Sleep and psychological health during early recovery from critical illness: An observational study

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

Sleep and psychological health during early recovery from critical illness: An observational study

McKinley, S Fien, M Elliott, R

Elliott, D

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Publication Type:: Journal Article
Citation:: Journal of Psychosomatic Research, 2013, 75 (6), pp. 539 - 545
Issue Date:: 2013-12-01

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Field	Value	Language
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Fien, M	en_US
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.date.available	2013-09-27	en_US
dc.date.issued	2013-12-01	en_US
dc.identifier.citation	Journal of Psychosomatic Research, 2013, 75 (6), pp. 539 - 545	en_US
dc.identifier.issn	0022-3999	en_US
dc.identifier.uri	http://hdl.handle.net/10453/26804
dc.description.abstract	Introduction: Intensive care patients often report sleep disruption in ICU and during recovery from critical illness. Objectives: To assess: (i) patients' self-reported sleep quality in ICU, on the hospital ward after transfer from ICU and two and six months after hospital discharge; (ii) whether patients who report sleep disruption in ICU continue to report sleep disruption in recovery and (iii) whether prehospital insomnia, experiences in intensive care, quality of life and psychological health are associated with sleep disruption six months after hospital discharge. Methods: Patients completed self-report measures on sleep quality at five time points: prior to hospitalization, in ICU, the hospital ward, two months and six months after hospital discharge, their intensive care experiences two months after discharge and psychological health and quality of life six months after discharge. Results: Patients (n. = 222) were aged (mean. ±. SD) 57.2. ±. 17.2. years, 35% female, had mean ICU stay of 5. ±. 6. days and BMI of 26. ±. 5. Over half the participants (57%) reported poor sleep at six months; for 10% this was at all time points after ICU admission. Prehospitalization insomnia (p. = .0005), sleep quality on the ward (p. = .006), anxiety (p. = .002), and mental (p. = .0005) and physical health (p. = .0005) were independently associated with poorer sleep quality in survivors six months after ICU treatment. Conclusions: Sleep is a significant issue for more than half of survivors 6. months after ICU treatment. Some influencing factors, such as hospital sleep quality, anxiety, physical health and mental health, are potentially modifiable and should be targeted in recovery programs. © 2013 Elsevier Inc.	en_US
dc.relation.ispartof	Journal of Psychosomatic Research	en_US
dc.relation.isbasedon	10.1016/j.jpsychores.2013.09.007	en_US
dc.subject.classification	Psychiatry	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Critical Illness	en_US
dc.subject.mesh	Patient Discharge	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Sleep	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	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	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Sleep and psychological health during early recovery from critical illness: An observational study	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	75	en_US
utslib.for	1110 Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive 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	open_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	75	en_US

Abstract:

Introduction: Intensive care patients often report sleep disruption in ICU and during recovery from critical illness. Objectives: To assess: (i) patients' self-reported sleep quality in ICU, on the hospital ward after transfer from ICU and two and six months after hospital discharge; (ii) whether patients who report sleep disruption in ICU continue to report sleep disruption in recovery and (iii) whether prehospital insomnia, experiences in intensive care, quality of life and psychological health are associated with sleep disruption six months after hospital discharge. Methods: Patients completed self-report measures on sleep quality at five time points: prior to hospitalization, in ICU, the hospital ward, two months and six months after hospital discharge, their intensive care experiences two months after discharge and psychological health and quality of life six months after discharge. Results: Patients (n. = 222) were aged (mean. ±. SD) 57.2. ±. 17.2. years, 35% female, had mean ICU stay of 5. ±. 6. days and BMI of 26. ±. 5. Over half the participants (57%) reported poor sleep at six months; for 10% this was at all time points after ICU admission. Prehospitalization insomnia (p. = .0005), sleep quality on the ward (p. = .006), anxiety (p. = .002), and mental (p. = .0005) and physical health (p. = .0005) were independently associated with poorer sleep quality in survivors six months after ICU treatment. Conclusions: Sleep is a significant issue for more than half of survivors 6. months after ICU treatment. Some influencing factors, such as hospital sleep quality, anxiety, physical health and mental health, are potentially modifiable and should be targeted in recovery programs. © 2013 Elsevier Inc.

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http://hdl.handle.net/10453/26804