Posttraumatic Stress Disorder Phenomena After Critical Illness

2017 ◽  
Vol 33 (3) ◽  
pp. 649-658 ◽  
Author(s):  
Oscar Joseph Bienvenu ◽  
Ted-Avi Gerstenblith
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder

Posttraumatic Stress Disorder in Critical Illness Survivors

2015 ◽  
Vol 43 (5) ◽  
pp. 1121-1129 ◽  
Author(s):  
Ann M. Parker ◽  
Thiti Sricharoenchai ◽  
Sandeep Raparla ◽  
Kyle W. Schneck ◽  
O. Joseph Bienvenu ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder

Posttraumatic Stress Disorder Following Critical Illness

2008 ◽  
Vol 24 (4) ◽  
pp. 875-887 ◽  
Author(s):  
Erin K. Kross ◽  
Cynthia J. Gries ◽  
J. Randall Curtis
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder

Posttraumatic stress disorder (PTSD) after critical illness: A conceptual review of distinct clinical issues and their implications.

2016 ◽  
Vol 61 (2) ◽  
pp. 132-140 ◽  
Author(s):  
James C. Jackson ◽  
Jennifer E. Jutte ◽  
Cashuna Huddleston Hunter ◽  
Nancy Ciccolella ◽  
Hillary Warrington ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Clinical Issues

Intensive Care Diaries and Relatives’ Symptoms of Posttraumatic Stress Disorder After Critical Illness: A Pilot Study

2012 ◽  
Vol 21 (3) ◽  
pp. 172-176 ◽  
Author(s):  
Christina Jones ◽  
Carl Bäckman ◽  
Richard David Griffiths
Keyword(s):  
Intensive Care Unit ◽  
Posttraumatic Stress Disorder ◽  
Intensive Care ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Controlled Trial ◽  
Family Members ◽  
Intensive Care Patients ◽  
Close Family

Background Relatives of patients recovering from critical illness are at risk of developing posttraumatic stress disorder. Objectives To test whether providing a diary to intensive care patients and their relatives reduces the level of symptoms related to posttraumatic stress disorder in the relatives. Methods Observational study of close family members of patients who stayed more than 72 hours in an intensive care unit, recruited in 2 centers of a 12-center randomized controlled trial examining the effect of a diary outlining the details of the patients’ stay in the intensive care unit on the development of new-onset posttraumatic stress disorder in patients. The close family members of the patients were recruited to examine the additional effect of the provision of the patient’s diary on the family members’ symptoms related to posttraumatic stress syndrome. Results Thirty-six family members were recruited, and 30 completed the study. Family members of patients who received their diary at 1 month had lower levels of symptoms related to posttraumatic stress disorder (P = .03) at the 3-month follow-up than did the control family members. Conclusions Provision of a diary may help psychological recovery in patients’ families after critical illness.

scholarly journals 4417 Association between Brain Volumes and Posttraumatic Stress Disorder in Intensive Care Unit Survivors

2020 ◽  
Vol 4 (s1) ◽  
pp. 22-22
Author(s):  
Jo Ellen Wilson ◽  
Kristina Stepanovic ◽  
Baxter Rogers ◽  
Amy Kiehl ◽  
E. “Wes” Ely ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Brain Volumes ◽  
Imaging Science ◽  
Vanderbilt University ◽  
Ptsd Symptomatology ◽  
Salary Support

OBJECTIVES/GOALS: To explore the severity of posttraumatic stress disorder (PTSD) symptoms in association with hippocampal and amygdala volumes in ICU survivors. We hypothesize that the severity of posttraumatic stress symptoms in ICU survivors is associated with lower volumes of both the hippocampus and amygdala. METHODS/STUDY POPULATION: Secondary analysis of the VISIONS study, a prospective sub-study of the BRAIN-ICU cohort, which included survivors of critical illness. Patients were screened for preexisting PTSD before discharge. The PTSD Checklist Specific (PCL-S) was used at 3 and 12 months to evaluate the ICU as a traumatic experience. A score of >30, indicated significant symptoms of PTSD. A Philips Achieva 3T MRI scanner was used to scan patients at both discharge and 3-month follow-up. To compare median brain volumes at discharge and 3 months for those with and without significant PTSD symptomatology (PCL-S ≥30) at 3 and 12 months, we used a Kruskal-Wallis (KW) equality-of-populations rank test. RESULTS/ANTICIPATED RESULTS: The median age for our sample was 58.5 (52.6, 63.7). One-third of the sample was female, and 90% were Caucasian. Fifty-seven percent of individuals (N = 12) had at least one prior mental health diagnosis, with two having a prior history of PTSD. One third of individuals experienced delirium during their critical illness. At 3-month follow up, there were three patients with PTSD symptomatology and one at 12-month follow up. Median brain volumes (hippocampus or amygdala) did not differ between individuals with or without PTSD symptomatology at either 3 or 12 months (p-values for all tests >0.05). DISCUSSION/SIGNIFICANCE OF IMPACT: Although our study did not reveal significant differences in brain volumes between PTSD patients and non-PTSD patients, sample size is a major limitation and larger scale studies should be undertaken to elucidate possible neurobiological markers of PTSD in ICU survivors. CONFLICT OF INTEREST DESCRIPTION: Dr. Wilson would like to acknowledge salary support from the Vanderbilt Faculty Research Scholars Program (1KL2TR002245), HL111111 and GM120484. Drs. Ely and Jackson as well as Mrs. Kiehl all receive funding for their time working on this investigation from AG035117 and HL111111. Dr. Ely would additionally like to acknowledge salary support from the Tennessee Valley Healthcare System Geriatric Research Education and Clinical Center (GRECC). Dr. Ely will also disclose additional funding for his time from AG027472 and having received honoraria from Orion and Hospira for CME activity; he does not hold stock or consultant relationships with those companies. The authors would like to acknowledge the following: this work was conducted in part using the resources of the Center for Computational Imaging at Vanderbilt University Institute of Imaging Science and the Advanced Computing Center for Research and Education at Vanderbilt University, Nashville, TN, and study data were collected and managed using REDCap electronic data capture tools hosted at Vanderbilt University.

Sign in / Sign up

Export Citation Format

Share Document