Associations Between Baseline Total PTSD Symptom Severity, Specific PTSD Symptoms, and 3-Month Quality of Life in Neurologically Intact Neurocritical Care Patients and Informal Caregivers

Background The objective is to pilot test the feasibility of assessing severity of posttraumatic stress disorder (PTSD) symptoms, as well as specific lower-order PTSD symptoms, experienced during neurological intensive care unit (neuro-ICU) admission and their relationship with 3-month quality of li...

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Bibliographic Details
Published in:Neurocritical care 2021-02, Vol.34 (1), p.54-63
Main Authors: Presciutti, Alex, Meyers, Emma E., Reichman, Mira, Vranceanu, Ana-Maria
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Aphasia
Caregivers
Cognitive ability
Critical Care Medicine
Female
Hemorrhage
Hospitalization
Humans
Intensive
Intensive Care Units
Internal Medicine
Intubation
Literacy
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neurosurgery
Original Work
Participation
Patients
Post traumatic stress disorder
Quality of Life
Stress Disorders, Post-Traumatic
Stroke
Trauma
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Summary:Background The objective is to pilot test the feasibility of assessing severity of posttraumatic stress disorder (PTSD) symptoms, as well as specific lower-order PTSD symptoms, experienced during neurological intensive care unit (neuro-ICU) admission and their relationship with 3-month quality of life (QoL) scores in multiple domains (i.e., physical, psychological, social, and environmental) in both patients and caregivers. Methods Between 2015 and 2016, we enrolled neurologically intact patients and informal caregivers of patients who reported demographics and PTSD symptoms (PTSD Checklist-Specific; PCL-S) during neuro-ICU admission and completed a QoL assessment (World Health Organization Quality of Life; WHOQOL-BREF) 3 months later. Clinical data were extracted from medical records. We ran two bivariate correlation matrices among PTSD symptom dimensions in patients and caregivers. Then, we used multiple linear regression to examine the prospective association of total PCL-S scores with each QoL domain in both patients and caregivers after adjusting for clinically important variables. Next, we explored differential associations between the 4 PTSD symptom dimensions and each QoL domain in both patients and caregivers, adjusting for sex and age. Results A total of 70 patients (45.7% women, 84.3% white, mean age 52.08 years) and 64 caregivers (64.1% women, 90.6% white, mean age 53.12 years) were included. PTSD symptom dimensions were moderately strongly correlated among patients ( r  = 0.65–0.79, p  
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-020-00980-w