Sensitivity and specificity of a screening test to document traumatic experiences and to diagnose post-traumatic stress disorder in ARDS patients after intensive care treatment
Abstract
Objective Many survivors of critical illness and intensive care unit (ICU) treatment have traumatic memories such as nightmares, panic or pain which can be associated with the development of posttraumatic stress disorder (PTSD). In order to simplify the rapid and early detection of PTSD in such patients, we modified an existing questionnaire for diagnosis of PTSD and validated the instrument in a cohort of ARDS patients after long-term ICU therapy.Design Follow-up cohort study.Setting The 20-bed ICU of a university teaching hospital.Patients A cohort of 52 long-term survivors of the acute respiratory distress syndrome (ARDS).Interventions and measurements The questionnaire was administered to the study cohort at two time points 2 years apart. At the second evaluation, the patients underwent a structured interview with two trained psychiatrists to diagnose PTSD according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria. The reliability and validity of the questionnaire was then estimated and its specificity, sensitivity and optimal decision threshold determined using receiver operating characteristic (ROC) curve analyses.Results The questionnaire showed a high internal consistency (Crohnbach's alpha = 0.93) and a high test-retest reliability (intraclass correlation coefficient alpha = 0.89). There was evidence of construct validity by a linear relationship between scores and the number of traumatic memories from the ICU the patients described (Spearman's rho = 0.48, p < 0.01). Criterion validity was demonstrated by ROC curve analyses resulting in a sensitivity of 77.0% and a specificity of 97.5% for the diagnosis of PTSD.Conclusions The questionnaire was found to be a responsive, valid and reliable instrument to screen survivors of intensive care for PTSD.
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PTSD was excluded in control subjects by using the Post-Traumatic Stress Symptom 10 Questionnaire (PTSS-10).
“PTSD was excluded in these individuals by using the Post-Traumatic Stress Symptom 10 Questionnaire (PTSS-10) [27].”
From Plasma concentrations of endocannabinoids and related primary fatty acid amides in patients with post-traumatic stress disorder (2013) · cites this paper as [27]
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Posttraumatic Stress Disorder in Critical Illness Survivors: A Metaanalysis*
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“In most studies, several symptoms were identified (Stoll et al., 1999; Jones et al., 2004; Deja et al., © 2015 British Association of Critical Care Nurses 3 2006; Myhren et al., 2009; Myhren et al., 2010a, 2010b; Peris et al., 2011; Garrouste-Orgeas et al., 2012; Wade et al., 2012; Rosendahl et…”
BackgroundPost-traumatic stress disorder after weaning from prolonged mechanical ventilation
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InfluentialComplex Interaction of Sensory and Motor Signs and Symptoms in Chronic CRPS
Huge, V., Lauchart, M., Magerl, W., Beyer, A., Moehnle, P., Kaufhold, W., Schelling, G., & Azad, S. C. (2011) · PLoS ONE · doi:10.1371/journal.pone.0018775 · Cited by 103 · see citing works
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MethodInfluentialStress Disorders Following Prolonged Critical Illness in Survivors of Severe Sepsis
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“A score of more than 35 points is considered as adequate cutoff for clinically relevant PTSD symptomatology (23).”
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“Although the Posttraumatic Symptom Scale has been found to be a responsive, valid, and reliable instrument (29), the frequency of patients with clinically relevant PTSD symptoms might be slightly overestimated.”
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“The closed-ended questions were adapted from Jones et al. 2001 and Stoll et al. 1999 and concentrated on the present period using a 5-point Likert scale with answers from ‘always’ to ‘never’.”
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“Post-Traumatic Stress Syndrome 10-Questions Inventory (PTSS-10) [16] Screening tool to assess the presence of PTSD symptoms PTSD symptoms 10 questions ranging from 0 to 7 (total range, 0-70).”
