title: Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge.
abstract: BACKGROUND
  The association between intensive care unit (ICU) survivors' psychological sequelae, individual care needs, and discharge disposition has not been evaluated.
  
  
  OBJECTIVE
  To describe depressive symptoms and anxiety in ICU survivors and explore these symptoms based on individual care needs and discharge disposition for 4 months post-ICU discharge.
  
  
  METHODS
  We analyzed data from 39 ICU survivors who self-reported measures of depressive symptoms (Center for Epidemiologic Studies-Depression 10 items [CESD-10]) and anxiety (Shortened Profile of Mood States-Anxiety subscale [POMS-A]).
  
  
  RESULTS
  A majority of patients reported CESD-10 scores above the cut off (≥ 8) indicating risk for clinical depression. POMS-A scores were highest within 2 weeks post-ICU discharge and decreased subsequently. Data trends suggest worse depressive symptoms and anxiety when patients had moderate to high care needs and/or were unable to return home.
  
  
  CONCLUSIONS
  ICU survivors who need caregiver assistance and extended institutional care reported trends of worse depressive symptoms and anxiety.
authors.affiliation: Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA. Electronic address: jic11@pitt.edu.
authors.forename: JiYeon
authors.initials: J
authors.lastname: Choi
authors.affiliation: College of Nursing, The Ohio State University, Columbus, OH, USA.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Tate
authors.affiliation: Veterans Affairs Pittsburgh Healthcare System, USA.
authors.forename: Mary Alana
authors.initials: MA
authors.lastname: Rogers
authors.affiliation: Division of Pulmonary, Allergy & Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Donahoe
authors.affiliation: Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA; Clinical and Translational Science Institute, USA.
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D017028:Caregivers; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D057566:Self Report; D017741:Survivors / Q000523:psychology*
keywords: Anxiety; Depressive symptoms; Intensive care unit survivors; Post intensive care unit; Recovery