A Study of the Feasibility of Early Psychological Support for the Critically Ill
Overview
Tab Title Description
Study type
InterventionalDescribes the nature of a clinical study. Types include:
- Observational study — observes people and measures outcomes without affecting results.
- Interventional study (clinical trial) — studies new tests, treatments, drugs, surgical procedures or devices.
- Medical records research — uses historical information collected from medical records of large groups of people to study how diseases progress and which treatments and surgeries work best.
Study IDs
Site IRB
- Rochester, Minnesota: 16-000145
NCT ID: NCT02739022
Sponsor Protocol Number: 16-000145
About this study
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).
Participation eligibility
Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.
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
Participating Mayo Clinic locations
Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.
More information
Publications
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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