MethodInfluentialThe Dutch Peritonitis Study Group, Boer, K. R., van Ruler, O., van Emmerik, A., Sprangers, M. A. G., de Rooij, S. E., Vroom, M. B., de Borgie, C. A. J. M., Boermeester, M. A., & Reitsma, J. B. (2008) · Intensive Care Medicine · doi:10.1007/s00134-007-0941-3 · Cited by 86 · see citing works
“toms; scores of 35 or above are considered indicative of PTSD [11, 29].”
BackgroundWintermann, G., Weidner, K., Strauss, B. M., Rosendahl, J., & Petrowski, K. (2016) · Annals of Intensive Care · doi:10.1186/s13613-016-0174-0 · Cited by 83 · see citing works
“A score of more than 35 points is considered as adequate cutoff for clinically relevant PTSD symptomatology [19].”
BackgroundMethodInfluentialPsychiatric and Psychosocial Outcome of Orthotopic Liver Transplantation
Rothenhäusler, H., Ehrentraut, S., Kapfhammer, H., Lang, C., Zachoval, R., Bilzer, M., Schelling, G., & Gerbes, A. L. (2002) · Psychotherapy and Psychosomatics · doi:10.1159/000064811 · Cited by 83 · see citing works
“The German version of the PTSS-10 (range: 10–70 points) has been successfully validated in patients with PTSD after prolonged ICU treatment, and has proved to be a reliable scale (Crohnbach’s alpha = 0.93). An optimal cut-off score of 35 points of the questionnaire for diagnosis of PTSD has been noted [”
BackgroundInfluentialAnandamide and neutrophil function in patients with fibromyalgia
Kaufmann, I., Schelling, G., Eisner, C. B., Richter, H. P., Krauseneck, T., Vogeser, M., Hauer, D., Campolongo, P., Choukèr, A., Beyer, A., et al. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.02.009 · Cited by 80 · see citing works
“89) (Stoll et al., 1999).”
Lymphocyte Subsets and the Role of Th1/Th2 Balance in Stressed Chronic Pain Patients
Kaufmann, I., Eisner, C. B., Richter, P., Huge, V., Beyer, A., Choukèr, A., Schelling, G., & Thiel, M. (2007) · NeuroImmunoModulation · doi:10.1159/000115041 · Cited by 77 · see citing works
Soravia, L. M., Schwab, S., Walther, S., & Müller, T. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.602064 · Cited by 82 · see citing works
“5 were associated with a suspected diagnosis of PTSD (29).”
BackgroundQualitative Studies on the Patient's Experience of Weaning From Mechanical Ventilation
Cook, D. J., Meade, M. O., & Perry, A. G. (2001) · CHEST Journal · doi:10.1378/chest.120.6_suppl.469s · Cited by 75 · see citing works
Validation of a New Clinical Tool for Post–Intensive Care Syndrome
Wang, S., Allen, D., Perkins, A. J., Monahan, P. O., Khan, S., Lasiter, S., Boustani, M. A., & Khan, B. A. (2019) · American Journal of Critical Care · doi:10.4037/ajcc2019639 · Cited by 76 · see citing works
Post-traumatic stress disorder in somatic disease: lessons from critically ill patients
Schelling, G. (2007) · Progress in brain research · doi:10.1016/s0079-6123(07)67016-2 · Cited by 74 · see citing works
Brück, E., Schandl, A. R., Bottai, M., & Sackey, P. (2018) · Journal of Intensive Care · doi:10.1186/s40560-017-0272-6 · Cited by 74 · see citing works
“The questionnaire is considered to be reliable and valid for assessing post-traumatic stress symptoms in former ICU patients [28].”
BackgroundPatients' dreams and unreal experiences following intensive care unit admission
Roberts, B., & Chaboyer, W. P. (2004) · Nursing in Critical Care · doi:10.1111/j.1362-1017.2004.00066.x · Cited by 73 · see citing works
Unseld, M., Zeilinger, E. L., Fellinger, M., Lubowitzki, S., Krammer, K., Nader, I. W., Hafner, M., Kitta, A., Adamidis, F., Masel, E. K., et al. (2020) · Psycho-Oncology · doi:10.1002/pon.5595 · Cited by 72 · see citing works
“89).(19) Internal consistency in the present study sample was high, with Cronbach α 1⁄4 0.”
