{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:40:02Z","timestamp":1787506802220,"version":"build-2736575974"},"reference-count":44,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Background and Objective: In this study, we aimed to identify the factors that could impact the Stress-Related Growth Scale (SRGS) questionnaire administered to patients. Materials and Methods: Participants were asked to complete a written SRGS questionnaire (a translated and approved version in Romania) at varying time intervals relative to the traumatic event. The questionnaire was developed in accordance with legal regulations of the World Health Organization and the European Union for research involving human subjects for medical purposes. It took approximately 15 min to complete. The questionnaire was filled out by the patient or their legal guardian\/parent for minors between January 2021 and January 2022. Results: The findings revealed the individual dimensions in the context of the traumatic impact, and the subsequent conclusions could be applied to a larger group with similar traumatic experiences. It is recognized that psychosomatic pathologies can hinder posttraumatic rehabilitation, leading to slower and more challenging recovery. Conclusions: Posttraumatic stress disorder often manifests as chronic development of symptoms characterized by reexperiencing traumatic scenes, avoidance behaviors, negative alterations in cognition, and heightened arousal. Posttraumatic stress disorder (PTSD) is a prevalent, persistent, and psychologically debilitating syndrome that can significantly impair an individual\u2019s ability to cope with life. The etiology and manifestation of this disorder present numerous challenges due to the complexity of defining and diagnosing these conditions. The distribution of men and women affected by posttraumatic stress disorder varies across different sources and cannot be simplified into one explanation. While sex distribution is an important factor, it is not the sole determinant for understanding the various aspects of these disorders. The diversity of stressors has been shown to correlate with changes in SRGS scores, including subtle emotions like shame and guilt, which contribute to the moral injury resulting from trauma.<\/jats:p>","DOI":"10.3390\/clinpract14060189","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T09:36:51Z","timestamp":1731404211000},"page":"2419-2432","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psycho-Somatic Evolution of Patients with Multiple Traumatic Injuries"],"prefix":"10.3390","volume":"14","author":[{"given":"Mihaela","family":"Anghele","sequence":"first","affiliation":[{"name":"Clinical-Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 47 Str. Domneasc\u0103, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0516-734X","authenticated-orcid":false,"given":"Virginia","family":"Marina","sequence":"additional","affiliation":[{"name":"Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 47 Str. Domneasc\u0103, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5837-306X","authenticated-orcid":false,"given":"Cosmina Alina","family":"Moscu","sequence":"additional","affiliation":[{"name":"Doctoral School, \u201cDun\u0103rea de Jos\u201d University, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6669-1398","authenticated-orcid":false,"given":"Aurelian-Dumitrache","family":"Anghele","sequence":"additional","affiliation":[{"name":"Doctoral School, \u201cDun\u0103rea de Jos\u201d University, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5919-3941","authenticated-orcid":false,"given":"Liliana","family":"Dragomir","sequence":"additional","affiliation":[{"name":"Clinical-Medical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University, 47 Str. Domneasc\u0103, 800201 Galati, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1037\/0033-2909.129.1.52","article-title":"Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis","volume":"129","author":"Ozer","year":"2003","journal-title":"Psychol. Bull."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1467-6494.1996.tb00815.x","article-title":"Assessment and prediction of stress-related growth","volume":"64","author":"Park","year":"1996","journal-title":"J. Personal."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/s15327965pli1501_01","article-title":"Target Article: \u201cPosttraumatic Growth: Conceptual Foundations and Empirical Evidence\u201d","volume":"15","author":"Tedeschi","year":"2004","journal-title":"Psychol. Inq."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.2147\/JMDH.S405904","article-title":"Emotional Distress in a Patients Following Polytrauma","volume":"16","author":"Anghele","year":"2023","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1056\/NEJMp2008017","article-title":"Mental health and the COVID-19 pandemic","volume":"383","author":"Pfefferbaum","year":"2020","journal-title":"New Engl. