Depression Negatively Impacts Dyadic Quality of Life Following Neuro-ICU Admission: A Prospective Study of Cognitively Intact Patients and Caregivers.

Autor: Quinn, Patricia A., Mace, Ryan A., Presciutti, Alex, Vranceanu, Ana-Maria
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Zdroj: International Journal of Behavioral Medicine; Feb2024, Vol. 31 Issue 1, p97-108, 12p
Abstrakt: Background: Admission to a neurological intensive care unit (Neuro-ICU) can increase risk for depressive and anxiety symptoms for both patients and caregivers. To better understand the long-term mental health impact of a Neuro-ICU admission, we examined the dyadic interdependence between depression and anxiety at Neuro-ICU admission with 3-month quality of life (QoL) for patients and caregivers in a longitudinal, observational cohort study. Method: We assessed depressive and anxiety symptoms (Hospital Anxiety and Depression Scale; HADS) reported by neurologically intact patients (n = 72) and their caregivers (n = 72) within 2 weeks of Neuro-ICU admission (baseline) and 3-months post-discharge (follow-up). We examined the longitudinal association between dyadic depression and anxiety at Neuro-ICU admission and 3-month QoL (World Health Organization; QOL-BREF) across four domains (Physical, Psychological, Social relationships, and Environmental QoL) in separate actor-partner interdependence models (APIM) for patients and caregivers. Results: In the overall models, patients' own baseline depression levels were negatively associated with their own 3-month QoL in all domains (β = − 0.53 to − 0.64, p < 0.001), and for caregivers, only in the psychological (β = − 0.73, p <.001) and social relationships (β = − 0.56, p <.001) domains. No actor effects were found for one's own baseline anxiety impacting one's own 3-month QoL. Partner effects for one's own depression were significant for caregivers on patients' 3-month psychological (β = − 0.26, p <.02) and environmental (β = − 0.29, p <.03) QoL, as well as for patients on caregiver's 3-month psychological QoL (β = 0.25, p <.02). No partner effects were significant in association with baseline anxiety and 3-month QoL in both patients and caregivers. Conclusion: Neuro-ICU patients' and caregivers' baseline depression has significant negative impacts on their own long-term QoL. Caregivers demonstrate significant negative impacts on patient long-term QoL in domains related to emotional distress and caregiver burden. Early identification of mental health symptoms, especially depression, during Neuro-ICU admission may provide an intervention opportunity to improve QoL post-discharge for both dyad members. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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