Comparative validation of three screening instruments for posttraumatic stress disorder after intensive care

Rosendahl, Jenny; Kisyova, Hristina; Gawlytta, Romina; Scherag, André

doi:10.1016/j.jcrc.2019.06.016

Cited by 20 publications

(25 citation statements)

References 27 publications

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“…Quality of life was assessed through the Euro Quality 5 Dimensions 3 Levels (EQ5D‐3L), 25,26 which includes an overall score self‐evaluated by the patient, the Visual Analogue Scale (VAS). Psychological outcomes were evaluated with the Hospital Anxiety and Depression Scale (HADS), 27,28 the PTSD Checklist for DSM‐5 (PCL‐5 ‐ which assesses PTSD), 29‐31 and the Insomnia Severity Index (ISI) 32 . Cognitive status was assessed through the Italian Telephonic version of the Mini‐Mental State Examination (Itel‐MMSE) 33 …”

Section: Methodsmentioning

confidence: 99%

“…Psychological outcomes were evaluated with the Hospital Anxiety and Depression Scale (HADS), 27,28 the PTSD Checklist for DSM-5 (PCL-5 -which assesses PTSD), [29][30][31] and the Insomnia Severity Index (ISI). 32 Cognitive status was assessed through the Italian Telephonic version of the Mini-Mental State Examination (Itel-MMSE).…”

Section: Functional Outcomes Were Explored Via the Glasgow Outcomementioning

confidence: 99%

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Two‐months quality of life of COVID‐19 invasively ventilated survivors; an Italian single‐center study

Monti

Leggieri

Fominskiy

et al. 2021

Acta Anaesthesiol Scand

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Background COVID‐19 disease can lead to severe functional impairments after discharge. We assessed the quality of life of invasively ventilated COVID‐19 ARDS survivors. Methods We carried out a prospective follow‐up study of the patients admitted to the Intensive Care Units (ICUs) of a teaching hospital. Patients affected by COVID‐19 ARDS who required invasive ventilation and were successfully discharged home were assessed through the telephone administration of validated tests. We explored survival, functional outcomes, return to work, quality of life, cognitive and psychological sequelae. The main variables of interest were the following: demographics, severity scores, laboratory values, comorbidities, schooling, working status, treatments received during ICU stay, complications, and psychological, cognitive, functional outcomes. Results Out of 116 consecutive invasively ventilated patients, overall survival was 65/116 (56%) with no death occurring after hospital discharge. Forty‐two patients were already discharged home with a median follow‐up time of 61 (51‐71) days after ICU discharge and 39 of them accepted to be interviewed. Only one patient (1/39) experienced cognitive decline. The vast majority of patients reported no difficulty in walking (32/35:82%), self‐care (33/39:85%), and usual activities (30/39:78%). All patients were either malnourished (15/39:38%) or at risk for malnutrition (24/39:62%). Exertional dyspnea was present in 20/39 (51%) patients. 19/39 (49%) reported alterations in senses of smell and/or taste either before or after hospitalization. Conclusions Invasively ventilated COVID‐19 ARDS survivors have an overall good recovery at a 2‐months follow‐up which is better than what was previously reported in non‐COVID‐19 ARDS patients.

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Section: Methodsmentioning

confidence: 99%

Section: Functional Outcomes Were Explored Via the Glasgow Outcomementioning

confidence: 99%

Two‐months quality of life of COVID‐19 invasively ventilated survivors; an Italian single‐center study

Monti

Leggieri

Fominskiy

et al. 2021

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

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“…A PCL-5 score greater than 30 indicates potential benefit from treatment of PTSD. The PCL is the most well-established screening measure for detecting PTSD following any potential adverse event and has shown good reliability and concurrent validity with other measures of PTSD in post-ICU patients ( 33 ). Free-response statements from subjects regarding their ability to function and quality of life were recorded.…”

Section: Methodsmentioning

confidence: 99%

One-Year Functional, Cognitive, and Psychological Outcomes Following the Use of Extracorporeal Membrane Oxygenation in Coronavirus Disease 2019: A Prospective Study

