Posttraumatic stress disorder after intensive care. Prevalence, risk factors, and treatment

被引:0
|
作者
Gawlytta, R. [1 ,2 ]
Wintermann, G-B. [1 ,3 ]
Boettche, M. [4 ,5 ]
Niemeyer, H. [4 ]
Knaevelsrud, C. [4 ]
Rosendahl, J. [1 ,2 ]
机构
[1] Univ Klinikum Jena, Inst Psychosoziale Med & Psychotherapie, Stoystr 3, D-07740 Jena, Germany
[2] Univ Klinikum Jena, Integriertes Forsch & Behandlungszentrum Sepsis &, Jena, Germany
[3] Univ Klinikum Carl Gustav Carus Dresden, Klin & Poliklin Psychotherapie & Psychosomat, Dresden, Germany
[4] Free Univ Berlin, Arbeitsbereich Klin Psychol Intervent, Berlin, Germany
[5] Zentrum UBERLEBEN, Berlin, Germany
关键词
Trauma and stressor related disorders; Critical care; Psychopathology; Spouses; Behavior therapy; CRITICAL ILLNESS; MENTAL-HEALTH; WRITING THERAPY; SEVERE SEPSIS; METAANALYSIS; DIARIES; INTERVENTIONS; SURVIVORS; SYMPTOMS;
D O I
10.1007/s00063-017-0266-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Posttraumatic stress disorder (PTSD) is acommon consequence of intensive care which might affect not only the patients but also their relatives. About one fifth of these patients develop clinically important PTSD in the first year after intensive care. Comorbid psychopathology, received benzodiazepines, and memories of the frightening, distressing ICU experiences are common risk factors for the development of PTSD symptoms. There are only afew specific approaches for the treatment of PTSD after intensive care. The efficacy of intensive care diaries has only been examined in a few studies, but could not yet be confirmed clearly. Internet-based writing therapy represents afurther treatment option where the partner also becomes involved in the treatment.
引用
收藏
页码:9 / 14
页数:6
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