Anxiety and Delirium in the Intensive Care Unit

McCartney, James R.; Boland, Robert

doi:10.1016/s0749-0704(18)30099-x

Cited by 55 publications

(40 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Potential mechanisms that may contribute to affective morbidity include organ dysfunction, medications (64), pain, altered sensory inputs, sleep deprivation, elevated cytokines (65), stress related activation of the hypothalamic pituitary axis (66), cerebral atrophy (67), hypoxemia (68), neurotransmitter aberrations from brain injury (69), elevated catecholamine levels from administration of epinephrine or norepinephrine in the ICU, and stress from critical illness and ICU treatment (70)(71)(72).…”

Section: Discussionmentioning

confidence: 99%

Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

Hopkins

Weaver²,

Collingridge³

et al. 2005

Am J Respir Crit Care Med

682

440

View full text Add to dashboard Cite

Acute respiratory distress syndrome (ARDS) has a high mortality and is associated with significant morbidity. Prior outcome studies have focused predominant on short-term outcomes (6-12 months). We assessed longitudinal neurocognitive, emotional, and quality of life in ARDS survivors at hospital discharge, and 1 and 2 years after hospital discharge using neuropsychologic tests and emotional and quality-of-life questionnaires. Neurocognitive sequelae occurred in 73% (54 of 74) of ARDS survivors at hospital discharge, 46% (30 of 66) at 1 year, and 47% (29 of 62) at 2 years. ARDS survivors report moderate to severe depression (16% and 23%) and anxiety (24% and 23%) at 1 and 2 years, respectively. The ARDS survivors had decreased quality of life, with the physical domains improving at 1 year, with no additional change at 2 years. Role emotional, pain, and general health did not change from hospital discharge to 2 years. Mental health improved during the first year and declined at 2 years. ARDS results in significant neurocognitive and emotional morbidity and decreased quality of life that persists at least 2 years after hospital discharge. ARDS can cause significant long-term, brainrelated morbidity manifest by neurocognitive impairments and decreased quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

Hopkins

Weaver²,

Collingridge³

et al. 2005

Am J Respir Crit Care Med

682

440

View full text Add to dashboard Cite

show abstract

“…In other reports, including asthmatics who experienced near fatal asthma attacks [24] or asthmatics who despite multiple drug treatment suffered from persistent unstable asthma [25], a higher proportion of mentally ill asthmatics were found when compared with control groups of less severe asthmatic subjects. The results may be biased since the majority of these studies were conducted on patients previously admitted to intensive care units, and a stay in the intensive care unit might influence the behavior and personality of the patient perse[26]. However, in a study conducted on asthmatic outpatients with no clinical history of hospitalization, the clinical and functional features of patients were strictly linked to their personality profiles and breathlessness perception [27].…”

Section: Asthma Copd and Psychological Disturbancesmentioning

confidence: 99%

Psychological Implications of Respiratory Health and Disease

Chetta

Foresi²,

Marangio

et al. 2005

Respiration

View full text Add to dashboard Cite

The possibility that a subject’s psychological status may influence respiratory sensations and that chronic respiratory disease may have psychological consequences has sparked great interest among clinicians and researchers. This paper reviews the existing research on the association between respiratory symptom perception and the psychological status and between chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease, and psychological disturbances. Moreover, it focuses on the role of stressful events in determining asthma exacerbations. The recent literature suggests that in patients with chronic respiratory diseases, the evaluation of breathlessness perception, psychological disturbances and the recording of any stressful events should be considered as relevant as the physical and functional assessment of respiration.

show abstract

“…This obviously has an impact on the rehabilitation programmes for these individuals and long periods of isolation have previously been described as being psychologically detrimental. 51 Periods of isolation have been found to lead to disturbances of thought and cognition and may result in strange perceptual changes. 52 Other studies have found that patients in intensive care units frequently experience¯uctuating states of consciousness, fatigue, distraction, confusion and disorientation, agitation and depression.…”

Section: Isolationmentioning

confidence: 99%

The psychological effects of spinal cord injury: a review

North

1999

Spinal Cord

135

View full text Add to dashboard Cite

Spinal cord injury (SCI) usually necessitates considerable changes in the life of an individual, and their family members. SCI may demand dicult psychological adjustment and in addition place great strain on family roles and relationships. Glass (1993) summarises the situation thus:`The experience of spinal cord injury is one of the most devastating injuries which might aect an individual. The resultant disability, after which normal cognitive function and intellectual ability usually remains, produces not only an inability to move and feel limbs, but also the inability to control the function of internal organs and even, in severe cases, the ability to breathe independently.' 1

show abstract

Anxiety and Delirium in the Intensive Care Unit

Cited by 55 publications

References 8 publications

Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

Psychological Implications of Respiratory Health and Disease

The psychological effects of spinal cord injury: a review

Contact Info

Product

Resources

About