BackgroundVlake, J. H., van Genderen, M. E., Schut, A. F., Verkade, M. A., Wils, E., Gommers, D. A. M. P. J., & van Bommel, J. (2020) · Journal of Intensive Care · doi:10.1186/s40560-019-0422-0 · Cited by 69 · see citing works
Long, A. C., Kross, E. K., Davydow, D. S., & Curtis, J. R. (2014) · Intensive Care Medicine · doi:10.1007/s00134-014-3306-8 · Cited by 67 · see citing works
“critical illness [16, 17].”
Roberts, B., Rickard, C. M., Rajbhandari, D., & Reynolds, P. (2006) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2006.02.002 · Cited by 65 · see citing works
Early psychological screening of intensive care unit survivors: a prospective cohort study
Milton, A., Brück, E., Schandl, A. R., Bottai, M., & Sackey, P. (2017) · Critical Care · doi:10.1186/s13054-017-1813-z · Cited by 67 · see citing works
“The PTSS-10 is a validated screening tool for the detection of PTSD-related symptoms among ICU survivors [13].”
MethodSchelling, G. (2002) · Neurobiology of Learning and Memory · doi:10.1006/nlme.2002.4083 · Cited by 63 · see citing works
Nickel, M., Leiberich, P. K., Nickel, C., Tritt, K., Mitterlehner, F. O., Rother, W. K., & Loew, T. H. (2004) · Journal of Intensive Care Medicine · doi:10.1177/0885066604267684 · Cited by 63 · see citing works
“Stoll et al examined 52 ARDS patients treated in the intensive care unit (ICU) of a university hospital [14].”
BackgroundIncidence of Posttraumatic Stress Disorder After Prolonged Surgical Intensive Care Unit Treatment
Richter, J. C., Waydhas, C., & Pajonk, F. (2006) · Psychosomatics · doi:10.1176/appi.psy.47.3.223 · Cited by 62 · see citing works
Research issues in the evaluation of cognitive impairment in intensive care unit survivors
Jackson, J. C., Gordon, S. M., Ely, E., Burger, C., & Hopkins, R. O. (2004) · Intensive Care Medicine · doi:10.1007/s00134-004-2422-2 · Cited by 77 · see citing works
“Post Traumatic Stress Scale-10 Stoll et al. 1999 [49] 5 10 >35 Definite PTSD Validated in ICU patients Impact of Events ScaleRevised Weiss and Marmor, 1997 [64] 5–10 22 9–19 Medium symptoms Questions correlate with DSM-IV criteria 20–29 Severe symptoms >30 Definite PTSD PTSD post-traumatic stress…”
InfluentialPost-traumatic stress in the postoperative period: current status and future directions
El-Gabalawy, R. M., Sommer, J. L., Pietrzak, R. H., Edmondson, D. E., Sareen, J., Avidan, M. S., & Jacobsohn, E. (2019) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-019-01418-4 · Cited by 58 · see citing works
Cox, C. E., Porter, L. S., Hough, C. L., White, D. B., Kahn, J. M., Carson, S. S., Tulsky, J. A., & Keefe, F. J. (2012) · Intensive Care Medicine · doi:10.1007/s00134-012-2567-3 · Cited by 55 · see citing works
“Preliminary results of pilot prospective evaluation of the coping skills training intervention In this figure, both pre-intervention (dark bars) and post-intervention (light bars) scores for the HADS (total score as well as anxiety and depression domain scores) and PTSS questionnaires are shown for patients (n=7) and…”
MethodInfluentialPellkofer, H., Havla, J. B., Hauer, D., Schelling, G., Azad, S. C., Kümpfel, T., Magerl, W., & Huge, V. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071500 · Cited by 56 · see citing works
“Three patients indicated no traumatic memories (PTSS-10:18.364.2), 6 patients had one traumatic memory (27.867.9), while 2 patients displayed two traumatic memories (32.560.7).”
