TY  - BOOK
AU  - Ali, Mana K
TI  - Psychology consultation patterns in a medical intensive care unit: A brief report
SN  - 0090-5550
PY  - 2019///
KW  - *Critical Care/mt [Methods]
KW  - *Critical Care/px [Psychology]
KW  - *Critical Illness/px [Psychology]
KW  - *Critical Illness/rh [Rehabilitation]
KW  - *Referral and Consultation/sn [Statistics & Numerical Data]
KW  - Academic Medical Centers
KW  - Cognitive Dysfunction/px [Psychology]
KW  - Cognitive Dysfunction/th [Therapy]
KW  - Family/px [Psychology]
KW  - Female
KW  - Humans
KW  - Intensive Care Units
KW  - Length of Stay/sn [Statistics & Numerical Data]
KW  - Male
KW  - Middle Aged
KW  - Pain/px [Psychology]
KW  - Patient Compliance/px [Psychology]
KW  - Psychological Distress
KW  - Retrospective Studies
KW  - Sex Factors
KW  - MedStar National Rehabilitation Network
KW  - Journal Article
N1  - Available in print through MWHC library: 1998 - 2006
N2  - CONCLUSIONS: Patients with a longer MICU stay more commonly had a rehabilitation psychology consultation request, typically to provide support for emotional distress or engagement in rehabilitation therapy. Future research should evaluate the effectiveness of psychology interventions in the ICU. (PsycINFO Database Record (c) 2019 APA, all rights reserved); METHOD: Psychology consultations were prospectively tracked, with patient-related data retrospectively collected and analyzed; PURPOSE/OBJECTIVE: Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical illness and improve outcomes. There is limited data regarding psychology consultations in the ICU. This brief report characterizes psychology consultations in a medical intensive care unit (MICU) in an academic medical center; RESULTS: A total of 79 consecutive psychology consultations occurred at mean of 8 +/- 6 days after MICU admission. Reasons for consultation were patient emotional distress (56%), rehabilitation therapy engagement (24%), family engagement (13%), cognitive disturbance (4%), and pain (4%). Patient characteristics were: mean age 56 +/- 15 years, 54% women, 53% White, and 34% with psychiatric comorbidity at MICU admission. Patients referred for consultation had a longer MICU length of stay than the total MICU population (12 +/- 9 days vs. 4 +/- 6 days, p < .01). For consultations for emotional distress compared with limited rehabilitation therapy engagement, patient demographic characteristics were similar, with the exception of women (vs. men) being more commonly consulted for emotional distress (64 vs. 26%, p = .01)
UR  - https://dx.doi.org/10.1037/rep0000264
ER  -