Study protocol: Intensive care anxiety and emotional recovery (Icare)—A prospective study

Castillo, María Isabel Archilla; Aitken, Leanne M.; Cooke, Marie

doi:10.1016/j.aucc.2012.10.001

Cited by 7 publications

(7 citation statements)

References 38 publications

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“…Our study was limited to adult patients who were ≥24 hours in a general intensive care unit and therefore only generalisable to patients who spend at least 24 hours in the intensive care unit. Although a sub-study, it was planned at the time of conception of the larger study (Castillo et al, 2013). While we assessed the levels of state anxiety, we did not explore the reasons why patients were anxious such as environmental factors.…”

Section: Discussionmentioning

confidence: 99%

“…Participants in this analysis were enrolled in a prospective follow-up study that investigated anxiety, depression and posttraumatic stress symptoms in intensive care survivors over six months after discharge from the intensive care unit (Castillo et al, 2013, Castillo et al, 2015a, Castillo et al, 2015b. Participants (n=141) were from one closed mixed medical/surgical/trauma intensive care unit of a tertiary metropolitan public hospital located in Brisbane, Australia.…”

Section: Methodsmentioning

confidence: 99%

“…Data were collected prospectively between September 2012 and February 2013. The study protocol has previously been published (Castillo et al, 2013), but a summary of the methods is provided below. The current study is a preplanned sub-study analysis of this research.…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with anxiety in critically ill patients: A prospective observational cohort study

Castillo

Cooke

Macfarlane

et al. 2016

International Journal of Nursing Studies

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This study provides a better understanding of contributing factors for anxiety in the critically ill. Trait anxiety and state anxiety were significantly associated with each other, namely, patients who were anxious by nature experienced higher levels of state anxiety, which persisted throughout their stay in the intensive care unit. Recognising the importance of state and trait anxiety assessments using validated tools and determining ways to manage anxiety in the critically ill are critical aspects of the intensive care nurses role.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Factors associated with anxiety in critically ill patients: A prospective observational cohort study

Castillo

Cooke

Macfarlane

et al. 2016

International Journal of Nursing Studies

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“…The total score for each subscale can be classified into four categories: normal (0-7), mild (8-10), moderate (11)(12)(13)(14) and severe (15)(16)(17)(18)(19)(20)(21) Daily Weekly Less than weekly Ex-smoker Never-smoker…”

Section: Discussionmentioning

confidence: 99%

“…All participants provided written informed consent. The study protocol has previously been published (12). However, a summary of the methods and modifications made to the published protocol are provided in this section.…”

Section: Methodsmentioning

confidence: 99%

Trait Anxiety But Not State Anxiety During Critical Illness Was Associated With Anxiety and Depression Over 6 Months After ICU

Castillo

Cooke

Macfarlane

et al. 2016

Critical Care Medicine

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Citation: Castillo, M. I., Cooke, M. L., Macfarlane, B. & Aitken, L. M. (2015). Trait anxiety but not state anxiety during critical Illness was associated with anxiety and depression over 6 months after ICU. Critical Care Medicine, 44(1), pp. 100-110. doi: 10.1097/CCM.0000000000001356 This is the accepted version of the paper.This version of the publication may differ from the final published version. Griffith University and Princess Alexandra Hospital Intensive Care Unit, Brisbane, Queensland, Australia. Permanent repository link Reprints:Reprints will not be ordered. Financial support:Intensive Care Foundation Research Grant and Australian College of Critical CareNurses Research Grant. KeywordsIntensive care unit, state anxiety, trait anxiety, critically ill, anxiety, depression. Interventions: None. Measurements and Main Results:The outcomes of symptoms of anxiety and depression over six months after ICU discharge were assessed using the Hospital Anxiety Depression Scale. The primary variable of interest was anxiety during critical illness. Two components of anxiety (state and trait) were assessed during critical illness using the Faces Anxiety Scale and the trait component of the State-Trait Anxiety Inventory. Perceived social support, cognitive functioning and post-traumatic stress symptoms were also assessed using standardised instruments. Clinical and demographic data were obtained from patients and medical records. Participants were followed-up in hospital wards, and at three and six months after ICU discharge.During ICU treatment, 81 (57%) of the 141 participants reported moderate to severe levels of state anxiety. Of the 92 participants who completed the surveys at the six-month follow-up, 26 (28%) reported symptoms of anxiety and 21 (23%) symptoms of depression. Symptoms of anxiety and depression were strongly 4 correlated in this cohort of survivors. Trait anxiety was significantly associated with both anxiety and depression symptoms over time, however, state anxiety was not associated with either outcome. Participants who reported post-ICU memories of intra-ICU anxiety were significantly more anxious during recovery over six months.Cognitive functioning and post-traumatic stress symptoms were both significantly associated with anxiety and depression symptoms over time. Conclusion:Symptoms of anxiety and depression are a significant issue for general ICU survivors. Trait anxiety was significantly associated with adverse emotional outcomes over six months after ICU discharge. There was also a significant relationship between post-ICU memories of intra-ICU anxiety and anxiety during recovery. Interventions to reduce anxiety during critical illness need to be considered and evaluated for their longer term benefits for survivors of critical illness.

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Identification and prevalence of PTSD risk factors in ECMO patients: A single centre study

Tramm

Hodgson

Ilić

et al. 2015

Australian Critical Care

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Study protocol: Intensive care anxiety and emotional recovery (Icare)—A prospective study

Abstract: Background: Survivors of intensive care units (ICUs) commonly present with symptoms of

Cited by 7 publications

References 38 publications

Factors associated with anxiety in critically ill patients: A prospective observational cohort study

Factors associated with anxiety in critically ill patients: A prospective observational cohort study

Trait Anxiety But Not State Anxiety During Critical Illness Was Associated With Anxiety and Depression Over 6 Months After ICU

Identification and prevalence of PTSD risk factors in ECMO patients: A single centre study

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