Posttraumatic stress symptoms in intensive care patients: An exploration of associated factors

Elliott, R; McKinley, S; Fien, M; Elliott, D

Posttraumatic stress symptoms in intensive care patients: An exploration of associated factors

Elliott, R

McKinley, S Fien, M Elliott, D

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Publication Type:: Journal Article
Citation:: Rehabilitation Psychology, 2016, 61 (2), pp. 141 - 150
Issue Date:: 2016-05-01

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Field	Value	Language
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126	en_US
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Fien, M	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.date.issued	2016-05-01	en_US
dc.identifier.citation	Rehabilitation Psychology, 2016, 61 (2), pp. 141 - 150	en_US
dc.identifier.issn	0090-5550	en_US
dc.identifier.uri	http://hdl.handle.net/10453/122764
dc.description.abstract	© 2016 American Psychological Association. Purpose/Objective: To explore demographic, clinical, and psychological factors in intensive care unit (ICU), including self-reported sleep quality and experiences that were associated with posttraumatic stress (PTS) symptoms 6 months after discharge from hospital. Research Method/Design: A prospective survey was conducted (N = 222). On the day of transfer to the hospital ward, ICU patients reported pain and state-anxiety levels, as well as ICU and prehospital sleep quality. Two months after hospital discharge, they reported sleep quality at home and experiences in ICU. Six months after hospital discharge, sleep quality, PTS symptoms (measured with the Posttraumatic Stress Disorder Checklist- Specific; PCL-S; VA National Center for PTSD, 2014) and psychological well-being (using Depression, Anxiety and Stress Scales-21; DASS-21; Ware, Kosinski, & Keller, 1994) were reported. Descriptive data analyses were performed and factors associated with PTS symptoms were explored with multiple linear regression. Results: The sample was predominately male (65%), with a mean age 57 years. At baseline, pain intensity was low (M ± SD; 2.25 ± 1.14) and state-anxiety levels were moderate (2.50 ± 2.90). At 6 months, 30% of the sample demonstrated depression, and 13.5% (mean PCL-S score: 26.54 ± 10.52) reported symptoms reflective of PTS. The regression model explained 68.2% of the variance in the PCL-S score. Higher PTS scores were independently associated with frightening experiences in ICU, higher stress and depression scores, pain intensity at baseline, and sleep quality at 6 months. Conclusion/Implications: Continuing symptoms of PTS were evident in 14% of the cohort. Screening for prevention and treatment of delirium while a patient is in ICU is essential, and psychological screening and follow-up during recovery would therefore also be beneficial for many patients.	en_US
dc.relation.ispartof	Rehabilitation Psychology	en_US
dc.relation.isbasedon	10.1037/rep0000074	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pain	en_US
dc.subject.mesh	Convalescence	en_US
dc.subject.mesh	Critical Care	en_US
dc.subject.mesh	Patient Discharge	en_US
dc.subject.mesh	APACHE	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Adaptation, Psychological	en_US
dc.subject.mesh	Fear	en_US
dc.subject.mesh	Mental Recall	en_US
dc.subject.mesh	Stress Disorders, Post-Traumatic	en_US
dc.subject.mesh	Depressive Disorder	en_US
dc.subject.mesh	Comorbidity	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Survivors	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Sleep Wake Disorders	en_US
dc.title	Posttraumatic stress symptoms in intensive care patients: An exploration of associated factors	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	61	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	61	en_US

Abstract:

© 2016 American Psychological Association. Purpose/Objective: To explore demographic, clinical, and psychological factors in intensive care unit (ICU), including self-reported sleep quality and experiences that were associated with posttraumatic stress (PTS) symptoms 6 months after discharge from hospital. Research Method/Design: A prospective survey was conducted (N = 222). On the day of transfer to the hospital ward, ICU patients reported pain and state-anxiety levels, as well as ICU and prehospital sleep quality. Two months after hospital discharge, they reported sleep quality at home and experiences in ICU. Six months after hospital discharge, sleep quality, PTS symptoms (measured with the Posttraumatic Stress Disorder Checklist- Specific; PCL-S; VA National Center for PTSD, 2014) and psychological well-being (using Depression, Anxiety and Stress Scales-21; DASS-21; Ware, Kosinski, & Keller, 1994) were reported. Descriptive data analyses were performed and factors associated with PTS symptoms were explored with multiple linear regression. Results: The sample was predominately male (65%), with a mean age 57 years. At baseline, pain intensity was low (M ± SD; 2.25 ± 1.14) and state-anxiety levels were moderate (2.50 ± 2.90). At 6 months, 30% of the sample demonstrated depression, and 13.5% (mean PCL-S score: 26.54 ± 10.52) reported symptoms reflective of PTS. The regression model explained 68.2% of the variance in the PCL-S score. Higher PTS scores were independently associated with frightening experiences in ICU, higher stress and depression scores, pain intensity at baseline, and sleep quality at 6 months. Conclusion/Implications: Continuing symptoms of PTS were evident in 14% of the cohort. Screening for prevention and treatment of delirium while a patient is in ICU is essential, and psychological screening and follow-up during recovery would therefore also be beneficial for many patients.

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http://hdl.handle.net/10453/122764