TY  - JOUR
PY  - 2023//
TI  - Anxiety and depression symptoms in relatives of moderate-to-severe traumatic brain injury survivors - a multicentre cohort
JO  - Anaesthesia, critical care and pain medicine
A1  - Cinotti, Raphael
A1  - Chopin, Alice
A1  - Moyer, Jean Denis
A1  - Huet, Olivier
A1  - Lasocki, Sigismond
A1  - Cohen, Benjamin
A1  - Dahyot-Fizelier, Claire
A1  - Chalard, Kevin
A1  - Seguin, Philippe
A1  - Martin, Florian Pierre
A1  - Lerebourg, Céline
A1  - Guitteny, Marie
A1  - Chenet, Amandine
A1  - Perrouin-Verbe, Brigitte
A1  - Asehnoune, Karim
A1  - Feuillet, Fanny
A1  - Sébille, Véronique
A1  - Roquilly, Antoine
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: Long-term follow-up must provide psychological care to relatives after TBI.<p />  <p>Language: en</p>
LA  - en
SN  - 2352-5568
UR  - http://dx.doi.org/10.1016/j.accpm.2023.101232
ID  - ref1
ER  -