Anxiety and depression symptoms in relatives of moderate-to-severe traumatic brain injury survivors — A multicentre cohort - 21/09/23
, Alice Chopin a, Jean Denis Moyer c, Olivier Huet d, Sigismond Lasocki e, Benjamin Cohen f, Claire Dahyot-Fizelier g, Kevin Chalard h, Philippe Seguin i, Florian Pierre Martin j, Céline Lerebourg a, Marie Guitteny k, Amandine Chenet l, Brigitte Perrouin-Verbe l, Karim Asehnoune a, Fanny Feuillet b, m, Véronique Sébille b, m, 1, Antoine Roquilly a, l, 1for the Atlanréa Group and the Société Française d’Anesthésie-Réanimation–SFAR Research Network
Abstract |
Introduction |
The prevalence and risk factors of anxiety and depression symptoms in relatives of moderate to severe traumatic brain injury (TBI) survivors have not been thoroughly investigated.
Methods |
Ancillary study of a multicentric prospective randomized-controlled trial in nine university hospitals in 370 moderate-to-severe TBI patients. TBI survivor-relative dyads were included in the 6th month of follow-up. Relatives responded to the Hospital Anxiety and Depression Scale (HADS). The primary endpoints were the prevalence of severe symptoms of anxiety (HADS-Anxiety ≥ 11) and depression (HADS-Depression ≥ 11) in relatives. We explored the risk factors of severe anxiety and depression symptoms.
Results |
Relatives were predominantly women (80.7%), spouse-husband (47.7%), or parents (39%). Out of the 171 dyads included, 83 (50.6%) and 59 (34.9%) relatives displayed severe symptoms of anxiety and depression, respectively. Severe anxiety symptoms in relatives were independently associated with the patient’s discharge at home (OR 2.57, 95%CI [1.04–6.37]) and the patient’s higher SF-36 Mental Health domain scores (OR 1.03 95%CI [1.01–1.05]). Severe depression symptoms were independently associated with a lower SF-36 Mental Health domain score (OR = 0.98 95%CI [0.96−1.00]). No ICU organization characteristics were associated with psychological symptoms in relatives.
Discussion |
There is a high prevalence of anxiety and depression symptoms among relatives of moderate-to-severe TBI survivors at 6 months. Anxiety and depression were inversely correlated with the patient’s mental health status at 6 months.
Conclusions |
Long-term follow-up must provide psychological care to relatives after TBI.
Le texte complet de cet article est disponible en PDF.Keywords : Traumatic brain injury, Relatives, Anxiety, Depression, HADS, Post-intensive care syndrome
Plan
Vol 42 - N° 5
Article 101232- octobre 2023 Retour au numéro
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