Patients with PTSD after intensive care avoid hospital contact at 2‐year follow‐up

Capuzzo, Maurizia; Bertacchini, Sara; Jones, Christina; Griffiths, RD; Ambrosio, Maria Rosaria; Bondanelli, Marta; Alvisi, R

doi:10.1111/j.1399-6576.2007.01558.x

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…That is, because prior psychiatric illness is a potent predictor of PTSD given trauma, the prevalence estimates here are likely underestimates for the general population of ARDS survivors. In addition, it is clear that PTSD symptoms in ICU survivors sometimes affect willingness to participate in follow-up research (i.e., patients with PTSD often avoid hospitals or medical visits, so estimates of prevalence could also be low for this reason) [27]. Not surprisingly, post-ARDS PTSD was associated with substantially worse HRQOL [16].…”

Section: Prevalence Of Post-intensive Car Unit Post-traumatic Stress mentioning

confidence: 98%

Post-Traumatic Stress Disorder in Medical Settings: Focus on the Critically Ill

Bienvenu

Neufeld

2010

Curr Psychiatry Rep

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The relevance of the post-traumatic stress disorder (PTSD) concept to medically ill patients is becoming increasingly clear. Some medical conditions (e.g., rheumatologic diseases) are likely related to PTSD indirectly. Others, such as myocardial infarction and critical illness/intensive care unit (ICU) treatment, are likely traumatic stressors. Importantly, PTSD seems to be a potent risk factor for fatal and nonfatal cardiac events. Risk factors for medical illness-related PTSD appear similar to risk factors for PTSD in general. PTSD is particularly common among survivors of critical illness and ICU treatment. Further research is needed to determine how specific ICU interventions (e.g., administration of benzodiazepines, corticosteroids, and catecholamines) affect PTSD risk. In the meantime, given the negative impact of PTSD on patients' quality of life, it is important for psychiatrists and other clinicians to be aware of the syndrome in survivors of critical illness so as to ensure that such patients receive the care that they deserve.

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Section: Prevalence Of Post-intensive Car Unit Post-traumatic Stress mentioning

confidence: 98%

Post-Traumatic Stress Disorder in Medical Settings: Focus on the Critically Ill

Bienvenu

Neufeld

2010

Curr Psychiatry Rep

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“…It is in this sense that post-traumatic stress disorder (PTSD) has been studied in hospital settings, preferably in critical areas such as emergency and intensive care due to the emotional consequences, the memories of being hospitalized and the suffering reported by the patient after an ICU experience (Capuzzo et al, 2008;Löf, Ahlströn, & Berggren, 2006;Ringdal, Plos, Lundberg, Johansson, & Bergbom, 2009;Roberts, Rickard, Rajbhandari, & Reynolds, 2007). PTSD is considered an anxiety disorder precipitated by a trauma and its development is associated with an external traumatic event source (Kristensen, 2005).…”

mentioning

confidence: 99%

Memories and prevalence of posttraumatic stress disorder in intensive care units

Rovatti¹,

Teodoro²,

Castro³

2012

Psicol. Reflex. Crit.

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The present study evaluated the prevalence of PTSD indicators in patients who had to be hospitalized in ICU six months after being discharged and examined the relationship between PTSD and mnemonic memories. Participants were 41 adult patients with different diseases who answered questionnaires about PTSD, memory and clinical information. It was identified that 24.4% of the sample presented PTSD symptoms. These patients presented more affective memories than those without PTSD (t=2.29, p<.05). Affective memories correlated with total PTSD and with the dimensions 'reliving' (r=.443, p<.01) and 'excitability ' (r=.403, p<.01). Hierarchical regression analysis showed that sex (woman) and the presence of affective memories were PTSD predictors, explaining 38.2% of the variance. Keywords: Intensive care units, memory, posttraumatic stress disorder, quality of life.Resumo O estudo avaliou a prevalência de indicadores de TEPT em pacientes que foram internados em UTI seis meses após a alta hospitalar, e examinou a relação entre TEPT e recordações mnêmincas. Participaram 41 pacientes adultos com diferentes doenças, que responderam a questionários sobre TEPT, memórias e informações clínicas. Identificou-se que 24,4% da amostra possuía indicadores de TEPT. Estes pacientes apresentaram mais memórias afetivas que os pacientes sem TEPT (t=2,29, p<0,05). As memórias afetivas correlacionaram-se com o TEPT total (r=0,408, p<0,01) e com suas dimensões revivência (r=0,443, p<0,01) e excitabilidade (r=0,403, p<0,01). A análise de regressão hierárquica mostrou que o sexo (mulher) (β=0,44, p<0,01) e a presença de memórias afetivas (β=0,46, p<0,01) foram preditoras de TEPT, explicando 38,2% da sua variância. Palavras-chave: Unidades de terapia intensiva, memória, transtorno de estresse pós-traumático, qualidade de vida.

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“…This literature review has indicated that ICU diaries are a low cost, grass roots initiative which have demonstrated potential therapeutic benefit in a population recognised to be at significant risk of psychological morbidity (Capuzzo et al . , Jackson et al . , Peris et al .…”

Section: Discussionmentioning

confidence: 99%

The use, prevalence and potential benefits of a diary as a therapeutic intervention/tool to aid recovery following critical illness in intensive care: a literature review

Ewens

Hendricks

Sundin

2014

Journal of Clinical Nursing

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Patients with PTSD after intensive care avoid hospital contact at 2‐year follow‐up

Abstract: Patients withPost-traumatic Stress Disorderafter intensive care avoid hospital contact at 2-year follow-u

Cited by 10 publications

References 4 publications

Post-Traumatic Stress Disorder in Medical Settings: Focus on the Critically Ill

Post-Traumatic Stress Disorder in Medical Settings: Focus on the Critically Ill

Memories and prevalence of posttraumatic stress disorder in intensive care units

The use, prevalence and potential benefits of a diary as a therapeutic intervention/tool to aid recovery following critical illness in intensive care: a literature review

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