Post-Traumatic Stress Disorder (PTSD)

Epidemiology

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Etiology

  • Intensive Care Unit (ICU) Care/Critical Illness
    • Delirium in the Intensive Care Unit Predisposes the Later Development of Post-Traumatic Stress Disorder (PTSD) (Crit Care, 2007) (see Delirium, [[Delirium]]) [MEDLINE]
    • Meta-Analysis of Post-Traumatic Stress Disorder in Survivors of Critical Illness (Crit Care Med, 2015) [MEDLINE]: 20% of critical illness survivors had PTSD at 1 year
      • Higher Prevalence of PTSD was Observed in Patients with Comorbid Psychopathology, Patients Who Had Received Benzodiazepines, and in Patients Who Had Early Memories of Frightening ICU Experiences
      • Use of Corticosteroids, Length of ICU Stay, Age, and Severity of Illness Did Not Correlate with the Risk of Developing PTSD
      • ICU Diaries Decreased Post-Traumatic Stress Disorder Symptoms
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Clinical Manifestations

Neurologic Manifestations

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Other Manifestations

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Treatment

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Prognosis

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References

  • Medical post-traumatic stress disorder: catching up with the cutting edge in stress research. Critical Care 2007;11:118 (doi:10.1186/cc5697) [MEDLINE]
  • Long-term prevalence of post-traumatic stress disorder symptoms in patients after secondary peritonitis. Critical Care 2007;11:R30 (doi:10.1186/cc5710) [MEDLINE]
  • Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical intensive care unit patients: assessing the magnitude of the problem. Critical Care 2007;11:R27 (doi:10.1186/cc5707) [MEDLINE]
  • Risk factors for posttraumatic stress disorder symptoms following critical illness requiring mechanical ventilation: a prospective cohort study. Crit Care 2007;11:R28 [MEDLINE]
  • Posttraumatic stress disorder in critical illness survivors: a metaanalysis. Crit Care Med 2015;43(5):1121–1129 [MEDLINE]