis during a migraine, experienced by 60% of those with aura. The visual aura was often catastrophically interpreted: as the dangerous assault of a supernatural being, most commonly the ghost of someone who died in the Pol Pot period. Aura often triggered flashback. Illustrative cases are provided. The article suggests the existence of local biocultural ontologies of trauma as evinced by the centrality of visual auras among Cambodian refugees. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Culture, Medicine & Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=129889686 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11013-017-9554-7 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 34 StartPage: 244 Subjects: – SubjectFull: Post-traumatic stress disorder Type: general – SubjectFull: Migraine Type: general – SubjectFull: Supernatural Type: general – SubjectFull: Phosphenes Type: general – SubjectFull: Cambodians Type: general – SubjectFull: Psychiatric clinics Type: general – SubjectFull: Diseases Type: general – SubjectFull: Therapeutics Type: general Titles: – TitleFull: Migraine-Like Visual Auras Among Traumatized Cambodians with PTSD: Fear of Ghost Attack and Other Disasters. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hinton, Devon E. – PersonEntity: Name: NameFull: Reis, Ria – PersonEntity: Name: NameFull: de Jong, Joop IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2018 Type: published Y: 2018 Identifiers: – Type: issn-print Value: 0165005X Numbering: – Type: volume Value: 42 – Type: issue Value: 2 Titles: – TitleFull: Culture, Medicine & Psychiatry Type: main |
| ResultId | 1 |
