Effects of a brief primary care intervention for post-traumatic stress disorder symptoms after critical illness on health-related quality of life - A secondary analysis of the PICTURE randomised controlled trial.
Robert Philipp Kosilek, Nora Schröder, Linda Sanftenberg et al.
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In 30 seconds
This secondary analysis of the PICTURE randomised controlled trial evaluated the impact of a brief GP-delivered narrative exposure intervention on health-related quality of life (HRQoL) in 319 adult ICU survivors with moderate PTSD symptoms. The intervention group showed a transient improvement in EQ VAS at 6 months (ß = 5.85; 95% CI 0.84-10.87) and a delayed improvement in EQ index at 12 months (ß = 0.075; 95% CI 0.014-0.136).
Key findings
- Intervention group showed a transient improvement in EQ VAS at 6 months (ß = 5.85; 95% CI 0.84-10.87).
- Delayed improvement in EQ index at 12 months (ß = 0.075; 95% CI 0.014-0.136).
- About one quarter of the 12-month EQ index effect was mediated by PTSD symptom reduction at 6 months.
- Greater improvement in anxiety/depression and mobility was observed in the intervention group.
Why it matters
The findings suggest that brief psychological interventions in primary care can lead to significant improvements in HRQoL for ICU survivors with PTSD symptoms, highlighting the importance of addressing mental health in post-ICU care.