Cited by 157Intensive Care Unit Cognitive DisordersRespiratory Support and MechanismsCOVID-19 and Mental Health

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Psychiatric Symptoms in Acute Respiratory Distress Syndrome Survivors: A 1-Year National Multicenter Study

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Huang, Minxuan, Parker, Ann M., Bienvenu, O. Joseph, Dinglas, Victor D., Colantuoni, Elizabeth, Hopkins, Ramona O., Needham, Dale M.·2016·Critical Care Medicine

DOI 10.1097/ccm.0000000000001621PMC PMC4833555

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Abstract

OBJECTIVE: To evaluate prevalence, severity, and co-occurrence of and risk factors for depression, anxiety, and posttraumatic stress disorder symptoms over the first year after acute respiratory distress syndrome. DESIGN: Prospective longitudinal cohort study. SETTINGS: Forty-one Acute Respiratory Distress Syndrome Network hospitals across the United States. PATIENTS: Six hundred ninety-eight acute respiratory distress syndrome survivors. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Psychiatric symptoms were evaluated by using the Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised at 6 and 12 months. Adjusted prevalence ratios for substantial symptoms (binary outcome) and severity scores were calculated by using Poisson and linear regression, respectively. During 12 months, a total of 416 of 629 patients (66%) with at least one psychiatric outcome measure had substantial symptoms in at least one domain. There was a high and almost identical prevalence of substantial symptoms (36%, 42%, and 24% for depression, anxiety, and posttraumatic stress disorder) at 6 and 12 months. The most common pattern of co-occurrence was having symptoms of all three psychiatric domains simultaneously. Younger age, female sex, unemployment, alcohol misuse, and greater opioid use in the ICU were significantly associated with psychiatric symptoms, whereas greater severity of illness and ICU length of stay were not associated. CONCLUSIONS: Psychiatric symptoms occurred in two thirds of acute respiratory distress syndrome survivors with frequent co-occurrence. Sociodemographic characteristics and in-ICU opioid administration, rather than traditional measures of critical illness severity, should be considered in identifying the patients at highest risk for psychiatric symptoms during recovery. Given high co-occurrence, acute respiratory distress syndrome survivors should be simultaneously evaluated for a full spectrum of psychiatric sequelae to maximize recovery.

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Authors: Huang, M., Parker, A. M., Bienvenu, O. J., Dinglas, V. D., Colantuoni, E., Hopkins, R. O., & Needham, D. M.
Affiliations: Brigham Young University (US)
National Heart, Lung, and Blood Institute (US)
ORCID: Huang, Minxuan
Parker, Ann M.
Bienvenu, O. Joseph
Dinglas, Victor D.
Needham, Dale M.
Venue: Critical Care Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-05
Volume: 44
Issue: 5
Pages: 954-965
ISSN: 0090-3493 (ISSN-L)
DOI: 10.1097/ccm.0000000000001621
PMC: PMC4833555
OpenAlex: W2314180516
Cited by: 157
References: 49
Citations by year: 2026: 8 · 2025: 10 · 2024: 23 · 2023: 13 · 2022: 15 · 2021: 18 · 2020: 12 · 2019: 20 · 2018: 12 · 2017: 17 · 2016: 9
FWCI: 17.59
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (n01hr56170-19-0-1)
U.S. Public Health Service (HHSN 268200536179C, HHSN268200536165C, HHSN268200536175C)
National Heart, Lung, and Blood Institute (N01 HR056170, 5T32HL00753432, T32HL007534, R01HL091760)
Topics: Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords: acute respiratory distress syndrome, depression, anxiety, post-traumatic stress disorder, risk factors, alcohol abuse, unemployment, sociodemographic factors, critical illness severity, ICU length of stay, long-term recovery
MeSH terms: Adult, Age Factors, Aged, Analgesics, Opioid, Anxiety, Depression, Female, Humans, Intensive Care Units, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Quality of Life, Respiratory Distress Syndrome, Risk Factors, Severity of Illness Index, Sex Factors, Socioeconomic Factors, Stress Disorders, Post-Traumatic

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Psychiatric Symptoms in Acute Respiratory Distress Syndrome Survivors: A 1-Year National Multicenter Study

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