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A Study of the Feasibility of Early Psychological Support for the Critically Ill

Overview

Información sobre este estudio

The purpose of this study is to test the feasibility of a psychotherapeutic intervention for critically ill patients in intensive care units. The intervention is named Early Psychological Support for the Critically Ill (EPSCI).

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria

  • Critically ill adults admitted to the medical intensive care unit (ICU) and expected to stay >48 hours
  • Mechanically ventilated patients receiving vasopressors

Exclusion Criteria

  • History of
    • Dementia
    • Mental retardation 
    • Suicide attempt
    • Psychotic disorders such as schizophrenia
    • Patients on comfort care
    • Non-English speaking

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Lioudmila Karnatovskaia, M.D.

Cerrado para la inscripción

More information

Publicaciones

  • Many survivors of acute respiratory failure suffer from mood disorders following discharge from the hospital. We investigated the feasibility of intensivists delivering psychological support based on positive suggestion (PSBPS) to 20 intubated patients to reduce their psychological distress. Thirteen patients completed follow-up surveys. Of those, 9 remembered the intensive care unit physician talking to them, and 7 described it as comforting. Five patients (38%) met criteria for anxiety, depression, and acute stress. In comparison to historical controls, intervention may be associated with lower estimated odds of anxiety. PSBPS can be performed with patients in parallel with medical treatment to potentially reduce psychological morbidity and to humanize critical care. A larger randomized study is warranted to assess the efficacy of PSBPS. Read More on PubMed

Otros temas en investigación

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CLS-20267883

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