Risk and protective factors of secondary traumatic stress in Intensive Care Units: An exploratory study in a hospital in Madrid (Spain)

2020 ◽  
Vol 44 (7) ◽  
pp. 420-428
Author(s):  
J.E. Moreno-Jiménez ◽  
R. Rodríguez-Carvajal ◽  
M. Chico-Fernández ◽  
Ó. Lecuona ◽  
M. Martínez ◽  
...  
2020 ◽  
Vol 12 (3) ◽  
pp. 907-933
Author(s):  
Jennifer E. Moreno‐Jiménez ◽  
Luis Manuel Blanco‐Donoso ◽  
Raquel Rodríguez‐Carvajal ◽  
Mario Chico‐Fernández ◽  
Juan Carlos Montejo ◽  
...  

Salud Mental ◽  
2020 ◽  
Vol 43 (5) ◽  
pp. 219-226
Author(s):  
Jennifer E. Moreno-Jiménez ◽  
María del Carmen Yeo-Ayala ◽  
Andrés Palomera ◽  
Luis Manuel Blanco-Donoso ◽  
Raquel Rodríguez-Carvajal ◽  
...  

Introduction. Physicians of Intensive Care Units (ICU) have a potential risk to develop negative outcomes such as emotional exhaustion and secondary traumatic stress (STS). Specifically, job demands in these units (i.e., work stressors and emotional effort) may positively predict these outcomes, whereas personal resources such as harmonious passion and self-compassion may diminish them. Objetive. To design a specific intervention for physicians in ICU and provide preliminary evidence of its effectiveness. Method. A brief intervention of five weekly sessions (two hour-sessions) was carried out with four physicians in ICU in a hospital in Mexico. Other four physicians were selected as a control group. The intervention was aimed at reducing emotional exhaustion and STS by increasing harmonious passion and self-compassion, and diminishing the emotional effort. Results. The intervention group showed a significant reduction in: a) work stressors (2/4 physicians; RCI = .21); emotional effort (1/4 physicians; (RCI = .60); emotional exhaustion (2/4 physicians; RCI = .34); and STS (3/4 physicians; RCI = .26). One physician experienced a significant increase in harmonious passion (RCI = 1.00), but the intervention seems to maintain high levels of this and self-compassion in comparison with the control group. The control group showed a worse result in its outcomes. Discussion and conclusion. Despite the limitations, this study provides preliminary evidence for effectively reducing emotional exhaustion and STS. Our findings highlight the individual analysis of the effective tools per physician and address interventions focused on harmonious passion and self-compassion. This study calls for future research concerning intervention proposals in ICU with follow-up measures to diminish the negative consequences in the long-term.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Rachel Nissanholtz Gannot ◽  
Yaira Hamama Raz ◽  
Iris Stein ◽  
Ori Hochwald

Author(s):  
Hannah Murray ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
Alice Kerr ◽  
...  

Abstract Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU. Key learning aims (1) To recognise PTSD following admissions to intensive care units (ICUs). (2) To understand how the ICU experience can lead to PTSD development. (3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD. (4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231460
Author(s):  
Amy Richardson ◽  
Gagan Gurung ◽  
Ari Samaranayaka ◽  
Dianne Gardner ◽  
Brandon deGraaf ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035517
Author(s):  
Karen A Lawrence ◽  
Theresia M Pachner ◽  
Molly M Long ◽  
Stephanie Henderson ◽  
Donna L Schuman ◽  
...  

IntroductionPost-traumatic stress disorder (PTSD) is associated with an increased risk of dementia. Individual epidemiological studies have controlled for several confounders of the relationship between PTSD and increased dementia risk, yet particular risk factors underlying this relationship have not been determined. This systematic review protocol aims to identify risk and protective factors of dementia among adults with PTSD.Methods and analysisWe will conduct an electronic search of the databases: PubMed, CINAHL, PsychINFO, The Cochrane Library, Scopus and ProQuest Dissertation and Theses Global. After screening the studies, quantitative synthesis will be performed, if possible. Otherwise, a narrative synthesis will be performed. We will include randomised controlled trials and other types of research evidence including longitudinal cohort studies. Strength of evidence will be assessed using the Grading of Recommendations, Assessment, Development and Evaluations method. Examples of variables that will be extracted are: year of PTSD diagnosis, comorbid conditions, health behaviours, pharmacological treatments and year of mild cognitive impairment or dementia diagnosis. We developed this systematic review protocol according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015 statement.Ethics and disseminationThe proposed study will not collect individual-level data and, therefore, does not require ethical approval. Results of this study will provide current evidence on risk and protective factors of dementia in adults with PTSD. Findings will be disseminated in peer-reviewed publications and conference presentations.PROSPERO registration numberCRD42019128553.


Sign in / Sign up

Export Citation Format

Share Document