Predictors of emotional outcomes of intensive care

J. E. Rattray, Marie Johnston, J. A. W. Wildsmith

Research output: Contribution to journalArticle

133 Citations (Scopus)

Abstract

Negative emotional outcomes (anxiety, depression and post-traumatic stress) have been identified in patients discharged from intensive care. The aims of this prospective, longitudinal study were to assess levels of and changes in emotional outcome after intensive care, and to explore how these relate to objective and subjective indicators of the intensive care experience. Emotional outcome was assessed using the Hospital Anxiety and Depression and Impact of Event Scales. Anxiety (p = 0.046) and depression (p = 0.001) were reduced subsequently, but not avoidance (p = 0.340) or intrusion (p = 0.419). Most objective (age, gender, length of ICU and hospital stay) and subjective indicators (as measured by the Intensive Care Experience Questionnaire) of the intensive care experience were related to negative emotional outcome. Subjective interpretation of the intensive care experience emerged as a consistent predictor of adverse emotional outcome, in both the short- and the long-term.

Original languageEnglish
Pages (from-to)1085-1092
Number of pages7
JournalAnaesthesia
Volume60
Issue number11
Early online date6 Sep 2005
DOIs
Publication statusPublished - Nov 2005

Keywords

  • posttraumatic-stress-disorder
  • quality-of-life
  • respiratory-distress-syndrome
  • hospital anxiety
  • depression scale
  • event scale
  • intrusive memories
  • medical illness
  • impact
  • population

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