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.bbi.2020.05.048","article-title":"COVID-19 pandemic and mental health consequences: Systematic review of the current evidence","volume":"89","author":"Vindegaard","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/qjmed\/hcaa201","article-title":"The psychological impact of COVID-19 on the mental health in the general population","volume":"113","author":"Serafini","year":"2020","journal-title":"Qjm Int. J. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1308\/rcsann.2020.7026","article-title":"The effect of the COVID-19 pandemic on mental health associated trauma, admissions and fractures at a London major trauma centre","volume":"103","author":"Hay","year":"2021","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S115","DOI":"10.4103\/joacp.JOACP_272_20","article-title":"Trauma care and COVID-19 pandemic","volume":"36","author":"Sawhney","year":"2020","journal-title":"J. Anaesthesiol. Clin. Pharmacol."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/15374416.2017.1350962","article-title":"Psychometrics of the Child PTSD Symptom Scale for DSM-5 for Trauma-Exposed Children and Adolescents","volume":"47","author":"Foa","year":"2018","journal-title":"J. Clin. Child. Adolesc. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/jts.22059","article-title":"The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation","volume":"28","author":"Blevins","year":"2015","journal-title":"J. Trauma. Stress"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1146\/annurev.psych.58.110405.085650","article-title":"Social bonds and posttraumatic stress disorder","volume":"59","author":"Charuvastra","year":"2008","journal-title":"Annu. Rev. Psychol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.2174\/1389450116666150506114108","article-title":"Targeting the Noradrenergic System in Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis of Prazosin Trials","volume":"16","author":"Marini","year":"2015","journal-title":"Curr. Drug Targets"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1037\/tra0000165","article-title":"Social cognition mediates the relation between attachment schemas and posttraumatic stress disorder","volume":"9","author":"Venta","year":"2017","journal-title":"Psychol. Trauma."},{"key":"ref_16","unstructured":"Howden, L.M., and Meyer, J.A. (2011). Age and Sex Composition: 2010, U.S. Department of Commerce."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1001\/archinte.167.5.476","article-title":"Bringing the war back home: Mental health disorders among 103,788 U.S. veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities","volume":"167","author":"Seal","year":"2007","journal-title":"Arch. Intern. Med."},{"key":"ref_18","unstructured":"DoD (Department of Defense) (2008). Active-Duty Demographic Profile: Assigned Strength, Gender, Race, Marital, Education and Age Profile of Active-Duty Force, Defense Manpower Data Center."},{"key":"ref_19","unstructured":"DoD (2010). Demographics 2010: Profile of the Military Community, Office of the Deputy Under Secretary of Defense."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.janxdis.2010.01.003","article-title":"Changes in disgust correspond with changes in symptoms of contamination-based OCD: A prospective examination of specificity","volume":"24","author":"Olatunji","year":"2010","journal-title":"J. Anxiety Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1002\/jnr.24589","article-title":"Neuropeptide Y in PTSD, MDD, and chronic stress: A systematic review and meta-analysis","volume":"98","author":"Tural","year":"2020","journal-title":"J. Neurosci. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1037\/a0015877","article-title":"Family functioning predicts outcomes for veterans in treatment for chronic posttraumatic stress disorder","volume":"23","author":"Evans","year":"2009","journal-title":"J. Fam. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.jad.2017.03.008","article-title":"PTSD symptoms and suicide risk in veterans: Serial indirect effects via depression and anger","volume":"214","author":"Mckinney","year":"2017","journal-title":"J. Affect. Disord."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1002\/jts.21866","article-title":"Sociodemographic risk, developmental competence, and PTSD symptoms in young children exposed to interpersonal trauma in early life","volume":"26","author":"Enlow","year":"2013","journal-title":"J. Trauma. Stress"},{"key":"ref_25","first-page":"13","article-title":"Neurobiology of posttraumatic stress disorder","volume":"14","author":"Newport","year":"2009","journal-title":"Curr. Opin. Eurobiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/S2215-0366(15)00309-0","article-title":"Inflammatory markers in post-traumatic stress disorder: A systematic review, meta-analysis, and meta-regression","volume":"2","author":"Passos","year":"2015","journal-title":"Lancet Psychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1001\/jamapsychiatry.2013.4374","article-title":"Assessment of plasma C-reactive protein as a biomarker of posttraumatic stress disorder risk","volume":"71","author":"Eraly","year":"2014","journal-title":"JAMA Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.expneurol.2016.04.019","article-title":"Neuroimaging genetic approaches to posttraumatic stress disorder","volume":"284","author":"Lebois","year":"2016","journal-title":"Exp. Neurol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"5487","DOI":"10.2147\/IJGM.S353405","article-title":"Did Personality Type Influence Burn Out Syndrome Manifestations During COVID-19 Pandemic?","volume":"15","author":"Moscu","year":"2022","journal-title":"Int. J. Gen. