Murray Hannah, Grey Nick, Wild Jennifer, Warnock-Parkes Emma, Kerr Alice, Clark David M, Ehlers Anke
Department of Experimental Psychology, University of Oxford, Oxford, UK.
Oxford Health NHS Foundation Trust, Oxford, UK.
Cogn Behav Therap. 2020 Apr 29;13:e13. doi: 10.1017/S1754470X2000015X.
Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU.
To recognise PTSD following admissions to intensive care units (ICUs).To understand how the ICU experience can lead to PTSD development.To understand how Ehlers and Clark's (2000) cognitive model of PTSD can be applied to post-ICU PTSD.To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.
在重症监护病房（ICU）接受治疗的患者中，约有四分之一会出现创伤后应激障碍（PTSD）症状。鉴于在2019冠状病毒病大流行期间入住ICU的患者急剧增加，临床医生在未来几个月可能会看到ICU后PTSD病例的增加。ICU后PTSD会给临床医生带来各种挑战，目前尚未发布针对该人群提供以创伤为重点的认知行为疗法的临床指南。在本文中，我们描述了如何使用创伤后应激障碍认知疗法（CT-PTSD），这是英国国家卫生与临床优化研究所推荐的创伤后应激障碍一线治疗方法。我们通过临床案例，概述了CT-PTSD所涉及的关键技术，并描述了这些技术在治疗ICU后创伤后应激障碍患者中的应用。
识别重症监护病房（ICU）入院后的创伤后应激障碍。了解ICU经历如何导致创伤后应激障碍的发展。理解埃勒斯和克拉克（2000年）的创伤后应激障碍认知模型如何应用于ICU后创伤后应激障碍。能够将创伤后应激障碍认知疗法应用于ICU后创伤后应激障碍患者。
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