Use of a screening questionnaire for post‐traumatic stress disorder (PTSD) on a sample of UK ICU patients

Twigg, E; Humphris, Gerry; Jones, Christina; Bramwell, Ros; Griffiths, Richard D.

doi:10.1111/j.1399-6576.2007.01531.x

Cited by 125 publications

(112 citation statements)

References 22 publications

(28 reference statements)

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“…7 One of the patient's close relatives, defined as the family member recorded as the patient's next of kin, was recruited to the study in the general care area about 1 week after ICU discharge. The relatives' baseline PTSD-related symptoms were assessed 1 month after ICU discharge by using the Post-Traumatic Stress Syndrome-14 (PTSS-14) screening tool, 13 just before randomization to the study group. The PTSS-14 is made up of 2 parts, A and B.…”

Section: Methodsmentioning

confidence: 99%

Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study

Jones

Bäckman

Griffiths

2012

American Journal of Critical Care

153

142

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Background Relatives of patients recovering from critical illness are at risk of developing posttraumatic stress disorder. Objectives To test whether providing a diary to intensive care patients and their relatives reduces the level of symptoms related to posttraumatic stress disorder in the relatives. Methods Observational study of close family members of patients who stayed more than 72 hours in an intensive care unit, recruited in 2 centers of a 12-center randomized controlled trial examining the effect of a diary outlining the details of the patients' stay in the intensive care unit on the development of new-onset posttraumatic stress disorder in patients. The close family members of the patients were recruited to examine the additional effect of the provision of the patient's diary on the family members' symptoms related to posttraumatic stress syndrome. Results Thirty-six family members were recruited, and 30 completed the study. Family members of patients who received their diary at 1 month had lower levels of symptoms related to posttraumatic stress disorder (P = .03) at the 3-month follow-up than did the control family members. Conclusions Provision of a diary may help psychological recovery in patients' families after critical illness.

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Section: Methodsmentioning

confidence: 99%

Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study

Jones

Bäckman

Griffiths

2012

American Journal of Critical Care

153

142

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“…To have more specific evaluation of PTSD symptoms, interested researchers should use a PTSD-specific instrument. Previous research has validated the IES-R and the Post-Traumatic Stress Syndrome 10-Questions Inventory (vs. semistructured diagnostic interviews) (33,42) and the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory (vs. the Post-traumatic Stress Diagnostic Scale) (43) for PTSD in this population.…”

Section: Original Researchmentioning

confidence: 99%

The SF-36 Offers a Strong Measure of Mental Health Symptoms in Survivors of Acute Respiratory Failure. A Tri-National Analysis

et al. 2016

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Rationale: Survivors of acute respiratory failure commonly experience long-term psychological sequelae and impaired quality of life. For researchers interested in general mental health, using multiple condition-specific instruments may be unnecessary and inefficient when using the Medical Outcomes Study Short Form (SF)-36, a recommended outcome measure, may suffice. However, relationships between the SF-36 scores and commonly used measures of psychological symptoms in acute survivors of respiratory failure are unknown.Objectives: Our objective is to examine the relationship of the SF-36 mental health domain (MH) and mental health component summary (MCS) scores with symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) evaluated using validated psychological instruments.Methods: We conducted a cross-sectional analysis of 1,229 participants at 6-and 12-month follow-up assessment using data from five studies from the United States, the United Kingdom, and Australia.Measurements and Main Results: Symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS), Depression Anxiety Stress Scales, the Davidson Trauma Scale, Impact of Event Scale (IES), and IES-Revised (IES-R). At 6-month assessment there were moderate to strong correlations of the SF-36 MH scores with HADS depression and anxiety symptoms (r = 20.74 and 20.79) and with IES-R PTSD symptoms (r = 20.60) in the pooled analyses. Using the normalized population mean of 50 on the SF-36 MH domain score as a cut-off, positive predictive values were 16 and 55% for substantial depression; 20 and 68% for substantial anxiety (Depression Anxiety Stress Scales and HADS, respectively); and 40, 44, and 67% for substantial PTSD symptoms (IES-R, IES, and Davidson Trauma Scale, respectively). Negative predictive values were high. The area under the receiver operating characteristics curve of the SF-36 MH score was high for depression, anxiety, and PTSD symptoms (0.88, 0.91, and 0.84, respectively). All results were consistent for the MCS, across the individual studies, and for the 12-month assessment.Conclusions: For researchers interested in general mental health status, the SF-36 MH or MCS offers a strong measure of psychological symptoms prevalent among survivors of acute respiratory failure. For researchers interested in specific conditions, validated psychological instruments should be considered.

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“…There are limitations to the assessment of the prevalence of PTSD in ICU patients due to the lack of followup after hospital discharge (Schelling, 2008;Twigg, Humphris, Jones, Bramwell, & R. D. Griffiths, 2008). Therefore, the aim of this study is to identify indicators of the prevalence of PTSD in a sample of patients who were hospitalized in an ICU of a private hospital in Rio Grande do Sul and examine the relationship between PTSD and mnemonic memories of experiences in the ICU six months after the hospital discharge.…”

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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Use of a screening questionnaire for post‐traumatic stress disorder (PTSD) on a sample of UK ICU patients

Abstract: This preliminary validation study suggests that the UK-PTSS-14 could be reliably used as a screening instrument at 2 months post-discharge from the ICU to identify those patients in need of referral to specialist psychological services.

Cited by 125 publications

References 22 publications

Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study

Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study

The SF-36 Offers a Strong Measure of Mental Health Symptoms in Survivors of Acute Respiratory Failure. A Tri-National Analysis

Memories and prevalence of posttraumatic stress disorder in intensive care units

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