Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness

McKinley, S; Aitken, LM; Alison, JA; King, M; Leslie, G; Burmeister, E; Elliott, D

Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness

McKinley, S Aitken, LM Alison, JA King, M Leslie, G Burmeister, E Elliott, D

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Publication Type:: Journal Article
Citation:: Intensive Care Medicine, 2012, 38 (4), pp. 627 - 633
Issue Date:: 2012-04-01

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Field	Value	Language
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Aitken, LM	en_US
dc.contributor.author	Alison, JA	en_US
dc.contributor.author	King, M	en_US
dc.contributor.author	Leslie, G	en_US
dc.contributor.author	Burmeister, E	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.date.available	2012-01-06	en_US
dc.date.issued	2012-04-01	en_US
dc.identifier.citation	Intensive Care Medicine, 2012, 38 (4), pp. 627 - 633	en_US
dc.identifier.issn	0342-4642	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18470
dc.description.abstract	Purpose: Some patients who survive intensive care unit (ICU) treatment report psychological sequelae during recovery. This study examined factors associated with psychological outcomes of former ICU patients up to 6 months after hospital discharge. Methods: Participants (n = 195) were adult survivors of ICU enrolled in a multicenter trial of physical rehabilitation after hospital discharge. The 36-Item Short-Form Health Survey (SF-36), the Impact of Events Scale (IES) and the Depression, Anxiety and Stress Scales were completed, and sleep rated on a five-point scale at weeks 1, 8 and 26; clinical and demographic data were obtained from patient records. Results: Participants were 41% females with mean ± standard deviation (SD) age of 57 ± 16 years and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores of 19 ± 7; median lengths of mechanical ventilation and ICU stay were 89 h and 6 days, respectively. Impaired mental health, depression, anxiety, stress and psychological distress significantly improved after week 1. Female gender, younger age and sleeping problems were associated with impaired psychological outcomes on bivariate analyses. Age; gender; week 1 anxiety, depression and stress; week 26 sleeping; and rehabilitation study group were entered into multiple linear regression analyses for week 26 IES and SF-36 Mental Component Summary (MCS) outcomes. IES scores were associated (p\0.05) with gender, week 1 stress and week 26 sleep but not study group; MCS scores were associated (p\0.05) with week 1 stress and week 26 sleep but not study group. Conclusion: Female gender, early levels of increased stress and problems sleeping are associated with worse psychological recovery for survivors of critical illness.© Copyright jointly held by Springer and ESICM 2012.	en_US
dc.relation	http://purl.org/au-research/grants/nhmrc/352407
dc.relation.ispartof	Intensive Care Medicine	en_US
dc.relation.isbasedon	10.1007/s00134-012-2477-4	en_US
dc.subject.classification	Emergency & Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Analysis of Variance	en_US
dc.subject.mesh	Critical Illness	en_US
dc.subject.mesh	Demography	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Health Status Indicators	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	Length of Stay	en_US
dc.subject.mesh	Linear Models	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Mental Disorders	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Psychiatric Status Rating Scales	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Respiration, Artificial	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Sleep Wake Disorders	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.title	Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	38	en_US
utslib.for	1117 Public Health and Health Services	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 Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	38	en_US

Abstract:

Purpose: Some patients who survive intensive care unit (ICU) treatment report psychological sequelae during recovery. This study examined factors associated with psychological outcomes of former ICU patients up to 6 months after hospital discharge. Methods: Participants (n = 195) were adult survivors of ICU enrolled in a multicenter trial of physical rehabilitation after hospital discharge. The 36-Item Short-Form Health Survey (SF-36), the Impact of Events Scale (IES) and the Depression, Anxiety and Stress Scales were completed, and sleep rated on a five-point scale at weeks 1, 8 and 26; clinical and demographic data were obtained from patient records. Results: Participants were 41% females with mean ± standard deviation (SD) age of 57 ± 16 years and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores of 19 ± 7; median lengths of mechanical ventilation and ICU stay were 89 h and 6 days, respectively. Impaired mental health, depression, anxiety, stress and psychological distress significantly improved after week 1. Female gender, younger age and sleeping problems were associated with impaired psychological outcomes on bivariate analyses. Age; gender; week 1 anxiety, depression and stress; week 26 sleeping; and rehabilitation study group were entered into multiple linear regression analyses for week 26 IES and SF-36 Mental Component Summary (MCS) outcomes. IES scores were associated (p\0.05) with gender, week 1 stress and week 26 sleep but not study group; MCS scores were associated (p\0.05) with week 1 stress and week 26 sleep but not study group. Conclusion: Female gender, early levels of increased stress and problems sleeping are associated with worse psychological recovery for survivors of critical illness.© Copyright jointly held by Springer and ESICM 2012.

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http://hdl.handle.net/10453/18470