Associations Between Baseline Total PTSD Symptom Severity, Specific PTSD Symptoms, and 3-Month Quality of Life in Neurologically Intact Neurocritical Care Patients and Informal Caregivers
| Autor: | Emma Meyers, Mira Reichman, Alex Presciutti, Ana-Maria Vranceanu |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Neurology Population Critical Care and Intensive Care Medicine Article Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Quality of life Internal medicine Adaptation Psychological medicine Humans education education.field_of_study business.industry Medical record Symptom severity Neurointensive care 030208 emergency & critical care medicine Middle Aged Intensive Care Units Posttraumatic stress Caregivers Quality of Life Female Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Neurocrit Care |
| ISSN: | 1556-0961 1541-6933 |
| Popis: | The objective is to pilot test the feasibility of assessing severity of posttraumatic stress disorder (PTSD) symptoms, as well as specific lower-order PTSD symptoms, experienced during neurological intensive care unit (neuro-ICU) admission and their relationship with 3-month quality of life (QoL) scores in multiple domains (i.e., physical, psychological, social, and environmental) in both patients and caregivers. Between 2015 and 2016, we enrolled neurologically intact patients and informal caregivers of patients who reported demographics and PTSD symptoms (PTSD Checklist-Specific; PCL-S) during neuro-ICU admission and completed a QoL assessment (World Health Organization Quality of Life; WHOQOL-BREF) 3 months later. Clinical data were extracted from medical records. We ran two bivariate correlation matrices among PTSD symptom dimensions in patients and caregivers. Then, we used multiple linear regression to examine the prospective association of total PCL-S scores with each QoL domain in both patients and caregivers after adjusting for clinically important variables. Next, we explored differential associations between the 4 PTSD symptom dimensions and each QoL domain in both patients and caregivers, adjusting for sex and age. A total of 70 patients (45.7% women, 84.3% white, mean age 52.08 years) and 64 caregivers (64.1% women, 90.6% white, mean age 53.12 years) were included. PTSD symptom dimensions were moderately strongly correlated among patients (r = 0.65–0.79, p |
| Databáze: | OpenAIRE |
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