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1097\/HTR.0000000000000378","article-title":"Diffusion imaging findings in US service members with mild traumatic brain injury and posttraumatic stress disorder","volume":"33","author":"Bolzenius","year":"2018","journal-title":"J. Head. Trauma. Rehabil."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.biopsych.2017.09.006","article-title":"Smaller hippocampal volume in posttraumatic stress disorder: A multi-site ENIGMA-PGC study","volume":"83","author":"Logue","year":"2018","journal-title":"Biol. Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Moscu, C.A., Marina, V., Dragomir, L., Anghele, A.D., and Anghele, M. (2022). The Impact of Burnout Syndrome on Job Satisfaction among Emergency Department Nurses of Emergency Clinical County Hospital \u201cSf\u00e2ntul Apostol Andrei\u201d of Galati, Romania. Medicina, 58.","DOI":"10.3390\/medicina58111516"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1080\/15299732.2012.753653","article-title":"The primary prevention of PTSD: A systematic review","volume":"14","author":"Skeffington","year":"2013","journal-title":"J. Trauma. Dissociation"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/s11920-016-0735-9","article-title":"Psychological mechanisms of PTSD and its treatment","volume":"18","author":"Sripada","year":"2016","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Jonas, D.E., Cusack, K., Forneris, C.A., Wilkins, T.M., Sonis, J., Middleton, J.C., Feltner, C., Meredith, D., Cavanaugh, J., and Brownley, K.A. (2013). Psychological and Pharmacological Treatments for Adults with Posttraumatic Stress Disorder (PTSD), Agency for Healthcare Research and Quality (US).","DOI":"10.1037\/e553842013-001"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.cpr.2017.10.009","article-title":"Long-term efficacy of psychotherapy for posttraumatic stress disorder: A meta-analysis of randomized controlled trials","volume":"59","author":"Kline","year":"2018","journal-title":"Clin. Psychol. Rev."},{"key":"ref_37","first-page":"288","article-title":"Application of cognitive behavior therapeutic techniques for prevention of psychological disorders in police officers","volume":"2","author":"Capin","year":"2008","journal-title":"Health Med."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Dragomir, L., Marina, V., Moscu, C.A., and Anghele, M. (2022). The Patient Hides the Truth, but the Computer Tomography Examination Restores It!. Diagnostics, 12.","DOI":"10.3390\/diagnostics12040876"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Dragomir, L., Marina, V., Anghele, M., and Anghele, A.D. (2021). Clinical or imaging diagnosis of the current medical practice for superior vena cava syndrome?. Diagnostics, 11.","DOI":"10.3390\/diagnostics11112058"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1037\/0022-006X.68.5.748","article-title":"Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults","volume":"68","author":"Brewin","year":"2000","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jad.2024.07.011","article-title":"Synthesising 30 years of clinical experience and scientific insight on affective temperaments in psychiatric disorders: State of the art","volume":"362","author":"Favaretto","year":"2024","journal-title":"J. Affect. Disord."},{"key":"ref_42","first-page":"5","article-title":"The Effects of Blue Light in Modern Society","volume":"10","author":"Pascu","year":"2019","journal-title":"BRAIN. Broad Res. Artif. Intell. Neurosci."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1001\/archpsyc.1995.03950240066012","article-title":"Posttraumatic stress disorder in the National Comorbidity Survey","volume":"52","author":"Kessler","year":"2005","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.3390\/clinpract14050145","article-title":"Electric Scooter Falls: The 2023\u20132024 Experience in the Clinical Emergency Children\u2019s Hospital in Gala\u021bi","volume":"14","author":"Popescu","year":"2024","journal-title":"Clin. Pract."}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/14\/6\/189\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:30:21Z","timestamp":1760113821000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/14\/6\/189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":44,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["clinpract14060189"],"URL":"https:\/\/doi.org\/10.3390\/clinpract14060189","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,11]]}}}