Psychological intervention to prevent ICU-related PTSD who, when and for how long 英文参考文献.docVIP

Hatch et al. Critical Care 2011,15:141 /content/15/2/141 COMMENTA RY Psychological intervention to prevent ICU-related PTSD: who, when and for how long? Rob Hatch , Stuart McKechnie and John Gri? ths * 1 1,2 1,2 See related research by Peris et al., /content/15/1/R41 case mix and the method and timing of PTSD assess- Abstract ment. us, the extent to which the events preceding the Experiencing treatment on a modern intensive care unit (ICU) is a potentially traumatic event. People who experience traumatic events have an increased risk of depression, anxiety disorders and post-traumatic stress disorder (PTSD).Extended follow-up has con?rmed that many patients su?er physical and psychological consequences of the ICU treatment up to 12 months after hospital discharge. PTSD in particular has become increasingly relevant in both the immediate and longer-term follow-up care of these patients. The extent to which the consequences of critical illness and the treatments received in the ICU contribute to the development of PTSD is poorly understood and more rigorous studies are needed. Understanding the factors associated with a poor psychological recovery after critical illness is essential to generate models of causality and prognosis, and to guide the delivery of e?ective, timely interventions. ICU admission, the critical illness itself or the treatment received in the ICU contribute to the development of ICU-related PTSD remains poorly understood. Survivors of nonfatal trauma appear to be at particular risk of PTSD [5], with this risk increasing signi? cantly in those admitted to the ICU [6]. Whilst life-threatening injuries requiring ICU admission are frequently perceived as more psychologically traumatic, there is an increasing body of evidence suggesting a dependent relationship between ICU admission and the later