TY  - JOUR
PY  - 2010//
TI  - Psychological Distress After Severe Trauma: A Prospective 1-Year Follow-Up Study of a Trauma Intensive Care Unit Population
JO  - Journal of trauma
A1  - Tøien, K
A1  - Myhren, Hilde
A1  - Bredal, Inger Schou
A1  - Skogstad, Laila
A1  - Sandvik, Leiv
A1  - Ekeberg, O.
SP  - 1552
EP  - 1559
VL  - 69
IS  - 6
N2  - BACKGROUND:: The aim of the study was to investigate the level of psychologic distress after trauma and intensive care unit (ICU) stay, memory from the ICU, and predictors for psychologic distress at 12 months. METHODS:: Prospective single center study in a trauma referral center for Eastern and Southern Norway. Participants were 150 trauma patients treated in an ICU for >24 hours. Assessments were performed after discharge, at 3 months, and at 12 months using the Impact of Event Scale, Hospital Anxiety and Depression Scale, ICU memory tool, and Life Orientation Test-Revised. RESULTS:: At baseline, the mean Impact of Event scores were 22.7 decreasing to 18.4 at 12 months (p = 0.039). At 1-year follow-up, mean anxiety scores were 5.5 (95% confidence interval CI: 4.6-6.4) and depression scores 3.8 (95% CI: 3.1-4.5). Factual memories from ICU (odds ratio OR 6.58, 95% CI: 2.01-21.52, p = 0.002), low educational level (OR 0.29, 95% CI: 0.10-0.86 p = 0.025), not having care of children (OR 0.14, 95% CI: 0.04-0.47 p = 0.002), and female gender (OR 2.95, 95% CI: 1.04-8.34 p = 0.042) predicted posttraumatic stress symptoms at 12 months. Anxiety at 12 months was predicted only by pessimism (OR 0.83, 95% CI: 0.75-0.93 p = 0.001). Depression at 12 months was predicted by being out of work before the injury (OR 3.64, 95% CI: 1.11-11.94 p = 0.033) and pessimism (OR 0.83, 95% CI: 0.73-0.93 p = 0.002). CONCLUSIONS:: Many patients suffer from posttraumatic stress symptoms, anxiety, and depression after trauma and ICU stay. The strongest predictors of psychologic distress 12 months after discharge were having factual memories from the ICU stay, being pessimistic, and being out of work before the injury.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-5282
UR  - http://dx.doi.org/10.1097/TA.0b013e3181e125f3
ID  - ref1
ER  -