Prevalence, Detection and Treatment of Anxiety, Depression, and Delirium in the Adult Critical Care Unit

Rincón, Hernán G.; Granados, Marcela; Unützer, Jürgen; Gómez, Mónica Liébana; Durán, Ron E.; Badiel, Marisol; Salas, Carlos; Martínez, Jorge Luis González; Mejía, J.; Ordóñez, Carlos A.; Flórez, Noel; Rosso, Fernando; Echeverri, Patricia

doi:10.1176/appi.psy.42.5.391

Cited by 91 publications

(75 citation statements)

References 29 publications

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“…Of the 18 articles, 7 were studies on the validation of instruments [29][30][31][32][33][34][35] and 11 were studies that used relatively reliable and valid instruments. 25,[36][37][38][39][40][41][42][43][44][45] Care Setting and Patients' Characteristics Table 1 summarizes the sociodemographic and clinical characteristics of the samples. The studies took place in the ICU.…”

Section: Resultsmentioning

confidence: 99%

“…37 Thus, because of the probable bias in remembering, the anxiety estimations obtained most likely were not reliable. In all the studies reviewed, levels of anxiety were low in only a few, and in all of those, the methods used had various limitations: anxiety was measured when a patient was about to be discharged from the ICU, 35 administration of psychotropic drugs was not assessed, 45 or the small sample size may have led to negative findings. 41 In summary, patients admitted to the ICU who remain conscious could experience a moderate level of anxiety, although ICU patients who undergo PPV tend to have greater anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Acute myocardial infarction 34 An et al 43 Garvin et al 44 Chlan 32 Chlan 38 Kress et al 37 Kress et al 37 Moser et al 40 De Jong et al 34 An et al 43 De Jong et al 39 Scragg et al 42 Elliott 31 Gustad et al 35 Rincón et al 45 Scragg et al 42 McKinley et al 30 Gustad et al (BSI-a). 34,39,40 Low anxiety levels were reported in only 3 studies, 35,41,45 and each of these studies had limitations that threaten the validity of the findings.…”

Section: Cardiac Patientsmentioning

confidence: 99%

“…34,39,40 Low anxiety levels were reported in only 3 studies, 35,41,45 and each of these studies had limitations that threaten the validity of the findings.…”

Section: Cardiac Patientsmentioning

confidence: 99%

“…Some investigators did not evaluate the reliability of the instruments used because they used instruments with solid psychometric properties (STAI and HAD). 37,39,41,45 More than half of the articles included reliability data, and internal consistency was satisfactory for almost all the questionnaires (Cronbach α > 0.80). Exceptions were the STAI-s and HAD-a scales in the study by Elliott,31 for which lower α values but greater test-retest correlations were reported than would be expected for a transient state such as anxiety.…”

mentioning

confidence: 99%

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Scales for Evaluating Self-Perceived Anxiety Levels in Patients Admitted to Intensive Care Units: A Review

Perpiñá‐Galvañ

Richart‐Martínez

2009

American Journal of Critical Care

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Objective To review studies of anxiety in critically ill patients admitted to an intensive care unit to describe the level of anxiety and synthesize the psychometric properties of the instruments used to measure anxiety. Methods The CUIDEN, IME, ISOC, CINAHL, MEDLINE, and PSYCINFO databases for 1995 to 2005 were searched. The search focused on 3 concepts: anxiety, intensive care, and mechanical ventilation for the English-language databases and ansiedad, cuidados intensivos, and ventilación mecánica for the Spanish-language databases. Information was extracted from 18 selected articles on the level of anxiety experienced by patients and the psychometric properties of the instruments used to measure anxiety. Results Moderate levels of anxiety were reported. Levels were higher in women than in men, and higher in patients undergoing positive pressure ventilation regardless of sex. Most multi-item instruments had high coefficients of internal consistency. The reliability of instruments with only a single item was not demonstrated, even though the instruments had moderate-to-high correlations with other measurements. Conclusion Midlength scales, such the anxiety subscale of the Brief Symptom Inventory or the shortened state version of the State-Trait Anxiety Inventory are best for measuring anxiety in critical care patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Cardiac Patientsmentioning

confidence: 99%

“…34,39,40 Low anxiety levels were reported in only 3 studies, 35,41,45 and each of these studies had limitations that threaten the validity of the findings.…”

Section: Cardiac Patientsmentioning

confidence: 99%

mentioning

confidence: 99%

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Scales for Evaluating Self-Perceived Anxiety Levels in Patients Admitted to Intensive Care Units: A Review

Perpiñá‐Galvañ

Richart‐Martínez

2009

American Journal of Critical Care

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Influence of Psychiatric Comorbidity on Surgical Mortality

Abrams

Vaughan-Sarrazin²,

Rosenthal³

2010

Arch Surg

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Situated clinical reasoning: Distinguishing acute confusion from dementia in hospitalized older adults

McCarthy

2003

Research in Nursing & Health

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In this study a dimensional analysis approach was used to explore the clinical reasoning of nurses who care for hospitalized older adults to identify factors that might explain their failure to detect acute confusion and to distinguish it from dementia in this patient population. Data analysis yielded a grounded theory of situated clinical reasoning, which proposes that the ability of nurses to identify acute confusion varies widely. This variation can be attributed to the differences in nurses' philosophical perspectives on aging. According to this theory, three distinct perspectives are unwittingly embraced by nurses who care for older patients. These perspectives influence how nurses characterize aging and the aged and condition the ways in which they judge and ultimately deal with older adults in clinical situations.

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Prevalence, Detection and Treatment of Anxiety, Depression, and Delirium in the Adult Critical Care Unit

Cited by 91 publications

References 29 publications

Scales for Evaluating Self-Perceived Anxiety Levels in Patients Admitted to Intensive Care Units: A Review

Scales for Evaluating Self-Perceived Anxiety Levels in Patients Admitted to Intensive Care Units: A Review

Influence of Psychiatric Comorbidity on Surgical Mortality

Situated clinical reasoning: Distinguishing acute confusion from dementia in hospitalized older adults

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