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Cited by 335Posttraumatic Stress Disorder ResearchIntensive Care Unit Cognitive DisordersRespiratory Support and Mechanisms

Posttraumatic Stress Disorder and Health-Related Quality of Life in Long-Term Survivors of Acute Respiratory Distress Syndrome

Kapfhammer, Hans P., Rothenhäusler, Hans B., Krauseneck, Till, Stoll, Christian, Schelling, Gustav·2004·American Journal of Psychiatry
DOI 10.1176/appi.ajp.161.1.45
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Abstract

OBJECTIVE: Intensive care often means exposure to physical and psychological stress, with long-lasting emotional sequelae for most patients. Psychiatric morbidity and negative effects on health-related quality of life were assessed in long-term survivors of acute respiratory distress syndrome. METHOD: Forty-six long-term survivors were enrolled in a psychiatric follow-up study. All patients had received standard, protocol-driven treatment during intensive care. The median follow-up time was 8 years after treatment. DSM-IV was used for psychiatric diagnosis. Psychological tests were performed to measure posttraumatic stress symptoms; depression; state anxiety; somatization; symptoms regarding concentration, attention, and short-term memory; social support; and health-related quality of life. RESULTS: At time of discharge, 20 of the patients suffered from posttraumatic stress disorder (PTSD) and four from sub-PTSD. At follow-up, 11 patients continued to suffer from PTSD and eight from sub-PTSD. The patients with PTSD demonstrated a pronounced tendency for somatization and state anxiety. Among the groups with PTSD, sub-PTSD, and no PTSD, there were no statistically significant differences regarding social support and symptoms of cognitive dysfunction. Those with PTSD showed major impairments in some dimensions of health-related quality of life, whereas those without PTSD had scores that were in the range of the general population. Except for duration of stay on the intensive care unit, neither age, gender, sociodemographic variables, premorbid psychopathology, nor initial severity of illness discriminated between the groups. CONCLUSIONS: Long-term survivors of acute respiratory distress syndrome seem to face a major risk of PTSD and major impairments in health-related quality of life in the long term.

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Authors
Kapfhammer, H. P., Rothenhäusler, H. B., Krauseneck, T., Stoll, C., & Schelling, G.
Affiliations
University of Graz (AT)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2004-01-01
Volume
161
Issue
1
Pages
45-52
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.161.1.45
OpenAlex
W2157184149
Cited by
335
References
43
Citations by year
2026: 5 · 2025: 7 · 2024: 4 · 2023: 13 · 2022: 14 · 2021: 20 · 2020: 18 · 2019: 19 · 2018: 7 · 2017: 13 · 2016: 18 · 2015: 14 · 2014: 14 · 2013: 28 · 2012: 19
FWCI
20.37
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Keywords
post-traumatic stress disorder, health-related quality of life, acute respiratory distress syndrome, long-term survivors, intensive care, psychiatric morbidity, somatization, state anxiety, social support, cognitive impairment, depression
MeSH terms
Adolescent, Adult, Female, Follow-Up Studies, Health Status, Humans, Male, Middle Aged, Psychological Tests, Quality of Life, Respiratory Distress Syndrome, Risk Factors, Stress Disorders, Post-Traumatic, Survivors, Diagnostic and Statistical Manual of Mental Disorders

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