Post-Intensive Care Syndrome by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783030242503
Publisher: Springer International Publishing

12.8 PTSD Assessment in the ICU and Beyond

Assessment of PTSD in the ICU is difficult, as critically ill patients typically experience problems with verbal communication as well as limited attention spans in a chaotic and distracting environment in which assessments occur. Therefore, assessment measures must be brief, easily administered, and easily understood. While PTSD is assessed in the ICU in rare cases, more typically it is evaluated at various follow-up intervals. One issue referenced in literature is that assessment of PTSD after critical illness tends to be nonstandardized, limiting our ability to definitively identify appropriate measures to use [25] and limiting our ability to make so-called “apples to apples” comparisons when comparing studies. This trend has been improving, however, with more studies using identical measures, allowing for more accurate comparisons across investigations [3]. In particular, the Impact of Events Scale-Revised (IES-R) and the Post-traumatic Stress Checklist (PCL) have also been widely employed [26, 27]. Both of these are brief screening measures; and, though robust assessment tools, they rely on patient self-report as opposed to clinician’s insights and interpretation (which are often elicited in much longer and more comprehensive diagnostic interviews like the Clinician Administered PTSD Scale, a much more sensitive clinical tool but one that can take between 90 and 120 minutes to administer) [28]. Some screening tools may result in high false-positive rates, reducing their clinical utility [25]; therefore, it is important to assess the psychometric properties and feasibility of their use with patients who are critically ill.

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