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01-04-2012 | Original

Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness

Authors: Sharon McKinley, Leanne M. Aitken, Jennifer A. Alison, Madeleine King, Gavin Leslie, Elizabeth Burmeister, Doug Elliott

Published in: Intensive Care Medicine | Issue 4/2012

Abstract

Purpose

Some patients who survive intensive care unit (ICU) treatment report psychological sequelae during recovery. This study examined factors associated with psychological outcomes of former ICU patients up to 6 months after hospital discharge.

Methods

Participants (n = 195) were adult survivors of ICU enrolled in a multicenter trial of physical rehabilitation after hospital discharge. The 36-Item Short-Form Health Survey (SF-36), the Impact of Events Scale (IES) and the Depression, Anxiety and Stress Scales were completed, and sleep rated on a five-point scale at weeks 1, 8 and 26; clinical and demographic data were obtained from patient records.

Results

Participants were 41% females with mean ± standard deviation (SD) age of 57 ± 16 years and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores of 19 ± 7; median lengths of mechanical ventilation and ICU stay were 89 h and 6 days, respectively. Impaired mental health, depression, anxiety, stress and psychological distress significantly improved after week 1. Female gender, younger age and sleeping problems were associated with impaired psychological outcomes on bivariate analyses. Age; gender; week 1 anxiety, depression and stress; week 26 sleeping; and rehabilitation study group were entered into multiple linear regression analyses for week 26 IES and SF-36 Mental Component Summary (MCS) outcomes. IES scores were associated (p < 0.05) with gender, week 1 stress and week 26 sleep but not study group; MCS scores were associated (p < 0.05) with week 1 stress and week 26 sleep but not study group.

Conclusion

Female gender, early levels of increased stress and problems sleeping are associated with worse psychological recovery for survivors of critical illness.

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Title: Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness
Authors: Sharon McKinley
Leanne M. Aitken
Jennifer A. Alison
Madeleine King
Gavin Leslie
Elizabeth Burmeister
Doug Elliott
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 4/2012
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-012-2477-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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