scholarly journals Predictors of post-traumatic stress disorder following critical illness: A mixed methods study

2017 ◽  
Vol 18 (4) ◽  
pp. 289-293 ◽  
Author(s):  
Ceri E Battle ◽  
Karen James ◽  
Tom Bromfield ◽  
Paul Temblett

Purpose Post-traumatic stress disorder has been reported in survivors of critical illness. The aim of this study was to investigate the predictors of post-traumatic stress disorder in survivors of critical illness. Materials and methods Patients attending the intensive care unit (ICU) follow-up clinic completed the UK-Post-Traumatic Stress Syndrome 14-Questions Inventory and data was collected from their medical records. Predictors investigated included age, gender, Apache II score, ICU length of stay, pre-illness psychopathology; delirium and benzodiazepine administration during ICU stay and delusional memories of the ICU stay following discharge. Results A total of 198 patients participated, with 54 (27%) patients suffering with post-traumatic stress disorder. On multivariable logistic regression, the significant predictors of post-traumatic stress disorder were younger age, lower Apache II score, pre-illness psychopathology and delirium during the ICU stay. Conclusions The predictors of post-traumatic stress disorder in this study concur with previous research however a lower Apache II score has not been previously reported.

JRSM Open ◽  
2017 ◽  
Vol 8 (5) ◽  
pp. 205427041769272 ◽  
Author(s):  
Sarah C Jenkins ◽  
Sharon AM Stevelink ◽  
Nicola T Fear

Objective To investigate the self-rated health of the UK military and explore factors associated with poor self-rated health. Compare self-rated health of the military to the general population. Design A cohort study. Participants A total of 7626 serving and ex-serving UK military personnel, aged between 25 and 49; 19,452,300 civilians from England and Wales. Setting United Kingdom (military), England and Wales (civilians). Main outcome measures Self rated health for both populations. Additional data for the military sample included measures of symptoms of common mental disorder (General Health Questionnaire-12), probable post-traumatic stress disorder (post-traumatic stress disorder checklist Civilian Version), alcohol use (Alcohol Use Disorders Identification Test), smoking behaviour, history of self-harm and body mass index. Results In the military sample, poor self-rated health was significantly associated with: common mental disorders and post-traumatic stress disorder symptomology, a history of self-harm, being obese, older age (ages 35–49) and current smoking status. However, the majority of military personnel report good health, with levels of poor self-rated health (13%) not significantly different to those reported by the general population (12.1%). Conclusions Self-rated health appears to relate to aspects of both physical and psychological health. The link between poor self-rated health and psychological ill-health emphasises the need for military support services to continue addressing mental health problems.


Author(s):  
Jennifer H. Ryu ◽  
Maia S. Kredentser ◽  
O. Joseph Bienvenu ◽  
Marcus Blouw ◽  
Jitender Sareen ◽  
...  

Critical Care ◽  
2015 ◽  
Vol 19 (Suppl 1) ◽  
pp. P555 ◽  
Author(s):  
M Patel ◽  
J Jackson ◽  
A Morandi ◽  
T Girard ◽  
C Hughes ◽  
...  

2020 ◽  
Vol 48 (11) ◽  
pp. 1572-1579 ◽  
Author(s):  
Emilie Wawer ◽  
Marie Viprey ◽  
Bernard Floccard ◽  
Mohamed Saoud ◽  
Fabien Subtil ◽  
...  

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