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Risk factors for posttraumatic stress disorder in ICU survivors
Başlık:
Risk factors for posttraumatic stress disorder in ICU survivors
Yazar:
Yakobson, Michelle, author.
ISBN:
9780438071865
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (111 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Robin Wellington.
Özet:
Survivors of critical illness and intensive care hospitalization comprise a substantial group of patients, one that is growing as a result of improvements in medical care (Warlan & Howland, 2015). In North America alone, more than five million people are admitted to a general medical or general surgical intensive care unit (ICU; unless otherwise explicitly stated, ICU will refer to general medical and surgical ICU populations and not to burn, trauma, or neurological ICU patients) annually (Society of Critical Care Medicine, 2005). Because of advances in critical care, mortality rates have significantly declined to 20%, from 50% just over a decade ago, increasing the number of ICU survivors substantially (Zimmerman, Kramer, & Knaus, 2013). These individuals are at risk for developing Posttraumatic Stress Disorder (PTSD) and depression, (Davydow, Gifford, Desai, Needham, & Bienvenu, 2008; Parker et al., 2015) but research is discrepant regarding the hospital- or treatment-related variables responsible for adverse psychological outcomes.
The aim of this study was to assess which ICU factors predict PTSD and depression, so that patients at high risk can be identified as early as possible in their treatment, and managed both in and out of the hospital with minimal psychological complications. Based on prior research, it was hypothesized that days of delirium, sedation, and mechanical ventilation, as well as rates of pain and sepsis status experienced during ICU hospitalization, would be associated with later onset of PTSD and depression symptoms (e.g. Jackson et al., 2016). Through a variety of assessments administered to patients and review of hospital records, this study sought to explore which hospitalization-related variables may be connected with post-discharge psychopathology. Contrary to expectations, only days of sedation and sepsis status significantly impacted depression scores at four-month follow-up, and only sepsis status significantly impacted PTSD scores for the same time period, while days of sedation had a marginally significant impact on PTSD scores. Even more unexpectedly, the directions of these relationships were such that sepsis and sedation seemed protective against development of PTSD or depression. Future studies of larger magnitude should explore these factors for their potential roles in later psychopathology related to vulnerabilities caused by ICU hospitalization.
Notlar:
School code: 0192
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(684921.1) | 684921-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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