Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters
Abstract Background Survivors of an acute critical illness with continuing organ dysfunction and uncontrolled inflammatory responses are prone to become chronically critically ill. As mental sequelae, a post-traumatic stress disorder and an associated decrease in the health-related quality of life (...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | Critical Care |
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| Online Access: | http://link.springer.com/article/10.1186/s13054-019-2321-0 |
| _version_ | 1811327973491474432 |
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| author | Gloria-Beatrice Wintermann Katja Petrowski Kerstin Weidner Bernhard Strauß Jenny Rosendahl |
| author_facet | Gloria-Beatrice Wintermann Katja Petrowski Kerstin Weidner Bernhard Strauß Jenny Rosendahl |
| author_sort | Gloria-Beatrice Wintermann |
| collection | DOAJ |
| description | Abstract Background Survivors of an acute critical illness with continuing organ dysfunction and uncontrolled inflammatory responses are prone to become chronically critically ill. As mental sequelae, a post-traumatic stress disorder and an associated decrease in the health-related quality of life (QoL) may occur, not only in the patients but also in their partners. Currently, research on long-term mental distress in chronically critically ill patient-partner dyads, using appropriate dyadic analysis strategies (patients and partners being measured and linked on the same variables) and controlling for contextual factors, is lacking. Methods The present study investigates the interdependence of post-traumatic stress symptoms (PTSS) and the health-related QoL in n = 70 dyads of chronically critically ill patients and their partners, using the Actor-Partner-Interdependence Model (APIM) under consideration of contextual factors (age, gender, length of partnership). The Post-traumatic Stress Scale (PTSS-10) and Euro-Quality of Life (EQ-5D-3L) were applied in both the patients and their partners, within up to 6 months after the transfer from acute care ICU to post-acute ICU. Results Clinically relevant post-traumatic stress symptoms were reported by 17.1% of the patients and 18.6% of the partners. Both the chronically critically ill patients and their partners with more severe post-traumatic stress symptoms also showed a decreased health-related QoL. The latter was more pronounced in male partners compared to female partners or female patients. In younger partners (≤ 57 years), higher values of post-traumatic stress symptoms were associated with a decreased QoL in the patients. Conclusions Mental health screening and psychotherapeutic treatment options should be offered to both the chronically critically ill patients and their partners. Future research is required to address the special needs of younger patient-partner dyads, following protracted ICU treatment. Trial registration German Clinical Trials Register No. DRKS00003386. Registered 13 November 2011 |
| first_indexed | 2024-04-13T15:17:25Z |
| format | Article |
| id | doaj.art-016902b381aa4ec6aba8a96791823dfd |
| institution | Directory Open Access Journal |
| issn | 1364-8535 |
| language | English |
| last_indexed | 2024-04-13T15:17:25Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Critical Care |
| spelling | doaj.art-016902b381aa4ec6aba8a96791823dfd2022-12-22T02:41:48ZengBMCCritical Care1364-85352019-02-0123111010.1186/s13054-019-2321-0Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age mattersGloria-Beatrice Wintermann0Katja Petrowski1Kerstin Weidner2Bernhard Strauß3Jenny Rosendahl4Department of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität DresdenDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität DresdenDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität DresdenInstitute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Friedrich-Schiller UniversityInstitute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Friedrich-Schiller UniversityAbstract Background Survivors of an acute critical illness with continuing organ dysfunction and uncontrolled inflammatory responses are prone to become chronically critically ill. As mental sequelae, a post-traumatic stress disorder and an associated decrease in the health-related quality of life (QoL) may occur, not only in the patients but also in their partners. Currently, research on long-term mental distress in chronically critically ill patient-partner dyads, using appropriate dyadic analysis strategies (patients and partners being measured and linked on the same variables) and controlling for contextual factors, is lacking. Methods The present study investigates the interdependence of post-traumatic stress symptoms (PTSS) and the health-related QoL in n = 70 dyads of chronically critically ill patients and their partners, using the Actor-Partner-Interdependence Model (APIM) under consideration of contextual factors (age, gender, length of partnership). The Post-traumatic Stress Scale (PTSS-10) and Euro-Quality of Life (EQ-5D-3L) were applied in both the patients and their partners, within up to 6 months after the transfer from acute care ICU to post-acute ICU. Results Clinically relevant post-traumatic stress symptoms were reported by 17.1% of the patients and 18.6% of the partners. Both the chronically critically ill patients and their partners with more severe post-traumatic stress symptoms also showed a decreased health-related QoL. The latter was more pronounced in male partners compared to female partners or female patients. In younger partners (≤ 57 years), higher values of post-traumatic stress symptoms were associated with a decreased QoL in the patients. Conclusions Mental health screening and psychotherapeutic treatment options should be offered to both the chronically critically ill patients and their partners. Future research is required to address the special needs of younger patient-partner dyads, following protracted ICU treatment. Trial registration German Clinical Trials Register No. DRKS00003386. Registered 13 November 2011http://link.springer.com/article/10.1186/s13054-019-2321-0Chronic critical illnessIntensive care unit (ICU)Post-traumatic stress symptomsSepsisPartnersPost-Intensive Care Syndrome-Family (PICS-F) |
| spellingShingle | Gloria-Beatrice Wintermann Katja Petrowski Kerstin Weidner Bernhard Strauß Jenny Rosendahl Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters Critical Care Chronic critical illness Intensive care unit (ICU) Post-traumatic stress symptoms Sepsis Partners Post-Intensive Care Syndrome-Family (PICS-F) |
| title | Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters |
| title_full | Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters |
| title_fullStr | Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters |
| title_full_unstemmed | Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters |
| title_short | Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners: age matters |
| title_sort | impact of post traumatic stress symptoms on the health related quality of life in a cohort study with chronically critically ill patients and their partners age matters |
| topic | Chronic critical illness Intensive care unit (ICU) Post-traumatic stress symptoms Sepsis Partners Post-Intensive Care Syndrome-Family (PICS-F) |
| url | http://link.springer.com/article/10.1186/s13054-019-2321-0 |
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