BackgroundMethodInfluentialHauer, D., Weis, F. C., Krauseneck, T., Vogeser, M., Schelling, G., & Roozendaal, B. (2009) · Brain Research · doi:10.1016/j.brainres.2009.04.014 · Cited by 56 · see citing works
“Previous studies have shown that patients with more than 1 category of traumaticmemory from intensive care treatment as measured by our inventory (Stoll et al., 1999) had significantly higher stress symptom scores and a higher risk of developing PTSD (Boer et al., 2008; Deja et al., 2006; Schelling…”
InfluentialWintermann, G., Petrowski, K., Weidner, K., Strauss, B. M., & Rosendahl, J. (2019) · Critical Care · doi:10.1186/s13054-019-2321-0 · Cited by 53 · see citing works
Unseld, M., Krammer, K., Lubowitzki, S., Jachs, M., Baumann, L., Vyssoki, B., Riedel, J., Puhr, H. C., Zehentgruber, S., Prager, G. W., et al. (2019) · Psycho-Oncology · doi:10.1002/pon.5239 · Cited by 53 · see citing works
“However, the screening instruments we used are well‐validated and highly correlate with diagnosis by structured clinical interview and are the gold standard for screening in clinical routine.(14,17) Furthermore, the included patients suffered from a wide range of different cancer types.”
BackgroundMethodInfluentialMaercker, A. R. A. (2002) · Journal of Clinical Geropsychology · doi:10.1023/a:1015952429199 · Cited by 53 · see citing works
Boer, K. R., Mahler, C. W., Ünlü, Ç., Lamme, B., Vroom, M. B., Sprangers, M. A. G., Gouma, D. J., Reitsma, J. B., de Borgie, C. A. J. M., & Boermeester, M. A. (2007) · Critical Care · doi:10.1186/cc5710 · Cited by 52 · see citing works
“In recent studies it has been established that a self-report PTSS-10 questionnaire can be as useful a tool in determining which patients are suffering from PTSD symptomology [5,17].”
BackgroundMethodInfluentialSanfilippo, F., Ippolito, M., Santonocito, C., Martucci, G., Carollo, T., Bertani, A., Vitulo, P., Pilato, M., Panarello, G., Giarratano, A., et al. (2019) · Minerva Anestesiologica · doi:10.23736/s0375-9393.19.13095-7 · Cited by 51 · see citing works
Symptoms of Depression and Anxiety After Delirium
Davydow, D. S. (2009) · Psychosomatics · doi:10.1176/appi.psy.50.4.309 · Cited by 52 · see citing works
Jackson, J. C., Jutte, J. E., Huddleston, C., Ciccolella, N., Warrington, H. J., Sevin, C. M., & Bienvenu, O. J. (2016) · Rehabilitation Psychology · doi:10.1037/rep0000085 · Cited by 50 · see citing works
“Of the measures that have been validated for use in the ICU, only two have been validated against clinician diagnosis—the Impact of Events Scale – Revised and the Post-Traumatic Stress Syndrome 10-question inventory (Bienvenu, Williams, Yang, Hopkins, & Needham, 2013; Stoll et al., 1999).”
Robinson, K. A., Davis, W. E., Dinglas, V. D., Méndez-Téllez, P. A., Rabiee, A., Sukrithan, V., Yalamanchilli, R., Turnbull, A. E., & Needham, D. M. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2016.08.014 · Cited by 50 · see citing works
Brück, E., Larsson, J. W., Lasselin, J., Bottai, M., Hirvikoski, T., Sundman, E., Eberhardson, M., Sackey, P., & Olofsson, P. S. (2019) · Critical Care · doi:10.1186/s13054-019-2527-1 · Cited by 50 · see citing works
Hauer, D., Kaufmann, I., Strewe, C., Briegel, I., Campolongo, P., & Schelling, G. (2013) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2013.10.003 · Cited by 49 · see citing works
“In contrast, ICU patients often appear to have relatively little recall of factual events from their ICU stay (Jones, Giffiths, Humphris, & Skirrow, 2001; Stoll et al., 1999; Wade et al., 2012).”
