Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Jena, Germany; Integrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Integrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany; Center for Clinical Studies, Jena University Hospital, Jena, Germany.
Intensive Crit Care Nurs. 2020 Jun;58:102806. doi: 10.1016/j.iccn.2020.102806. Epub 2020 Feb 7.
Following intensive care treatment, patients and thier spouse often report traumatic memories that are frequently associated with post-traumatic stress symptoms. In this case report, we describe the case of a sepsis survivor and his wife who both suffered concurrently from intensive care associated post-traumatic stress symptoms as long-term sequelae. Both were treated with internet-based cognitive-behaviuoral writing therapy (iCBT) for post-traumatic stress disorder (PTSD) after intensive care.
Traumatic memories recalled during exposure in sensu as part of iCBT are described. Outcome data measured before, during and after psychotherapeutic treatment were analyzed.
Both, the patient and his wife showed characteristic symptoms of PTSD three years after discharge from the intensive care unit (ICU) comprising of intrusions, negative emotions, and hyperarousal. They reported unpleasant ICU memories from a patient's and relative's perspective, respectively. In both, the patient and his wife, a decline of symptoms with respect to all outcome measures during the course of iCBT from pre-treatment to three-month follow-up was observed.
Experiences of critical illness and intensive care can lead to post-traumatic stress in patients and their partners. Hence, it may be useful to offer mental health screening and psychotherapeutic treatment options to both ICU patients and their partners.
在重症监护治疗后，患者及其配偶经常报告创伤性记忆，这些记忆常常与创伤后应激症状相关。在本病例报告中，我们描述了一位败血症幸存者及其妻子的情况，他们都作为重症监护相关创伤后应激症状的长期后遗症同时遭受这些症状的困扰。两人在重症监护后都接受了基于互联网的认知行为写作治疗（iCBT）治疗创伤后应激障碍（PTSD）。
描述了在 iCBT 中作为暴露感一部分回忆起的创伤性记忆。分析了治疗前、治疗中和治疗后测量的结果数据。
患者和他的妻子在从重症监护病房（ICU）出院三年后均表现出 PTSD 的典型症状，包括闯入、负面情绪和过度警觉。他们分别报告了来自患者和家属的不愉快 ICU 记忆。在患者和他的妻子中，在 iCBT 的过程中，从治疗前到三个月随访，所有结果测量的症状均有所下降。
重症疾病和重症监护的经历会导致患者及其伴侣出现创伤后应激。因此，向 ICU 患者及其伴侣提供心理健康筛查和心理治疗选择可能是有用的。
