Dyadic post-traumatic stress after intensive care: Case report of a sepsis patient and his wife

Gawlytta, Romina; Brunkhorst, Frank M.; Niemeyer, Helen; Boettche, Maria; Knaevelsrud, Christine; Rosendahl, Jenny

doi:10.1016/j.iccn.2020.102806

Cited by 10 publications

(11 citation statements)

References 16 publications

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“…Early interventions and psychoeducation in partners with acute PTSD symptom levels may improve stress management and emotion regulation (American Psychiatric Association, 2004). For instance, online education and interventions may be considered for partners (Gawlytta et al, 2020). Future research may study interpersonal processes between burn survivors and partners, as dyadic associations have been reported in survivors of critical illness and their partners (Rosendahl, Brunkhorst, Jaenichen, & Strauss, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Besides the potential life threat of the burn event, sources of distress entail for example monitoring of the patient's vital symptoms, mechanical ventilation and the patient may be unrecognizably bandaged. Studies in partners of survivors of critical illness show that posttraumatic stress disorder (PTSD) symptoms in response to these medical applications may occur (Gawlytta et al, 2020;Petrinec & Daly, 2016). Furthermore, family members, especially partners, are an important source of support for patients with burns, both during the acute phase and after discharge from the hospital, when partners may take on the role of caretaker of the patient (Bäckström, Willebrand, Sjöberg, & Haglund, 2018;Bayuo & Wong, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Guilt, and, to a lesser extent anger, are common reactions to burns in family members (Kornhaber, Childs, & Cleary, 2018;Rossi, da Vila, Zago, & Ferreira, 2005). Guilt relates to a negative evaluation of a person's specific behaviour (McLean & Foa, 2017); parents of children with burns may feel guilty because they were unable to prevent the burn event (Hawkins, Centifanti, Holman, & Taylor, 2019), but guilt may also occur in partners of critically ill patients (Gawlytta et al, 2020). Anger, a negative emotional state related to specific cognitive distortions and physiological changes (McLean & Foa, 2017) was reported by burn survivors and parents of children with burns and was shown to be related to PTSD symptoms (Egberts et al, 2017;van Loey, van Son, van der Heijden, & Ellis, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors

Dam

Schoot

Geenen

et al. 2021

European Journal of Psychotraumatology

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Background: Partners of burn survivors may develop posttraumatic stress disorder (PTSD) symptoms in response to the potential life threatening nature of the burn event and the burn survivor's medical treatment. Objective: This longitudinal study examined the prevalence, course and potential predictors of partners' PTSD symptoms up to 18 months post-burn. Methods: Participants were 111 partners of adult burn survivors. In a multi-centre study, PTSD symptoms were assessed with the Impact of Event Scale-Revised during the acute phase and subsequently at 3, 6, 12 and 18 months post-burn. Partners' appraisal of life threat, anger, guilt and level of rumination were assessed as potential predictors of PTSD symptoms in an exploratory piecewise latent growth model. Results: Acute PTSD symptoms in the clinical range were reported by 30% of the partners, which decreased to 4% at 18 months post-burn. Higher acute PTSD symptoms were related to perceived life threat and higher levels of anger, guilt, and rumination. Over time, mean symptom levels decreased, especially in partners with high levels of acute PTSD symptoms, perceived life threat and rumination. From three months onward, PTSD symptoms decreased less in partners of more severely burned survivors. At 18 months post-burn, higher levels of PTSD symptoms were related to higher acute PTSD symptoms and more severe burns. Conclusions: One in three partners reported clinical levels of acute PTSD symptoms, of which the majority recovered over time. Perceived life threat, feelings of anger and guilt, and rumination may indicate the presence of acute PTSD symptoms, whereas more severe burns predict long-term PTSD symptom levels. The results highlight the need to screen for acute PTSD symptoms and offer psychological help to partners to alleviate acute elevated stress levels if indicated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors

Dam

Schoot

Geenen

et al. 2021

European Journal of Psychotraumatology

View full text Add to dashboard Cite

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“…Even though it is evident that the relationship between the members of the dyad can influence their well-being (Pristavec, 2019), research exploring the dyadic perspective in caregiving is still relatively scarce. ICBT has been previously considered for use in the dyadic setting (Gawlytta et al, 2020), and some more research is currently underway (Akkol-Solakoglu et al, 2021), encouraging its adaptation in the informal caregiving setting.…”

Section: Focusing On the Dyadmentioning

confidence: 99%

Care for the Caregiver : Internet intervention for informal caregivers in Lithuania

Biliunaite

2022

Linköping Studies in Behavioural Science

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“…Children with septic shock can experience emotional difficulties which in turn lower their HRQOL (31). Among adult patients with chronic critical illness or sepsis, caregivers often experience depression, post-traumatic stress symptoms and decreased HRQOL following their loved one's ICU hospitalization (32)(33)(34).…”

Section: Evidence Of Spillover Effects Of Sepsismentioning

confidence: 99%

What's the Cost? Measuring the Economic Impact of Pediatric Sepsis

et al. 2021

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Sepsis, life-threatening organ dysfunction secondary to infection, hospitalizes nearly 75,000 children each year in the United States. Most children survive sepsis. However, there is increasing recognition of the longer-term consequences of pediatric sepsis hospitalization on both the child and their family, including medical, psychosocial, and financial impacts. Here, we describe family spillover effects (the impact of illness on caregivers) of pediatric sepsis, why measurement of family spillover effects is important, and the ways in which family spillover effects can be measured.

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Dyadic post-traumatic stress after intensive care: Case report of a sepsis patient and his wife

Cited by 10 publications

References 16 publications

Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors

Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors

Care for the Caregiver : Internet intervention for informal caregivers in Lithuania

What's the Cost? Measuring the Economic Impact of Pediatric Sepsis

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