• Medientyp: E-Artikel
  • Titel: Risk Factors of Delayed Onset Posttraumatic Stress Disorder in Chronically Critically Ill Patients
  • Beteiligte: Wintermann, Gloria-Beatrice; Rosendahl, Jenny; Weidner, Kerstin; Strauß, Bernhard; Petrowski, Katja
  • Erschienen: Ovid Technologies (Wolters Kluwer Health), 2017
  • Erschienen in: Journal of Nervous & Mental Disease
  • Sprache: Englisch
  • DOI: 10.1097/nmd.0000000000000714
  • ISSN: 1539-736X; 0022-3018
  • Schlagwörter: Psychiatry and Mental health
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  • Beschreibung: <jats:title>Abstract</jats:title> <jats:p>The main aim of this study was to investigate factors associated with a delayed-onset posttraumatic stress disorder (PTSD) after the intensive care unit (ICU) treatment of patients with a chronic critical illness (CCI). Patients (<jats:italic toggle="yes">n</jats:italic> = 97) with critical illness polyneuropathy or critical illness myopathy were interviewed via the Structured Clinical Interview for <jats:italic toggle="yes">Diagnostic and Statistical Manual of Mental Disorders, 4th Edition</jats:italic>. The diagnosis of the acute stress disorder was assessed within 1 month (t1), the diagnosis of PTSD at 3 (t2) and 6 (t3) months after transfer from the acute care ICU to the post-acute ICU. Patients showing a delayed-onset or persistent course of PTSD were subsumed in one group; 24.7% (<jats:italic toggle="yes">n</jats:italic> = 24) showed a delayed-onset PTSD. Significant risk factors were as follows: the severity of the medical illness, the perceived fear of dying at the ICU, the number of traumatic memories from the ICU, and the presence of a coronary heart disease. Every fourth patient with CCI showed a delayed-onset PTSD up to 6 months after the ICU treatment. Markers for a delayed-onset PTSD should already be assessed at the time of discharge from the ICU.</jats:p>