BackgroundKothgassner, O. D., Pellegrini, M., Goreis, A., Giordano, V., Edobor, J., Fischer, S., Plener, P. L., & Huscsava, M. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105168 · Cited by 49 · see citing works
Bugedo, G. J., Tobar, E. A., Aguirre, M. L. C., Gonzalez, H. A., de Godoy, J. A. P., Lira, M. T., Lora, P., Encalada, E., Hernandez, A., Vinko Tomicic, F., et al. (2013) · Revista Brasileira de Terapia Intensiva · doi:10.5935/0103-507x.20130034 · Cited by 48 · see citing works
Khan, B. A., Perkins, A. J., Campbell, N. L., Gao, S., Khan, S., Wang, S., Fuchita, M., Weber, D. J., Zarzaur, B. L., Boustani, M. A., et al. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15640 · Cited by 47 · see citing works
Pfoh, E. R., Chan, K. S., Dinglas, V. D., Cuthbertson, B. H., Elliott, D., Porter, R., Bienvenu, O. J., Hopkins, R. O., & Needham, D. M. (2016) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201510-705oc · Cited by 47 · see citing works
Trajectories of depression in sepsis survivors: an observational cohort study
Boede, M., Gensichen, J. S., Jackson, J. C., Eißler, F., Lehmann, T., Schulz, S., Petersen, J. J., Wolf, F., Dreischulte, T., & Schmidt, K. F. R. (2021) · Critical Care · doi:10.1186/s13054-021-03577-7 · Cited by 46 · see citing works
“Range of possible sum scores: MDI: 0–50, GCPS intensity/disability: 0–100, PTSS-10: 10–70.”
MethodInfluentialPark, G., Coursin, D. B., Ely, E. W., England, M. R., Fraser, G. L., Mantz, J., McKinley, S., Ramsay, M. A. E., Scholz, J., Singer, M., et al. (2001) · Critical Care Clinics · doi:10.1016/s0749-0704(05)70192-5 · Cited by 46 · see citing works
Søberg, H. L., Bautz‐Holter, E., Røise, O., & Finset, A. (2010) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.11.007 · Cited by 43 · see citing works
Pant, U., Vyas, K., Meghani, S. T., Park, T., Norris, C. M., & Papathanassoglou, E. D. E. (2022) · Australian Critical Care · doi:10.1016/j.aucc.2022.09.007 · Cited by 44 · see citing works
Schandl, A. R., Bottai, M., Hellgren, E., Sundin, Ö., & Sackey, P. (2013) · Critical Care · doi:10.1186/cc13018 · Cited by 43 · see citing works
“PTSS-10 is a validated, self-administered screening instrument used for measuring symptoms of posttraumatic stress [14], mostly in critically ill patients [16,17].”
BackgroundMethodKosilek, R. P., Schmidt, K. F. R., Baumeister, S., & Gensichen, J. S. (2021) · Journal of Critical Care · doi:10.1016/j.jcrc.2021.07.006 · Cited by 44 · see citing works
Stieglitz, R., Nyberg, E., Albert, M. H., Frommberger, U., & Berger, T. (2002) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026//1616-3443.31.1.22 · Cited by 43 · see citing works
Baranyi, A., Krauseneck, T., & Rothenhäusler, H. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-111 · Cited by 42 · see citing works
Einsle, F., Kraft, D., & Köllner, V. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.02.008 · Cited by 41 · see citing works
“Impact of Event Scale-R Maercker & Schützwohl [25]; PTSS-10.”
Backgroundthe IPREA-AQVAR Study Group, Kalfon, P., Alessandrini, M., Boucékine, M., Renoult, S., Geantot, M.-A., Deparis-Dusautois, S., Berric, A., Collange, O., Floccard, B., et al. (2019) · Intensive Care Medicine · doi:10.1007/s00134-018-05511-y · Cited by 40 · see citing works
Krauseneck, T., Padberg, F., Roozendaal, B., Grathwohl, M., Weis, F. C., Hauer, D., Kaufmann, I., Schmoeckel, M., & Schelling, G. (2009) · Psychological Medicine · doi:10.1017/s0033291709990614 · Cited by 40 · see citing works
“…of traumatic memory as measured by the inventory was defined as the patient’s subjective recollection of respiratory distress/dyspnoea or feelings of anxiety/ panic, pain or nightmares at any time between 1 week before CS and discharge from the ICU (Schelling et al. 1998, 2004 ; Stoll et al. 1999).”
