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

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Title Sleep and other factors associated with mental health and psychological distress after intensive care for critical illness
Author McKinley, Sharon; Aitken, Leanne Maree; Alison, Jennifer A.; King, Madeleine; Leslie, Gavin; Burmeister, Elizabeth; Elliott, Doug
Journal Name Intensive Care Medicine
Year Published 2012
Place of publication Germany
Publisher Springer
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.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1007/s00134-012-2477-4
Copyright Statement Copyright 2012 Springer Berlin / Heidelberg. This is an electronic version of an article published in Intensive Care Medicine, April 2012, Volume 38, Issue 4, pp 627-633. Intensive Care Medicine is available online at: http://link.springer.com// with the open URL of your article.
Volume 38
Issue Number 4
Page from 627
Page to 633
ISSN 0342-4642
Date Accessioned 2012-07-04
Date Available 2013-06-26T02:33:21Z
Language en_US
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care); Intensive Care
URI http://hdl.handle.net/10072/47218
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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