Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care

  title={Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care},
  author={Christina Jones and Richard D. Griffiths and Gerry Humphris and Paul Skirrow},
  journal={Critical Care Medicine},
ObjectiveTo examine prospectively the relationship between memories of intensive care (ICU) and levels of anxiety after ICU discharge, the stability of these memories with time, and their relationship to the development of acute posttraumatic stress disorder (PTSD)-related symptoms. DesignCase series cohort assessed by interview at 2 and 8 wks after ICU discharge. SettingDistrict general hospital (serving a population of 350,000) general intensive care unit. PatientsMemories of ICU and anxiety… 

Precipitants of post-traumatic stress disorder following intensive care: a hypothesis generating study of diversity in care

The hypothesis that the impact of care within the ICU has an impact on subsequent psychological morbidity and therefore must be assessed in future studies looking at the way patients are sedated in theICU and how physical restraint is used is raised.

Symptoms of Posttraumatic Stress after Intensive Care Delirium

ICU-delirium did not increase the risk of PTSD-symptoms at 2 and 6 months after ICU discharge, and prevalence of post-discharge symptoms of PTSD, anxiety, and depression was insignificant after adjusting for age.

Post-traumatic stress disorder in critical illness survivors and its relation to memories of ICU.

Evidence is provided of the relationship between delusional memories and PTSD in patients who had been discharged from the ICU and of the need to detect post-ICU psychiatric morbidities and provide early psychological intervention in post-discharge follow-up programmes to improve psychological outcomes after critical illness.

Posttraumatic stress disorder and the presence of recollections from an intensive care unit stay

A few patients met the criteria for the PTSD diagnosis indicating that the great majority of patients admitted at ICU show only symptomatology related to PTSD.

Effects of Stress Hormones on Traumatic Memory Formation and the Development of Posttraumatic Stress Disorder in Critically Ill Patients

  • G. Schelling
  • Psychology, Biology
    Neurobiology of Learning and Memory
  • 2002
The findings indicate that stress hormones influence the development of PTSD through complex and simultaneous interactions on memory formation and retrieval and that animal models of aversive learning are useful in analyzing and predicting clinical findings in critically ill humans.

Understanding posttraumatic stress disorder-related symptoms after critical care: The early illness amnesia hypothesis*

Amnesia for the early period of critical illness (early amnesia) was positively associated with the level of posttraumatic stress disorder-related symptoms, which may be a proxy for severity of disease at the time of intensive care unit admission.

Patients’ memory and psychological distress after ICU stay compared with expectations of the relatives

The strongest predictors of posttraumatic stress symptoms from the ICU were memoris about pain, lack of control and inability to express needs, and pessimism may be a reason for psychological distress and should be addressed during follow up.

Posttraumatic stress symptoms in intensive care patients: An exploration of associated factors.

Screening for prevention and treatment of delirium while a patient is in ICU is essential, and psychological screening and follow-up during recovery would therefore also be beneficial for many patients.

The Effect of Intensive Care Unit Diaries on Posttraumatic Stress Disorder, Anxiety, and Depression

Providing an ICU diary to patients admitted to the ICU reduced the rate of PTSD symptoms compared with usual care, and the effects of ICU diaries on depression, depression, and anxiety were investigated.



Health-related quality of life and posttraumatic stress disorder in survivors of the acute respiratory distress syndrome.

Survivors of ARDS showed statistically significant impairments in all eight health dimensions of the SF-36 when compared with normal controls, and patients reporting multiple adverse experiences described the lowest health-related quality of life.

Disturbed memory and amnesia related to intensive care

It is hypothesized that there is a process that affects memory negatively for external events but enhances memory for internal events, which would explain why ICU patients have such poor recall of external ICU events, but can clearly remember hallucinations and nightmares.

Impact of Event Scale: A Measure of Subjective Stress

A scale of current subjective distress, related to a specific event, was based on a list of items composed of commonly reported experiences of intrusion and avoidance, and responses indicated that the scale had a useful degree of significance and homogeneity.

Patients' recollection of intensive care unit experience.

It is suggested that arterial lines or pulse oximetry could be used to avoid frequent arterial blood gas analyses and that tracheal suctioning should be performed with greater care.

Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care.

The grossly abnormal sleep pattern observed in patients after major non-cardiac surgery may suggest some fundamental disarrangement of the sleep-wake regulating mechanism.

Critical illness and intensive care: what it means to the client.

  • P. Compton
  • Medicine, Psychology
    Critical care nurse
  • 1991
The study of individuals and their experiences can provide a rich and unexpected picture of what it is like to live through a critical illness, which can increase understanding of the needs of critically ill patients as well as how people in general make sense of their world.

The hypnagogic state: a critical review of the literature.

Possible directions for future research are outlined, with emphasis placed on elucidating the patterns of psychological and physiological phenomena which characterize the hypnagogic state.

Brief standard self-rating for phobic patients.

Mental health care from the public perspective: the Texas Medication Algorithm Project.

The Texas Medication Algorithm Project is a 3-phase study designed to provide solid data on the usefulness of medication algorithms, and compares the costs and outcome in 3 groups.

Sleep: off-line memory reprocessing

  • R. Stickgold
  • Psychology, Biology
    Trends in Cognitive Sciences
  • 1998