BackgroundMethodInfluentialHowe, E. I., Langlo, K.-P. S., Terjesen, H. C. A., Røe, C., Schanke, A., Søberg, H. L., Sveen, U., Aas, E., Enehaug, H., Alves, D. E., et al. (2017) · Trials · doi:10.1186/s13063-017-2218-7 · Cited by 39 · see citing works
“Posttraumatic Symptom Scale (PTSS-10) [55]”
Hellstrøm, T., Kaufmann, T., Anđelić, N., Søberg, H. L., Sigurðardóttir, S., Helseth, E., Andreassen, O. A., & Westlye, L. T. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00125 · Cited by 38 · see citing works
“Posttraumatic stress has been implicated as an outcome predictor (9, 19), and both depression and PTSD have been associated with decreased functional outcome measured with GOSE (21).”
BackgroundRosendahl, J., Kisyova, H., Gawlytta, R., & Scherag, A. (2019) · Journal of Critical Care · doi:10.1016/j.jcrc.2019.06.016 · Cited by 39 · see citing works
Nadig, N. R., Huff, N. G., Cox, C. E., & Ford, D. W. (2016) · Critical Care Medicine · doi:10.1097/ccm.0000000000001761 · Cited by 38 · see citing works
“86), and good responsiveness and is highly sensitive (86%) and specific (62%) compared with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for the diagnosis of posttraumatic stress disorder among ICU survivors (5, 46, 47).”
ResultCox, C. E., Ashana, D. C., Haines, K., Casarett, D., Olsen, M. K., Parish, A., O’Keefe, Y. A., Al-Hegelan, M. S., Harrison, R. W., Naglee, C., et al. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.44093 · Cited by 36 · see citing works
Hopkins, R. O., & Herridge, M. S. (2006) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2006.06.003 · Cited by 36 · see citing works
Predictors of post-traumatic stress disorder following critical illness: A mixed methods study
Battle, C. E., James, K., Bromfield, T., & Temblett, P. (2017) · Journal of the Intensive Care Society · doi:10.1177/1751143717713853 · Cited by 38 · see citing works
- Authors
- Stoll, C., Kapfhammer, H. P., Rothenhäusler, H. B., Haller, M., Briegel, J., Schmidt, M., Krauseneck, T., Durst, K., & Schelling, G.
- Affiliations
- LMU Klinikum (DE)
- Ludwig-Maximilians-Universität München (DE)
- Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (DE)
- Venue
- Intensive Care Medicine
- Published
- 1999-07-22
- Volume
- 25
- Issue
- 7
- Pages
- 697-704
- ISSN
- 0342-4642 (ISSN-L)
- 1432-1238
- OpenAlex
- W2034958484
- Cited by
- 278
- References
- 24
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 20 · 2023: 14 · 2022: 10 · 2021: 14 · 2020: 7 · 2019: 18 · 2018: 6 · 2017: 11 · 2016: 13 · 2015: 8 · 2014: 8 · 2013: 19 · 2012: 9
- FWCI
- 8.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Intensive Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Philipps-Universität Marburg
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- post-traumatic stress disorder, acute respiratory distress syndrome, intensive care unit survivors, traumatic memory, critical illness, diagnostic accuracy, sensitivity and specificity, questionnaire validation
- MeSH terms
- Adolescent, Adult, Critical Care, Female, Follow-Up Studies, Humans, Male, Mass Screening, Middle Aged, Surveys and Questionnaires, Respiratory Distress Syndrome, ROC Curve, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Reproducibility of Results, Cohort Studies, Survivors, APACHE
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