Posttraumatic Growth, Anxiety, Depression, and Posttraumatic Stress Disorder in Intensive Care Unit Survivors.
Kelly Calkins, Abigail C Jones, Maharaj Singh and 3 others
PMID 42062201WHAT IT FOUND
The recovery clinic and usual care did not differ on growth in 60 ICU survivors; more PTSD symptoms tracked with more growth, while ventilation, older age and lower education tracked with less growth.
Key findings
01The recovery clinic and usual care groups did not differ significantly on PTG frequency, so the groups were combined for analysis.
02Higher PTSD symptoms at six months were associated with higher PTG (r = 0.32, p = 0.01).
03Mechanical ventilation and older age were associated with lower PTG, while high school graduates had higher PTG than non-high school graduates.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a secondary analysis of a pilot trial whose intervention was designed to identify and manage post-intensive care syndrome, not to promote posttraumatic growth. Only 60 of 91 participants had 6-month data, so the sample was small. The control and intervention groups were combined because preliminary comparisons showed no significant differences, so any clinic effect could not be separated. The sample came from a single region and only medical and surgical ICUs, so it may not represent trauma or burn ICU survivors. The sample had limited diversity in race, ethnicity, and education, and the analysis cannot show that any factor causes growth.
The easy way to misread this
Do not read the association between PTSD symptoms and growth as proof that more PTSD causes growth or that treating PTSD will increase growth. The recovery clinic and usual care did not differ, and this was a small secondary analysis of associations.