ORIGINAL PAPER
Demographic, psychosocial, and medical correlates of psychological morbidity after intensive care unit stay
 
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1
Department of Social and Clinical Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece
2
Intensive Care Unit (ICU) and Department of Pain Management & Palliative Care, Cancer Hospital Theagenio, Thessaloniki, Greece
Submission date: 2021-04-28
Final revision date: 2022-01-10
Acceptance date: 2022-01-16
Online publication date: 2022-02-21
Publication date: 2022-02-22
 
Health Psychology Report 2022;10(3):191–202
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Psychological morbidity [post-traumatic stress disorder (PTSD) symptoms, depressive, and anxiety symptoms] and a decline in health-related quality of life (HRQoL) are common after treatment in an intensive care unit (ICU). The aims of this article are: (a) to report psychological morbidity and HRQoL status three months after the ICU stay; (b) to report psy-chological morbidity correlates [demographic factors, social constraint (SC) regarding the ICU experience, negative ICU-related memories (NIM), and medical factors]; (c) to examine the hypothesis that SC would be a predictor of psychological morbidity after the ICU stay.

Participants and procedure:
Seventy-two Greek patients filled in the following questionnaires: the Impact of Event Scale-Revised, the Hospital Anxiety and Depression Scale, the EuroQoL-5D-5L, and five questions regarding SC.

Results:
In total, 47% of participants had symptoms of psychological morbidity at a moderate to high level and 94% reported that they had at least a problem regarding HRQoL. Predictors of PTSD symptoms were NIM, SC, female gender, and haloperidol dose. Predictors of anxiety symptoms were SC, the reporting of another stressor after the ICU stay, and low income. Pre-dictors of depressive symptoms were SC, remifentanil dose (negative), and the reporting of another stressor.

Conclusions:
Participants experienced elevated levels of psychological symptoms and SC emerged as a consistent predictor of psycho-logical morbidity three months after the ICU stay.

 
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