tailieunhanh - Báo cáo y học: "Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge. | Myhren et al. Critical Care 2010 14 R14 http content 14 1 R14 c CRITICAL CARE RESEARCH Open Access Posttraumatic stress anxiety and depression symptoms in patients during the first year post intensive care unit discharge Hilde Myhren1 0ivind Ekeberg2 3 Kirsti Toien1 Susanne Karlsson1 Olav Stokland1 Abstract Introduction To study the level and predictors of posttraumatic stress anxiety and depression symptoms in medical surgical and trauma patients during the first year post intensive care unit ICU discharge. Methods Of 255 patients included 194 participated at 12 months. Patients completed the Impact of Event Scale IES Hospital Anxiety and Depression Scale HADS Life Orientation Test LOT at 4 to 6 weeks 3 and 12 months and ICU memory tool at the first assessment baseline . Case level for posttraumatic stress symptoms with high probability of a posttraumatic stress disorder PTSD was 35. Case level of HADS-Anxiety or Depression was 11. Memory of pain during ICU stay was measured at baseline on a five-point Likert-scale 0-low to 4-high . Patient demographics and clinical variables were controlled for in logistic regression analyses. Results Mean IES score one year after ICU treatment was 95 CI to and 27 48 180 were above case level IES 35. No significant differences in the IES mean scores across the three time points were found P . In a subgroup 27 170 16 patients IES score increased from 11 to 32 P . No differences in posttraumatic stress anxiety or depression between medical surgical and trauma patients were found. High educational level OR 95 CI to personality trait optimism OR 95 CI to factual recall OR 95 CI to and memory of pain OR 95 CI to were independent predictors of posttraumatic stress symptoms at one year. Optimism was a strong predictor for less anxiety OR to and depression symptoms OR to after one year. Conclusions The mean level of .

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