Rajajee

Fung

Seagly

et al. 2021

Critical Care Explorations

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“…The PCL-5 has been found to be a valid and reliable measure across many populations. [29][30][31] Internal consistency for the total score in the current study was α = .93. Secondary outcomes measured included depression, anxiety, and stress (Depression, Anxiety, and Stress Scale-21) 32,33 ; the parents' adjustment and experience of the illness (Parent Experience of Child Illness Scale [PECI]) 34 ; and the family's ability to manage caring for a child with a chronic condition (condition management ability subscale of the Family Management Measure).…”

Section: Primary and Secondary Outcomesmentioning

confidence: 60%

Effect of a Videoconference-Based Online Group Intervention for Traumatic Stress in Parents of Children With Life-threatening Illness

et al. 2020

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IMPORTANCE A substantial proportion of parents whose child is diagnosed with a life-threatening illness experience high levels of distress that can lead to long-term mental health difficulties. This can affect the child's recovery. OBJECTIVE To evaluate the efficacy of an acceptance and commitment therapy-based group intervention, delivered using videoconferencing, in reducing posttraumatic stress symptoms (PTSS) in these parents. DESIGN, SETTING, AND PARTICIPANTS This study was a randomized clinical trial of an intervention for parents with elevated acute stress symptoms. It was a single-site study conducted in a tertiary pediatric hospital in Australia. Parents of children aged 0 to 18 years admitted for a lifethreatening illness or injury to the oncology, cardiology, or pediatric intensive care departments were eligible. Participants were screened for eligibility within the first month after diagnosis or admission and then were randomized to the intervention group or the waiting list control group 4 to 10 months after diagnosis or admission. Recruitment commenced January 2014, and final postintervention follow-up was completed in February 2018. Data analysis was performed from July to September 2018. INTERVENTIONS Treatment was a psychological acceptance and commitment therapy-based group therapy program called Take a Breath, which consisted of a 6-session parent-mediated psychological intervention delivered via online videoconferences over the course of 8 weeks. Waiting list control participants received treatment as usual and were offered the intervention 3 months after randomization. MAIN OUTCOMES AND MEASURES The primary outcome was PTSS, as measured by the Posttraumatic Stress Disorder Checklist-Version 5 (total score range, 0-80, with higher scores indicating greater symptom severity). The PTSS was measured both before and immediately after the intervention. Changes in psychological skills taught within the intervention were also evaluated, including acceptance, mindfulness, values-based living, and psychological flexibility. RESULTS Of 1232 parents who were assessed for eligibility, 313 were randomized; 161 were allocated to the waiting list control group, and 152 were allocated to the intervention group. Of those allocated, 44 parents in the waiting list group and 37 in the intervention group completed the postintervention questionnaire and were analyzed (81 participants total; mean [SD] age, 37.17 [6.43] years). Sixtyfive participants (80.2%) were women, 48 participants (59.3%) were married, and 40 participants (49.4%) lived in rural or regional areas, or in a different state. In addition, 24 parents (29.6%) were in (continued) Key Points Question Is an acceptance and commitment therapy-based group intervention, delivered using videoconferencing, effective in reducing posttraumatic stress symptoms in parents of very ill children? Findings This randomized clinical trial found that videoconference-based acceptance and commitment therapy (compared with a waiting list) was effective in reducing posttrauma...

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Comparative validation of three screening instruments for posttraumatic stress disorder after intensive care

Cited by 20 publications

References 27 publications

Two‐months quality of life of COVID‐19 invasively ventilated survivors; an Italian single‐center study

Two‐months quality of life of COVID‐19 invasively ventilated survivors; an Italian single‐center study

One-Year Functional, Cognitive, and Psychological Outcomes Following the Use of Extracorporeal Membrane Oxygenation in Coronavirus Disease 2019: A Prospective Study

Effect of a Videoconference-Based Online Group Intervention for Traumatic Stress in Parents of Children With Life-threatening Illness

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