scholarly journals Symptoms of post-traumatic stress disorder (PTSD) in next of kin during suspension of ICU visits during the COVID-19 pandemic: a prospective observational study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bjoern Zante ◽  
Katja Erne ◽  
Julia Grossenbacher ◽  
Sabine A. Camenisch ◽  
Joerg C. Schefold ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Next Of Kin ◽  
Icu Patients ◽  
Icu Stay ◽  
Post Traumatic

Abstract Background During the COVID-19 pandemic, suspension of visits by next of kin to patients in intensive care units (ICU), to prevent spread of the SARS-CoV-2 virus, has been a common practice. This could impede established family-centered care and may affect the mental health of the next of kin. The aim of this study was to explore symptoms of post-traumatic stress syndrome (PTSD) in the next of kin of ICU patients. Methods In this prospective observational single-center study, next of kin of ICU patients were interviewed by telephone, using the Impact of Event Scale-Revised (IES-R), to assess symptoms of acute stress disorder during the ICU stay and PTSD symptoms at 3 months after the ICU stay. The primary outcome was the prevalence of severe PTSD symptoms (IES-R score ≥ 33) at 3 months. The secondary outcomes comprised the IES-R scores during the ICU stay, at 3 months, and the prevalence of severe symptoms of acute stress disorder during ICU stay. An inductive content analysis was performed of the next of kin’s comments regarding satisfaction with patient care and the information they were given. Results Of the 411 ICU patients admitted during the study period, 62 patients were included together with their next of kin. An IES-R score > 33 was observed in 90.3% (56/62) of next of kin during the ICU stay and in 69.4% (43/62) 3 months later. The median IES-R score was 49 (IQR 40–61) during the ICU stay and 41 (IQR 30–55) at 3 months. The inductive content analysis showed that communication/information (55%), support (40%), distressing emotions (32%), and suspension of ICU visits (24%) were mentioned as relevant aspects by the next of kin. Conclusions During the suspension of ICU visits in the COVID-19 pandemic, high prevalence and severity of both symptoms of acute stress disorder during the ICU stay and PTSD symptoms 3 months later were observed in the next of kin of ICU patients.

scholarly journals Treating adults with acute stress disorder and post‐traumatic stress disorder in general practice: a clinical update

2007 ◽  
Vol 187 (2) ◽  
pp. 120-123 ◽  
Author(s):  
David Forbes ◽  
Mark C Creamer ◽  
Andrea J Phelps ◽  
Anne‐Laure Couineau ◽  
John A Cooper ◽  
...  
Keyword(s):  
General Practice ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

Katastrophenpsychiatrie

2005 ◽  
Vol 24 (09) ◽  
pp. 779-782
Author(s):  
T. Bronisch
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

ZusammenfassungKatastrophenpsychiatrie meint die psychiatrisch-psychologische Betreuung von Opfern, deren Angehörigen und den Helfern im Rahmen von Naturkatastrophen und durch Menschen verursachte Katastrophen (Krieg oder Terroranschlag). Diese Betreuung basiert auf dem Diagnose- und Behandlungskonzept der Posttraumatischen Belastungsstörung – Post-traumatic Stress Disorder (PTSD) und der Akuten Stress Reaktion – Acute Stress Disorder (ASD). Während die PTSD eine gut validierte und mit effektiven Behandlungskonzepten ausgestattete Diagnose ist, fehlen diese Voraussetzungen bisher bei der ASD. Konsequenzen für das Konzept der Katastrophenpsychiatrie, Therapie und Prävention von Betroffenen und Helfern werden dargelegt.

Acute stress disorder, adjustment disorders, and post-traumatic stress disorder

2020 ◽  
pp. 6506-6509
Author(s):  
Jonathan I. Bisson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Traumatic Event ◽  
Acute Stress Disorder ◽  
Emotional Reaction ◽  
Adjustment Disorders ◽  
Post Traumatic Stress ◽  
Post Traumatic

Acute stress disorder, adjustment disorders, and post-traumatic stress disorder are all psychiatric consequences of traumatic experiences. Because trauma is so common in medical practice, in the form of accidents, severe illness, and sometimes medical and surgical treatments, these disorders are commonly seen by physicians. An initial severe reaction to a traumatic event such as severe accident is an acute stress disorder and is commonly characterized by dissociation. A more long-lasting emotional reaction to ongoing stress such as a new diagnosis of life-threatening illness is termed an adjustment disorder. An often longer-lasting and more severe psychological reaction associated with repeated mental re-experiencing of the traumatic event is called post-traumatic stress disorder. These trauma-related disorders are not only an important cause of suffering but may also complicate medical care, hence they require recognition and appropriate treatment.

Primary prevention and epidemiology of trauma- and stress-related disorders

2020 ◽  
pp. 860-868
Author(s):  
Maria Bragesjö ◽  
Emily A. Holmes ◽  
Filip Arnberg ◽  
Erik M. Andersson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Negative Impact ◽  
Evidence Base ◽  
Acute Stress Disorder ◽  
Prevention Strategies ◽  
Post Traumatic Stress ◽  
Post Traumatic

Post-traumatic stress disorder and acute stress disorder are mental health conditions with a known onset, and prevention strategies can therefore be used to try to prevent the emergence of the full-blown disorder. This chapter provides an overview of the current evidence-based prevention strategies for post-traumatic stress disorder and acute stress disorder. In the first part, diagnostic and epidemiological features of these disorders are considered. The second part of the chapter reviews the evidence base of current preventive psychological and pharmacological interventions. Although some early trials on primary intervention have shown promising effects, it appears too soon to provide any definite recommendation in clinical practice. Importantly, many current widely disseminated treatments lack evidence, and some interventions (for example, debriefing) may, in fact, have a negative impact on the natural recovery after trauma. This chapter highlights the importance of using science-driven interventions to prevent post-traumatic stress disorder and acute stress disorder.

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