Intensive Care Unit (ICU) Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder (PTSD) Following Critical Illness (RACHEL II)
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Purpose
The incidence of PTSD post ICU varies from unit to unit, however a significant number of patients have been shown to develop this disorder. Many patients do not recall their stay in ICU properly and yet can clearly recall nightmares, hallucinations or paranoid delusions, which may be very frightening for the patient to recall at a later stage. As yet, no interventional studies have had an impact on the development of PTSD in this population of patients. However, a recent observational multi-centre study suggested that those patients receiving a diary of their time in ICU had lower levels of symptoms of PTSD than those who did not. These results need to be verified in the form of a randomized study.
| Condition | Intervention |
|---|---|
|
Post-Traumatic Stress Disorder |
Other: ICU Diary |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | ICU Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder Following Critical Illness |
- Diagnosis of Post Traumatic Stress Disorder [ Time Frame: 3 months post critical illness ] [ Designated as safety issue: No ]
| Enrollment: | 352 |
| Study Start Date: | July 2007 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Discussion with nurse
Brief discussion with ICU follow-up nurse about the patients' critical illness
|
|
|
Experimental: ICU Diary
Receipt of ICU Diary at 1 month post critical illness
|
Other: ICU Diary
ICU Diary containing daily information of patients condition and treatment with appropriate photographs
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients staying on the ICU for at least 72 hours (with greater than 24 hours of artificial ventilation)
Exclusion Criteria:
- ICU stay < 72 hours
- Too confused for informed consent
- Pre-existing psychotic illness
Contacts and Locations| Principal Investigator: | Richard D Griffiths, MD | University of Liverpool |
More Information
No publications provided by University of Liverpool
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Professor Richard David Griffiths, School of Clinical Science, University of Liverpool, Liverpool, UK |
| ClinicalTrials.gov Identifier: | NCT00912613 History of Changes |
| Other Study ID Numbers: | 06/Q1502/127 |
| Study First Received: | June 1, 2009 |
| Last Updated: | June 1, 2009 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by University of Liverpool:
|
Critical illness ICU Diaries Post Traumatic Stress Disorder Incidence |
Additional relevant MeSH terms:
|
Critical Illness Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Disease Attributes |
Pathologic Processes Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013