Phenomenological memory characteristics and impact of near-death experience in critically ill survivors: Observations at discharge and after a 1-year follow-up.

Autor:	Martial C; Coma Science Group, GIGA-Consciousness, University of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.; Centre du Cerveau, University Hospital of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium., Fritz P; Coma Science Group, GIGA-Consciousness, University of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.; Centre du Cerveau, University Hospital of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium., Cassol H; Coma Science Group, GIGA-Consciousness, University of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.; Physical and Rehabilitation Medicine Department, University Hospital of Liège, University of Liège, Avenue de l'Hôpital, 1, Liège 4000, Belgium., Gosseries O; Coma Science Group, GIGA-Consciousness, University of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium.; Centre du Cerveau, University Hospital of Liège, Avenue de l'hôpital, 11, Liège 4000, Belgium., Lambermont B; Department of Intensive Care, University Hospital of Liège and University of Liège, Avenue de l'hôpital, 1, Liège 4000, Belgium., Misset B; Department of Intensive Care, University Hospital of Liège and University of Liège, Avenue de l'hôpital, 1, Liège 4000, Belgium., Rousseau AF; Department of Intensive Care, University Hospital of Liège and University of Liège, Avenue de l'hôpital, 1, Liège 4000, Belgium.; Research Unit for a Life-Course Perspective on Health & Education (RUCHE), University of Liège, Avenue de l'hôpital, 1, Liège 4000, Belgium.
Jazyk:	angličtina
Zdroj:	International journal of clinical and health psychology : IJCHP [Int J Clin Health Psychol] 2024 Jul-Sep; Vol. 24 (3), pp. 100478. Date of Electronic Publication: 2024 Jun 18.
DOI:	10.1016/j.ijchp.2024.100478
Abstrakt:	Background: It is not rare that intensive care unit (ICU) patients report unusual subjective experiences, ranging from a feeling of harmony with the environment to complex phenomena such as near-death experience (NDE). This 1-year follow-up study investigates the characteristics and potential global impact of the NDE memories recalled by ICU survivors. Method: We prospectively enrolled 126 adult survivors of a prolonged (>7days) ICU stay (all etiologies), including 19 (15 %) who reported a NDE as identified by the Greyson NDE scale. The NDE group underwent a semi-structured interview one month later evaluating their memory characteristics and the associated life-threatening situation. One year after inclusion, all patients (regardless of whether they recalled an NDE) were contacted for a follow-up Greyson NDE scale assessment and questions about their ICU experience and opinions on death since discharge. Results: The Greyson NDE scale revealed that the most frequently reported features were altered time perception, heightened senses and life review, and the Greyson total scores did not evolve over time. NDE memories persisted, with a consequent number of phenomenological characteristics (e.g., visual details, emotions). One year post-ICU, two patients (18 %) of the NDE group and 12 (24 %) of the non-NDE group were less afraid of death. Conclusions: Results emphasize the clinical importance of interviewing all ICU patients to explore any memory after an ICU stay. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors. Published by Elsevier B.V.)
Databáze:	MEDLINE
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