dc.contributor.author | Castillo, Maria I | |
dc.contributor.author | Cooke, Marie L | |
dc.contributor.author | Macfarlane, Bonnie | |
dc.contributor.author | Aitken, Leanne M | |
dc.date.accessioned | 2018-06-18T04:21:56Z | |
dc.date.available | 2018-06-18T04:21:56Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 1036-7314 | |
dc.identifier.doi | 10.1016/j.aucc.2015.09.003 | |
dc.identifier.uri | http://hdl.handle.net/10072/141574 | |
dc.description.abstract | Background: Posttraumatic stress symptoms are common after intensive care treatment. The influence
of anxiety during critical illness on the development of posttraumatic stress symptoms needs to be
investigated.
Objective: To determine the association between anxiety during critical illness (state and trait components)
and posttraumatic stress symptoms over six months after ICU discharge.
Methods: Prospective study including 141 patients admitted ≥24 h to a closed mixed adult ICU in a tertiary
hospital. State anxiety was assessed with the Faces Anxiety Scale during ICU stay. Trait anxiety
was measured with the State-Trait Anxiety Inventory Form Y-2. Posttraumatic stress symptoms were
measured at three and six months after ICU discharge using the Post-Traumatic Stress Symptoms 10-
Question Inventory. Clinical and demographical data were also collected. Mixed effect regression models
were used to determine if state and trait anxiety were factors significantly associated with posttraumatic
stress symptoms over time.
Results: Moderate to severe levels of state anxiety in ICU were reported by 81 (57%) participants. Levels of
trait anxiety (median 36 IQR: 29–47) were similar to the Australian population. High levels of posttraumatic
stress symptoms occurred atthree (n = 19, 19%) and six months (n = 15, 17%). Factors independently
associated with posttraumatic stress symptoms were trait anxiety (2.2; 95% CI, 0.3–4.1; p = 0.02), symptoms
of anxiety after ICU discharge (0.6; 95% CI, 0.2–1.1; p = 0.005), younger age (−1.4; 95% CI, −2.6 to
−0.2; p = 0.02) and evidence of mental health treatment prior to the ICU admission (5.2; 95% CI, 1.5–8.9;
p = 0.006).
Conclusions: Posttraumatic stress symptoms occurred in a significant proportion of ICU survivors and
were significantly associated with higher levels of trait anxiety, younger age, mental health treatment
prior to the ICU admission and more symptoms of anxiety after ICU discharge. Early assessment and
interventions directed to reduce state and trait anxiety in ICU survivors may be of benefit | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 158 | |
dc.relation.ispartofpageto | 164 | |
dc.relation.ispartofissue | 3 | |
dc.relation.ispartofjournal | Australian Critical Care | |
dc.relation.ispartofvolume | 29 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.title | In ICU state anxiety is not associated with posttraumatic stress symptoms over six months after ICU discharge: A prospective study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.description.version | Version of Record (VoR) | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. You may not alter, transform, or build upon this work. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Cooke, Marie L. | |