Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it?
Introduction Over the last decade, there has been identified that critical illness survivors have high rates of psychiatric disorders such as posttraumatic stress disorder (PTSD). The experience of admission to intensive care units (ICU) and illusory memories may cause short and long-term psycholog...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822002164/type/journal_article |
| _version_ | 1797616927598706688 |
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| author | T. Teixeira J. Quarenta S. Martins A. Almeida B. Ribeiro |
| author_facet | T. Teixeira J. Quarenta S. Martins A. Almeida B. Ribeiro |
| author_sort | T. Teixeira |
| collection | DOAJ |
| description |
Introduction
Over the last decade, there has been identified that critical illness survivors have high rates of psychiatric disorders such as posttraumatic stress disorder (PTSD). The experience of admission to intensive care units (ICU) and illusory memories may cause short and long-term psychological disorders.
Objectives
To evaluate psychiatric disorders, such as PTSD, after ICU discharge, and determine the prevalence, risk factors, and prevention strategies for PTSD in these patients.
Methods
Non-systematic review through research in PubMed. Addicionally, a case report will be exposed, after the patient was diagnosed with SARS‑CoV‑2 and stayed in ICU for more than 30 days.
Results
The development of PTSD has been related to the number of adverse memories patients recall from their ICU experience. Some studies have shown that approximately 47% of patients remember real facts and 34% have illusory memories relative to their stays in the ICU. There were identified some risk factor associated to the increased risk of post-ICU PTSD, such as early post-ICU memories or psychotic experiences, pre-ICU psychopathology, benzodiazepine sedation during ICU and substantial acute stress symptoms occurring < 1 month after exposure to a traumatic stressor.
Conclusions
High levels of anxiety and the development by patients of PTSD are being recognized as significant problems occurring after a stay in an ICU. The results of this study highlight the need to recognise the risk factors and to establish a early follow-up after ICU stay. This way is possible to identify patients who are at risk of developing acute PTSD-related symptoms, and early intervention can be institued.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:48:10Z |
| format | Article |
| id | doaj.art-59b302652b3240b49f99230facbee816 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:48:10Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-59b302652b3240b49f99230facbee8162023-11-17T05:07:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S68S6810.1192/j.eurpsy.2022.216Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it?T. Teixeira0J. Quarenta1S. Martins2A. Almeida3B. Ribeiro4Centro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, PortugalCentro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, PortugalCentro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, PortugalCentro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, PortugalCentro Hospitalar do Tâmega e Sousa, Departamento De Psiquiatria E Saúde Mental, Penafiel, Portugal Introduction Over the last decade, there has been identified that critical illness survivors have high rates of psychiatric disorders such as posttraumatic stress disorder (PTSD). The experience of admission to intensive care units (ICU) and illusory memories may cause short and long-term psychological disorders. Objectives To evaluate psychiatric disorders, such as PTSD, after ICU discharge, and determine the prevalence, risk factors, and prevention strategies for PTSD in these patients. Methods Non-systematic review through research in PubMed. Addicionally, a case report will be exposed, after the patient was diagnosed with SARS‑CoV‑2 and stayed in ICU for more than 30 days. Results The development of PTSD has been related to the number of adverse memories patients recall from their ICU experience. Some studies have shown that approximately 47% of patients remember real facts and 34% have illusory memories relative to their stays in the ICU. There were identified some risk factor associated to the increased risk of post-ICU PTSD, such as early post-ICU memories or psychotic experiences, pre-ICU psychopathology, benzodiazepine sedation during ICU and substantial acute stress symptoms occurring < 1 month after exposure to a traumatic stressor. Conclusions High levels of anxiety and the development by patients of PTSD are being recognized as significant problems occurring after a stay in an ICU. The results of this study highlight the need to recognise the risk factors and to establish a early follow-up after ICU stay. This way is possible to identify patients who are at risk of developing acute PTSD-related symptoms, and early intervention can be institued. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822002164/type/journal_articledelusional memoriesintensive care unitpost-traumatic stress |
| spellingShingle | T. Teixeira J. Quarenta S. Martins A. Almeida B. Ribeiro Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? European Psychiatry delusional memories intensive care unit post-traumatic stress |
| title | Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? |
| title_full | Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? |
| title_fullStr | Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? |
| title_full_unstemmed | Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? |
| title_short | Development of posttraumatic stress disorder symptoms after intensive care - how to prevent it? |
| title_sort | development of posttraumatic stress disorder symptoms after intensive care how to prevent it |
| topic | delusional memories intensive care unit post-traumatic stress |
| url | https://www.cambridge.org/core/product/identifier/S0924933822002164/type/journal_article |
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