Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Making a real difference to those with post-traumatic stress disorder
Making a real difference to those with post-traumatic stress disorder

This article sheds light on post-traumatic stress disorder and outlines how you can best support the increasing number of people experiencing it
Anna Elders
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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1. Oakley LD, Kuo WC, Kowalkowski JA, et al. Meta-analysis of cultural influences in trauma exposure and PTSD prevalence rates. J Transcult Nurs 2021;32(4):412–24.
2. Janiri D, Carfì A, Kotzalidis GD, et al. Posttraumatic stress disorder in patients after severe COVID-19 infection. JAMA Psychiatry 2021;78(5):567–69.
3. Wang YX, Guo HT, Du XW, et al. Factors associated with post-traumatic stress disorder of nurses exposed to corona virus disease 2019 in China. Medicine (Baltimore) 2020;99(26):e20965.
4. Kessler RC, Aguilar-Gaxiola S, Alonso J, et al. Trauma and PTSD in the WHO World Mental Health Surveys. Eur J Psychotraumatol 2017;8(sup5):1353383.
5. Hirini P, Flett R, Long N, et al. Frequency of traumatic events, physical and psychological health among Maori. N Z J Psychol 2005;34(1):20–27.
6. Kazantzis N, Flett RA, Long NR, et al. Traumatic events and mental health in the community: a New Zealand study. Int J Soc Psychiatry 2010;56(1):35–49.
7. Davidson JR, Hughes D, Blazer DG, et al. Post-traumatic stress disorder in the community: an epidemiological study. Psychol Med 1991;21(3):713–21.
8. Wells JE, Browne MA, Scott KM, et al. Prevalence, interference with life and severity of 12 month DSM-IV disorders in Te Rau Hinengaro: the New Zealand Mental Health Survey. Aust N Z J Psychiatry 2006;40(10):845–54.
9. Simpson, AIF. The national study of psychiatric morbidity in New Zealand prisons: An investigation of the prevalence of psychiatric disorders among New Zealand inmates. New Zealand: Department of Corrections; 1999.
10. Richardson A, Gurung G, Samaranayaka A, et al. Risk and protective factors for post-traumatic stress among New Zealand military personnel: A cross sectional study. PLoS One 2020;15(4):e0231460.
11. Fox V, Dalman C, Dal H, et al. Suicide risk in people with post-traumatic stress disorder: A cohort study of 3.1 million people in Sweden. J Affect Disord 2021;279:609–16.
12. Phoenix Australia. Australian guidelines for the treatment of acute stress disorder and posttraumatic stress disorder. Melbourne, Australia: Phoenix Australia; 2013.