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Self-reported Depressive Symptoms and Memory Complaints in Survivors Five Years After ARDS

Adhikari, Neill K.J., MDCM ; Tansey, Catherine M., PhD ; McAndrews, Mary Pat, PhD ; Matté, Andrea, BSc ; Pinto, Ruxandra, PhD ; Cheung, Angela M., MD, PhD ; Diaz-Granados, Natalia, MSc ; Herridge, Margaret S., MD, MPH

Chest, 2011-12, Vol.140 (6), p.1484-1493 [Periódico revisado por pares]

Northbrook, IL: American College of Chest Physicians

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Título:
Self-reported Depressive Symptoms and Memory Complaints in Survivors Five Years After ARDS
Autor: Adhikari, Neill K.J., MDCM ; Tansey, Catherine M., PhD ; McAndrews, Mary Pat, PhD ; Matté, Andrea, BSc ; Pinto, Ruxandra, PhD ; Cheung, Angela M., MD, PhD ; Diaz-Granados, Natalia, MSc ; Herridge, Margaret S., MD, MPH
Assuntos: Adaptation, Psychological ; Adult ; Adult and adolescent clinical studies ; Age Factors ; Analysis of Variance ; Biological and medical sciences ; Cardiology. Vascular system ; Cohort Studies ; Critical Care - methods ; Critical Care - psychology ; Depression ; Depressive Disorder - diagnosis ; Depressive Disorder - epidemiology ; Diagnostic Self Evaluation ; Female ; Follow-Up Studies ; Hospitals, University ; Humans ; Incidence ; Intensive Care Units ; Linear Models ; Male ; Medical sciences ; Memory Disorders - diagnosis ; Memory Disorders - epidemiology ; Middle Aged ; Miscellaneous ; Mood disorders ; Ontario ; Pneumology ; Predictive Value of Tests ; Prospective Studies ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Pulmonary/Respiratory ; Respiratory Distress Syndrome, Adult - diagnosis ; Respiratory Distress Syndrome, Adult - psychology ; Respiratory Distress Syndrome, Adult - therapy ; Sex Factors ; Surveys and Questionnaires ; Survivors ; Time Factors
É parte de: Chest, 2011-12, Vol.140 (6), p.1484-1493
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Background Survivors of ARDS report depressive symptoms and memory complaints, the prevalence of which after 5 years is unknown. Methods We administered instruments assessing symptoms of depression (Beck Depression Inventory II [BDI-II]) and memory complaints (Memory Assessment Clinics Self-Rating Scale [MAC-S]) to 64 survivors of ARDS from four university-affiliated ICUs 5 years after ICU discharge. We compared BDI-II scores to quality of life (Medical Outcomes Study 36-Item Short Form [SF-36]) mental health domains (role emotional, mental health, mental component summary), compared BDI-II and MAC-S scores to earlier scores (median, 22 months postdischarge), and examined return to work. Results Forty-three (67.2%), 46 (71.9%), and 38 (59.4%) patients fully completed the BDI-II, MAC-S ability subscale, and MAC-S frequency of occurrence subscale, respectively. Responders were young (median, 48 years; first-third quartile [Q1-Q3], 39-61 years) with high illness severity. The median BDI-II score was 10 (Q1-Q3, 3-18); eight of 43 (18.6%) had moderate to severe depressive symptoms compared with 14 of 43 (32.6%) earlier ( P = .15, n = 38 with paired data). Median MAC-S ability and MAC-S frequency scores were 81 (Q1-Q3, 57-92) and 91.5 (Q1-Q3, 76-105), respectively, similar to earlier scores ( P = .67 and P = .64, respectively); 0% to 4.3% scored > 2 SDs below population norms. Higher BDI-II score was predicted by higher earlier BDI-II score, slower recovery of organ function, and longer duration of mechanical ventilation and ICU stay. Higher MAC-S score was predicted by higher earlier MAC-S score. SF-36 mental health domain scores were very stable ( P = .57-.83). BDI-II and SF-36 mental health domains were negatively correlated (Spearman coefficient, −0.50 to −0.82). Most patients returned to work regardless of depressive symptoms (minimal to mild, 31 of 35 [88.6%]; moderate to severe, five of eight [62.5%]; P = .12). Conclusions Compared with ∼ 2 years postdischarge from the ICU, depressive symptoms and memory complaints were similar at 5 years. Mental health domains of the SF-36 may not be sensitive to small changes in mood symptoms.
Editor: Northbrook, IL: American College of Chest Physicians
Idioma: Inglês

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Self-reported Depressive Symptoms and Memory Complaints in Survivors Five Years After ARDS

Adhikari, Neill K.J., MDCM ; Tansey, Catherine M., PhD ; McAndrews, Mary Pat, PhD ; Matté, Andrea, BSc ; Pinto, Ruxandra, PhD ; Cheung, Angela M., MD, PhD ; Diaz-Granados, Natalia, MSc ; Herridge, Margaret S., MD, MPH

Northbrook, IL: American College of Chest Physicians

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