JiYeon Choi1, Judith A Tate2, Mary Alana Rogers3, Michael P Donahoe4, Leslie A Hoffman5. 1. Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA. Electronic address: jic11@pitt.edu. 2. College of Nursing, The Ohio State University, Columbus, OH, USA. 3. Veterans Affairs Pittsburgh Healthcare System, USA. 4. Division of Pulmonary, Allergy & Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 5. Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA; Clinical and Translational Science Institute, USA.
Abstract
BACKGROUND: The association between intensive care unit (ICU) survivors' psychological sequelae, individual care needs, and discharge disposition has not been evaluated. OBJECTIVE: To describe depressive symptoms and anxiety in ICU survivors and explore these symptoms based on individual care needs and discharge disposition for 4 months post-ICU discharge. METHODS: We analyzed data from 39 ICU survivors who self-reported measures of depressive symptoms (Center for Epidemiologic Studies-Depression 10 items [CESD-10]) and anxiety (Shortened Profile of Mood States-Anxiety subscale [POMS-A]). RESULTS: A majority of patients reported CESD-10 scores above the cut off (≥ 8) indicating risk for clinical depression. POMS-A scores were highest within 2 weeks post-ICU discharge and decreased subsequently. Data trends suggest worse depressive symptoms and anxiety when patients had moderate to high care needs and/or were unable to return home. CONCLUSION: ICU survivors who need caregiver assistance and extended institutional care reported trends of worse depressive symptoms and anxiety.
BACKGROUND: The association between intensive care unit (ICU) survivors' psychological sequelae, individual care needs, and discharge disposition has not been evaluated. OBJECTIVE: To describe depressive symptoms and anxiety in ICU survivors and explore these symptoms based on individual care needs and discharge disposition for 4 months post-ICU discharge. METHODS: We analyzed data from 39 ICU survivors who self-reported measures of depressive symptoms (Center for Epidemiologic Studies-Depression 10 items [CESD-10]) and anxiety (Shortened Profile of Mood States-Anxiety subscale [POMS-A]). RESULTS: A majority of patients reported CESD-10 scores above the cut off (≥ 8) indicating risk for clinical depression. POMS-A scores were highest within 2 weeks post-ICU discharge and decreased subsequently. Data trends suggest worse depressive symptoms and anxiety when patients had moderate to high care needs and/or were unable to return home. CONCLUSION: ICU survivors who need caregiver assistance and extended institutional care reported trends of worse depressive symptoms and anxiety.
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