Predictors of emotional outcomes of intensive care

Rattray, Janice; Johnston, Marie; Wildsmith, J.A.W.

doi:10.1111/j.1365-2044.2005.04336.x

Cited by 194 publications

(230 citation statements)

References 40 publications

Supporting

Mentioning

170

Contrasting

Unclassified

Order By: Relevance

“…Such differences may be attributed to the different instruments used to measure PTSD. However, there is a consensus among researchers about the risk factors for the development of symptoms (Cuthebertson, Stracham, & Seatt, 2003;Girard et al, 2007;Rattray, Johnston, & Wildsmith, 2005;Schelling, 2008;Scragg, A. Jones, & Fauvel, 2001), such as being female, going through psychological agitation in the ICU, being restrained mechanically, stopping benzodiazepines during hospitalization, use of opioids for sedation, septic shock, delirium, hypoxia, mechanical ventilation time and prior psychopathology. In these studies, there were no factors that could offer hope of being risk factors such as severity and complexity of neither illness nor hospitalization time.…”

mentioning

confidence: 99%

Memories and prevalence of posttraumatic stress disorder in intensive care units

Rovatti¹,

Teodoro²,

Castro³

2012

Psicol. Reflex. Crit.

View full text Add to dashboard Cite

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.

show abstract

mentioning

confidence: 99%

Memories and prevalence of posttraumatic stress disorder in intensive care units

Rovatti¹,

Teodoro²,

Castro³

2012

Psicol. Reflex. Crit.

View full text Add to dashboard Cite

show abstract

“…Many who show distress will return quickly to normal function and some with a psychological disorder will follow a recovery trajectory [6]. Cross-sectional and cohort studies have reported anxiety and depression conditions in patients recovering from ICU admission at a higher rate than the general population, at between 24% and 45% at six weeks [7], three months [8] and one year [9]after ICU admission. Anxiety and depression conditions often co-exist with posttraumatic stress disorder (PTSD) [10].…”

Section: Recovery From Critical Illnessmentioning

confidence: 99%

“…The aim of patient diaries is to provide ICU survivors with an accurate and informative collection of events, improving the memory recall of factual information. Delusional memories have been associated with anxiety, depression, post-traumatic stress symptomatology [9,12] and poor health-related quality of life [16].The aim of a diary is to provide a coherent narrative of the illness period, clarifying gaps in memory and diminishing the impact or dominance of imagined occurrences and hallucinations [18]. It has also been suggested that diaries can be used by relatives to encourage the healing process, after their own vicarious traumatic experience or as a basis for discussion about the patient's illness experience [10].…”

Section: Icu Diaries To Improve Recovery From Critical Illnessmentioning

confidence: 99%

Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

Ullman

Aitken

Rattray

et al. 2015

International Journal of Nursing Studies

112

View full text Add to dashboard Cite

This is the accepted version of the paper.This version of the publication may differ from the final published version. Review methods: Studies evaluated the effectiveness of patient diaries, when compared to no ICU diary, for patients or family members to promote recovery after admission to ICU were included. Outcome measures for describing recovery from ICU included the risk of post-traumatic stress disorder (PTSD), anxiety, depression and post-traumatic stress symptomatology, health-related quality of life and costs. We used standard methodological approaches as expected by The Cochrane Collaboration. Two review authors independently reviewed titles for inclusion, extracted data and undertook risk of bias according to pre-specified criteria. Permanent repository link Results:We identified three eligible studies; two describing ICU patients (N = 358), and one describing relatives of ICU patients (N = 30). No study adequately reported on risk of PTSD as described using a clinical interview, family or caregiver anxiety or depression, health-related quality of life or costs. Within a single study there was no clear evidence of a difference in risk for developing anxiety (RR 0.29, 95% CI 0.07 to 1.19) or depression (RR 0.38, 95% CI 0.12 to 1.19) in participants who received ICU diaries, in comparison to those that did not receive a patient diary. Within a single study there was no evidence of difference in median post-traumatic stress symptomatology scores (diaries 24, SD 11.6; no diary 24, SD 11.6) and delusional ICU memory recall (RR 1.04, 95% CI 0.84 to 1.28) between the patients recovering from ICU admission who received patient diaries, and those who did not. One study reported reduced post-traumatic stress symptomatology in family members of patients recovering from admission to ICU who received patient diaries (median 19; range 14 to 28), in comparison to no diary (median 28; range 14 to 38). Conclusions:Currently there is minimal evidence from RCTs of the benefits or harms of patient diaries for patients and their caregivers or family members. A small study has described their potential to reduce post-traumatic stress symptomatology in family members. However, there is currently inadequate evidence to support their effectiveness in improving psychological recovery after critical illness for patients and their family members.

show abstract

“…In 2003, Benumof noted the possibility of the epiglottis herniating into the airway tube of the Soft Seal TM (Smiths Medical, Hythe, UK) laryngeal mask [1]. We also want to point out that the design of the Soft Seal mask is different from the LMA-Unique, in particular the distal cuff is thicker (Fig.…”

Section: A Replymentioning

confidence: 99%

Criterion contamination when using the Hospital Anxiety and Depression Scale

Natusch¹

2006

Anaesthesia

View full text Add to dashboard Cite

Predictors of emotional outcomes of intensive care

Cited by 194 publications

References 40 publications

Memories and prevalence of posttraumatic stress disorder in intensive care units

Memories and prevalence of posttraumatic stress disorder in intensive care units

Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review

Criterion contamination when using the Hospital Anxiety and Depression Scale

Contact Info

Product

Resources

About