Does serious illness increase the risk of developing PTSD?
NICABM
NICABM…
wrote about this topic back in 2011. At that time, a study in the Journal of the American Academy of Orthopedic Surgeons reported that 20-51% of patients who suffered musculoskeletal injuries went on to develop PTSD.
Another study, from the Journal of Psychosomatic Research, found that 36-45% of the 121 ovarian cancer survivors in their longitudinal study experienced PTSD at some point between the start of their chemotherapy treatments and their 3-month post-treatment follow-up appointment.
Overall, that’s a lot of patients developing PTSD after undergoing treatment for illness or injury.
Given the amount of time that has gone by, and since this is an important topic for practitioners, I wanted to update you with some new findings.
In May 2015, Critical Care Medicine published a metaanalysis conducted by Ann M. Parker, MD and a team from Johns Hopkins School of Medicine. Their survey found that, at 1-year post-hospitalization, PTSD symptoms remained present in 20% of critical care survivors.
At 1-year post-hospitalization, PTSD symptoms remained present in 20% of critical care survivors.Click To Tweet
Parker and her team arrived at this figure after reviewing 40 articles that represented a combined total of 4,260 participants. Articles were screened to include only studies that evaluated adult nonspecific participants, measured PTSD symptoms using a validated instrument at least 1 month post-ICU, and contained at least 10 patients.
In another study, also conducted at Johns Hopkins, a team led by Joe Bienvenu, MD looked at co-occurrence between general anxiety, depression, and PTSD symptoms. They looked specifically at co-occurrence at 2-year follow-ups for people who had been treated in the ICU for acute lung injury.
Bienvenu and his team assessed participants at 3, 6, 12, and 24-month post ICU treatment, using the Hospital Anxiety and Depression Scale, anxiety and depression subscales, and the Impact of Event Scale-Revised.
This study found that more than half of the participants exhibited detectable symptoms in at least one area (general anxiety, depression, or PTSD symptoms) at a 2-year follow-up. A majority of these participants demonstrated co-occurrence of multiple symptoms.
You’ll also find this published in the May, 2015 issue of Critical Care Medicine.
Now, these studies raise interesting questions I’d like to see investigated further. In particular, I’d be interested in learning whether participants were responding to their experience 
in the ICU or the life-threatening event that put them there originally (having ovarian cancer, for instance).
As a community, we need to be mindful of possible mental health issues resulting from injury, illness, and the medical interventions used to treat them. There may be a substantial group of patients who aren’t receiving the psychological support that they need.
What interventions would you suggest to decrease PTSD symptoms for patients undergoing treatment for serious injury or illness? Please leave a comment below.
Personality_Disorders_Borderlines_Narcissists_and_Schizoids_Oh_My
STATISTICS AND LINKS ON SUICIDE
SAMHSA https://www.samhsa.gov/
National Suicide Hotline 1 800 273-8255 (TALK)
Colorado Anonymous Tip Line https://www.safe2tell.org
Colorado Crisis Services http://coloradocrisisservices.org/
ASIST https://www.livingworks.net/programs/asist/
CPT https://cpt.musc.edu/
https://www.cdc.gov/violenceprevention/pdf/suicide-datasheet-a.pdf
http://www.mentalhealthamerica.net/suicide
http://www.who.int/mediacentre/factsheets/fs398/en/
INTERESTING STATISTICS FROM NATIONAL PUBLIC RADIO
http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=327256681&m=329731510 HEALTH PROBLEMS
POOR AND STRESS: http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=327256681&m=329731510
Bad health, causes stress : http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=327256681&m=329731510
According to an NPR self-reported poll,
People with Chronic Illness are 5 times as likely to have mental health issues
4 out of 5 say their own health contribute to their stress
*Stress exacerbates Chronic Illness and Chronic Illness exacerbates stress
Stress Causes:
- 82 percent of health care professionals are not asking patients about stress.
- 2.6 times as likely to have diabetes
- 2.9 times as likely to have back pain
- Stress creates histological and physiological changes in the tissues
- ½ of the people polled reported a major stressful event in the past year and ¼ said in the past month.
- Whereas 60 percent of those in poor health reported a great deal of stress in the month
- nearly ¾ that are stressed say it has affected their health
- nearly ½ say their emotional wellbeing is affected by stress
- more than ½ say it affects their sleep
- ½ say stress makes it hard to concentrate or make decisions- it affects their cognitive health
- 4 out of 5 say their health care provider didn’t ask about stress and more than ½ said they didn’t talk about it with their doctor
- 82 percent of health care professionals are not asking patients about stress.
Those that have had a toxic stress are:
Costing 5 times as much
2.6 times as likely to have diabetis
2.9 back pain
5 times as likely to have mental health issues
- Those who lived lives so full of stress and pressure they were more likely to have heart attakes and more than twice as likely as type b personality type.
- Source: Self reported in a poll
http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=327256681&m=329731510
How big a problem is stress?
Major stressful event in the past year – ½ report it in the past year
More than ¼ a great deal of stress in the past month.
People in poor health report more stress… 60 percent in poor health report serious stress in the past month (others reported only ¼)
4 out of 5 say their own health contribute to their stress
- Nearly ¾ of those that experience stress on a monthly basis ¾ that are stressed say it has affected their health
- Nearly ½ say their emotional wellbeing is affected more than ½ say it affects their sleep and
- ½ say it makes it hard to concentrate or make decisions so it affect their cognitive health
4 out of 5 say their health care provider didn’t ask about stress and more than ½ said they didn’t talk about it with their doctor