Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schelling, G; Kilger, E; Roozendaal, B; de Quervain, DJ; Briegel, J; Dagge, A; Rothenhäusler, HB; Krauseneck, T; Nollert, G; Kapfhammer, HP.
Stress doses of hydrocortisone, traumatic memories, and symptoms of posttraumatic stress disorder in patients after cardiac surgery: a randomized study.
Biol Psychiatry. 2004; 55(6):627-633
Doi: 10.1016/j.biopsych.2003.09.014
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PubMed
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- Co-Autor*innen der Med Uni Graz
- Kapfhammer Hans-Peter
- Rothenhäusler Hans-Bernd
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- Abstract:
- BACKGROUND: Traumatic experiences associated with cardiac surgery (CS) can result in traumatic memories and posttraumatic stress disorder (PTSD). Because it is known that subjects who develop PTSD often show sustained reductions in circulating cortisol concentrations, we performed a prospective, randomized study to examine whether exogenously administered stress doses of hydrocortisone during the perioperative period of CS reduces the long-term incidence of chronic stress and PTSD symptoms. METHODS: Patients (n = 91) were prospectively randomized to receive either stress doses of hydrocortisone or standard treatment during the perioperative period of CS. Of 48 available patients at 6 months after CS, 26 had received stress doses of hydrocortisone and 22 standard treatment. Traumatic memories and PTSD symptoms were diagnosed with previously validated questionnaires. RESULTS: As compared with patients after standard therapy, patients from the hydrocortisone group had significantly lower chronic stress symptom scores (p <.05). There was no significant difference regarding the number or type of traumatic memories between the hydrocortisone and the standard treatment groups. CONCLUSIONS: Stress doses of hydrocortisone in patients undergoing CS are associated with a lower intensity of chronic stress and PTSD symptoms at 6 months after CS.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Anxiety - etiology
- Case-Control Studies - etiology
- Female - etiology
- Follow-Up Studies - etiology
- Humans - etiology
- Hydrocortisone - blood
- Intensive Care Units - blood
- Male - blood
- Mental Recall - drug effects
- Middle Aged - drug effects
- Pain - etiology
- Postoperative Complications - prevention and control
- Prospective Studies - prevention and control
- Questionnaires - prevention and control
- Respiratory Distress Syndrome, Adult - etiology
- Single-Blind Method - etiology
- Stress Disorders, Post-Traumatic - physiopathology
- Thoracic Surgery - physiopathology
- Find related publications in this database (Keywords)
- posttraumatic stress disorder
- cardiac surgery
- glucocorticoids
- stress
- intensive care unit
- cortisol