Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study
Objectives An acute critical illness and secondary complications may necessitate a prolonged treatment on an intensive care unit (ICU). As long-term consequences, ICU survivors may suffer from both physical and psychological sequelae. To improve the aftercare of these patients, the present study aim...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/1/e063468.full |
| _version_ | 1797770140625928192 |
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| author | Gloria-Beatrice Wintermann Kerstin Weidner Bernhard Strauss Jenny Rosendahl |
| author_facet | Gloria-Beatrice Wintermann Kerstin Weidner Bernhard Strauss Jenny Rosendahl |
| author_sort | Gloria-Beatrice Wintermann |
| collection | DOAJ |
| description | Objectives An acute critical illness and secondary complications may necessitate a prolonged treatment on an intensive care unit (ICU). As long-term consequences, ICU survivors may suffer from both physical and psychological sequelae. To improve the aftercare of these patients, the present study aimed to assess the use of mental healthcare and associated factors following prolonged ICU stay.Methods N=197 patients with a primary diagnosis of critical illness polyneuropathy/myopathy were enrolled within 4 weeks (T1) and interviewed three (T2) and six (T3) months following the transfer from acute-care to postacute ICU. Symptoms and a current diagnosis of major depression/post-traumatic stress disorder (PTSD) were assessed using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders. The potential need for mental healthcare, its current and past use and reasons for non-use were raised.Results Full syndromal and subsyndromal major depression/PTSD were diagnosed in 8.3%/15.6% at T2, 12.2%/23.5% at T3. About 29% of the patients reported mental healthcare utilisation. Considering somatic complaints, more important was a common reason for the non-use of mental healthcare. Female gender, previous mental healthcare, number of sepsis episodes and pension receipt increased the chance for mental healthcare utilisation, a pre-existing mental disorder decreased it.Conclusion Every fourth patient surviving prolonged ICU treatement makes use of mental healthcare . Particularly male patients with pre-existing mental disorders should be targeted preventively, receiving specific psychoeducation about psychological long-term sequelae and mental healthcare options post-ICU.Trial registration numberDRKS00003386. |
| first_indexed | 2024-03-12T21:19:07Z |
| format | Article |
| id | doaj.art-b88d3a857f6e482ba9600dbc7e598561 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T21:19:07Z |
| publishDate | 2023-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-b88d3a857f6e482ba9600dbc7e5985612023-07-29T02:20:07ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-063468Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort studyGloria-Beatrice Wintermann0Kerstin Weidner1Bernhard Strauss2Jenny Rosendahl3Department of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyDepartment of Psychotherapy and Psychosomatic Medicine, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyInstitute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Universitätsklinikum Jena, Jena, GermanyInstitute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Universitätsklinikum Jena, Jena, GermanyObjectives An acute critical illness and secondary complications may necessitate a prolonged treatment on an intensive care unit (ICU). As long-term consequences, ICU survivors may suffer from both physical and psychological sequelae. To improve the aftercare of these patients, the present study aimed to assess the use of mental healthcare and associated factors following prolonged ICU stay.Methods N=197 patients with a primary diagnosis of critical illness polyneuropathy/myopathy were enrolled within 4 weeks (T1) and interviewed three (T2) and six (T3) months following the transfer from acute-care to postacute ICU. Symptoms and a current diagnosis of major depression/post-traumatic stress disorder (PTSD) were assessed using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders. The potential need for mental healthcare, its current and past use and reasons for non-use were raised.Results Full syndromal and subsyndromal major depression/PTSD were diagnosed in 8.3%/15.6% at T2, 12.2%/23.5% at T3. About 29% of the patients reported mental healthcare utilisation. Considering somatic complaints, more important was a common reason for the non-use of mental healthcare. Female gender, previous mental healthcare, number of sepsis episodes and pension receipt increased the chance for mental healthcare utilisation, a pre-existing mental disorder decreased it.Conclusion Every fourth patient surviving prolonged ICU treatement makes use of mental healthcare . Particularly male patients with pre-existing mental disorders should be targeted preventively, receiving specific psychoeducation about psychological long-term sequelae and mental healthcare options post-ICU.Trial registration numberDRKS00003386.https://bmjopen.bmj.com/content/13/1/e063468.full |
| spellingShingle | Gloria-Beatrice Wintermann Kerstin Weidner Bernhard Strauss Jenny Rosendahl Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study BMJ Open |
| title | Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study |
| title_full | Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study |
| title_fullStr | Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study |
| title_full_unstemmed | Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study |
| title_short | Rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit: a prospective cohort study |
| title_sort | rates and predictors of mental health care utilisation in patients following a prolonged stay on intensive care unit a prospective cohort study |
| url | https://bmjopen.bmj.com/content/13/1/e063468.full |
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