Memories and prevalence of posttraumatic stress disorder in intensive care units

Rovatti, Karla Bender; Teodoro, Maycoln Leôni Martins; Castro, Elisa Kern de

doi:10.1590/s0102-79722012000300009

Cited by 11 publications

(16 citation statements)

References 31 publications

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“…Patients might even wrongly but clearly recall that the nurses or physicians had intended to kill them 13 . Therefore, as the findings of recent studies have shown, 14,15 patients' memories of the ICU can be associated with the occurrence of PTSD.…”

Section: Introductionmentioning

confidence: 99%

Post‐traumatic stress disorder in critical illness survivors and its relation to memories of ICU

Hosseini

Arab

Karzari

et al. 2020

Nursing in Critical Care

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Background Stressors in intensive care units (ICUs) are sometimes so severe that they result in Post‐traumatic Stress Disorder (PTSD) in ICU survivors. The memories that survivors have from the ICU may play a role in developing PTSD. Aim This study aimed to determine the prevalence of PTSD‐related symptoms in ICU survivors in Southeast Iran and its relationship with their memories of the ICU. Methods In this descriptive correlational study, 100 people discharged from ICUs in southeastern Iran completed the Impact of Event Scale‐Revised (IES‐R) and ICU memory tool (ICU‐MT). Results Findings indicated that, from 100 participants who, on average, were assessed 3.19 ± 5.37 months after discharge, 13% were suffering from PTSD. The total mean IES‐R score and the scores of “Intrusion,” “Avoidance,” and “Hyperarousal” subscales in patients with delusional memories were higher compared with the patients who did not have such memories. In the patients who were mechanically ventilated at the time of their stay in the ICU, the total mean IES‐R score was 6.86 times higher (P = .03). Conclusion This research provided further evidence of the relationship between delusional memories and PTSD in patients who had been discharged from the ICU. Relevance to clinical practice In the care of patients admitted to the ICU, preventive strategies should be used to minimize delusional memories and PTSD. It is necessary to detect post‐ICU psychiatric morbidities and provide early psychological intervention in post‐discharge follow‐up programmes to improve psychological outcomes after critical illness.

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Section: Introductionmentioning

confidence: 99%

Post‐traumatic stress disorder in critical illness survivors and its relation to memories of ICU

Hosseini

Arab

Karzari

et al. 2020

Nursing in Critical Care

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“…Today, with advances in technology and medical equipment, mortality rate of patients is reduced. However, patients discharged from critical care units might have high rates of physical and psychological complications ( 3 , 4 ). Psychological disorders such as depression, anxiety and PTSD are some of these complications ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Posttraumatic Stress Disorder and Related Factors Among Patients Discharged From Critical Care Units in Kashan, Iran

2015

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BackgroundPosttraumatic Stress Disorder (PTSD) is a severe anxiety disorder occurred due to past adverse experiences. Several researches have demonstrated that PTSD is quite common among patients discharged from critical care unit.ObjectivesThis study aimed to investigate the prevalence of PTSD and its related factors among patients discharged from critical care units in Kashan, Iran, during 2014.Patients and MethodsA descriptive prospective study was performed on 332 patients admitted to critical care units of Kashan Shahid Beheshti Hospital using a convenience sampling method. Data were collected in wards during hospitalization and one month after their discharge from hospital using questionnaires on demographic, medical information and PTSD Checklist (PCL). The PCL scores of 45 or more were considered as PTSD. Data were analyzed using chi-square, t-test, Mann-Whitney U and logistic regression.ResultsFrom a total of 332 patients, 160 cases (48.2%) had PTSD and the mean total PCL score in participants was 44.24 ± 19.89. There was a significant difference between the total score of PTSD and its domains in patients with and without PTSD. the univariate analysis showed a significant association between PTSD and increasing age, increased length of hospital stay, more children, having additional comorbidities, unemployed, use of mechanical ventilation (P < 0.001), drug abuse (P = 0.003) and single patients (P = 0.028). However, there was no significant association between PTSD and gender, type of the critical care unit, level of education and admission due to trauma. However, in multivariate analysis using logistic regression, factors associated with PTSD were older age of the participants, use of mechanical ventilation having additional comorbidities, unemployed (P<0.001) and being single (P=0.04)ConclusionsPrevalence of PTSD is high among patients discharged from ICUs and some medical individual factors such as elderly, unemployed, being single, using mechanical ventilation and pre-existing diseases are risk factors. Therefore, it is recommended to perform appropriative educational plan for these patients to reduce the risk of PTSD.

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“…A semelhança nos níveis de TEPT entre jovens do sexo feminino e masculino nesta amostra é diferente dos resultados de outros estudos que avaliaram TEPT em outras situações de problemas de saúde (Girard et al, 2007;Rovatti, Teodoro, & Kern de Castro, 2012;Schelling, 2007), que indicavam maiores índices nas mulheres. Em estudos com sobreviventes de cancro infantil, alguns autores encontraram um índice maior de TEPT em mulheres Psychology, Community & Health 2015, Vol.…”

Section: Discussionunclassified

Posttraumatic Stress Disorder and Illness Perception in Young Survivors of Childhood Cancer

Castro¹,

Zancan²,

Gregianin³

2015

Psychol. Community Health

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ObjetivoEste estudo teve como objetivo avaliar a presença de Transtorno de Estresse Pós-Traumático (TEPT) e a sua relação com a perceção da doença numa amostra de 65 jovens sobreviventes de cancro infantil, com uma média de idades de 19 anos (DP= 2,70) e que tinham terminado o tratamento, em média, há sete anos.MétodoForam aplicados instrumentos para obtenção de dados sociodemográficos e clínicos, de sintomas de TEPT – “Posttraumatic Stress Disorder Checklist – Civilian” (PCL-C) e de perceção da doença – “Revised Illness Perception Questionnaire for Healthy People” (IPQ-RH).ResultadosA presença de sintomas de TEPT variade 9,2% a 18,5% na amostra, e a perceção da doença esteve correlacionada com os sintomas deste transtorno. As subescalas Representação Emocional e Coerência da Doença (IPQ-RH), foram preditoras dos sintomas de Reexperiência (β = 0,0370; p < 0,01; β = 0,261; p<0,05, respetivamente). A subescala Representação Emocional (IPQ-RH) também foi preditora de sintomas de Esquiva (β = 0,330; p < 0,001).ConclusãoConcluiu-se que a perceção da doença deve ser investigada para prevenir os sintomas de TEPT em sobreviventes de câncer infantil.

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Memories and prevalence of posttraumatic stress disorder in intensive care units

Cited by 11 publications

References 31 publications

Post‐traumatic stress disorder in critical illness survivors and its relation to memories of ICU

Post‐traumatic stress disorder in critical illness survivors and its relation to memories of ICU

Prevalence of Posttraumatic Stress Disorder and Related Factors Among Patients Discharged From Critical Care Units in Kashan, Iran

Posttraumatic Stress Disorder and Illness Perception in Young Survivors of Childhood Cancer

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