ArticleInternational journal of general medicine2019
Psychiatric symptoms and their association with sleep disturbances in intensive care unit survivors.
Article in International journal of general medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 28 citations in OpenAlex.
- Evidence-Based Intervention for Sleep Deprivation in the Intensive Care Unit: A Clinical Review.Florence Nightingale journal of nursing · 2026Article
- Older injured adults reported sleep disturbances: a cross-sectional study.Journal of patient-reported outcomes · 2025Article
- [Challenge healthcare system: spotlight on PICS].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Interventions for adult survivors discharged from the intensive care unit: a scoping review.BMJ open · 2025Article
- Review
- Benzodiazepine and z-drug prescribing in critical care survivors and the risk of rehospitalisation or death due to falls/trauma and due to any cause: a retrospective matched cohort study using the UK Clinical Practice Research Datalink.Intensive care medicine · 2025Article
- Psychotropic prescribing after hospital discharge in survivors of critical illness, a retrospective cohort study (2012-2019).Journal of the Intensive Care Society · 2024Article
- Beyond survival: understanding post-intensive care syndrome.Acute and critical care · 2024Article
- Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study.Critical care (London, England) · 2023Article
- Sleep in cardiac arrest survivors.Nursing in critical care · 2023Article
- Prevalence of Psychological Distress and Posttraumatic Stress Symptoms and Associated Factors in Hospitalized Iranian COVID-19 Patients.Oman medical journal · 2023Article
- Minimizing Post-Intensive Care Syndrome to Improve Outcomes for Intensive Care Unit Survivors.Critical care nurse · 2022Article
- Mental distress in dermatologists during COVID-19 pandemic: Assessment and risk factors in a global, cross-sectional study.Dermatologic therapy · 2020Article
- Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial.Critical care (London, England) · 2020Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundSleep disturbances in critically ill patients are associated with poorer long-term clinical outcomes and quality of life. Studies are needed to better characterize associations and risk factors for persistent sleep disturbances after intensive care unit (ICU) discharge. Psychiatric disorders are frequently associated with sleep disturbances, but the role of psychiatric symptoms in sleep disturbances in ICU survivors has not been well-studied.
objectiveTo examine the association between psychiatric symptoms and sleep disturbances in ICU survivors.
methods112 adult ICU survivors seen from July 2011 to August 2016 in the Critical Care Recovery Center, an ICU survivor clinic at the Eskenazi Hospital in Indianapolis, IN, USA, were assessed for sleep disturbances (insomnia, hypersomnia, difficulty with sleep onset, difficulty with sleep maintenance, and excessive daytime sleepiness) and psychiatric symptoms (trauma-related symptoms and moderate to severe depressive symptoms) 3 months after ICU discharge. A multivariate logistic regression model was performed to examine the association between psychiatric symptoms and sleep disturbances. Analyses were controlled for age, hypertension, history of depression, and respiratory failure.
resultsICU survivors with both trauma-related and depression symptoms (OR 16.66, 95% CI 2.89-96.00) and trauma-related symptoms alone (OR 4.59, 95% CI 1.11-18.88) had a higher likelihood of sleep disturbances. Depression symptoms alone were no longer significantly associated with sleep disturbances when analysis was controlled for trauma-related symptoms.
conclusionTrauma-related symptoms and trauma-related plus moderate to severe depressive symptoms were associated with a higher likelihood of sleep disturbances. Future studies are needed to determine whether psychiatric symptoms are associated with objective changes on polysomnography and actigraphy and whether adequate treatment of psychiatric symptoms can improve sleep disturbances.
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