One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest
Objectives Few studies have investigated the psychological and health-related outcome after out-of-hospital cardiac arrest (OHCA) over time. This longitudinal study aims to evaluate psychological distress in terms of anxiety and depression, self-assessed health and predictors of these outcomes in su...
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e029756.full |
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| author | Katharina S Sunnerhagen Adam Viktorisson Dongni Johansson Johan Herlitz Åsa Axelsson |
| author_facet | Katharina S Sunnerhagen Adam Viktorisson Dongni Johansson Johan Herlitz Åsa Axelsson |
| author_sort | Katharina S Sunnerhagen |
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| description | Objectives Few studies have investigated the psychological and health-related outcome after out-of-hospital cardiac arrest (OHCA) over time. This longitudinal study aims to evaluate psychological distress in terms of anxiety and depression, self-assessed health and predictors of these outcomes in survivors of OHCA, 3 and 12 months after resuscitation.Methods Recruitment took place from 2008 to 2011 and survivors of OHCA were identified through the national Swedish Cardiopulmonary Resuscitation Registry. Inclusion criteria were age ≥18 years, survival ≥12 months and a Cerebral Performance Category score ≤2. Questionnaires containing the Hospital Anxiety and Depression Scale and European Quality of Life 5 Dimensions 3 Level (EQ-5D-3L) were administered at 3 and 12 months after the OHCA. Participants were also asked to report treatment-requiring comorbidities.Results Of 298 survivors, 85 (29%) were eligible for this study and 74 (25%) responded. Clinically relevant anxiety was reported by 22 survivors at 3 months and by 17 at 12 months, while clinical depression was reported by 10 at 3 months and 4 at 12 months. The mean EQ-5D-3L index value increased from 0.82 (±0.26) to 0.88 (±0.15) over time. There were significantly less symptoms of psychological distress (p=0.01) and better self-assessed health (p=0.003) at 12 months. Treatment-requiring comorbidity predicted anxiety (OR 4.07, p=0.04), while being female and young age predicted poor health (OR 6.33, p=0.04; OR 0.91, p=0.002) at 3 months. At 12 months, being female was linked to anxiety (OR 9.23, p=0.01) and depression (OR 14.78, p=0.002), while young age predicted poor health (OR 0.93, p=0.003).Conclusion The level of psychological distress and self-assessed health improves among survivors of OHCA between 3 and 12 months after resuscitation. Higher levels of psychological distress can be expected among female survivors and those with comorbidity, while survivors of young age and who are female are at greater risk of poor health. |
| format | Article |
| id | doaj-art-1c6cc6af91394b62b69a5003d89e80e4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1c6cc6af91394b62b69a5003d89e80e42024-11-29T10:25:09ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2019-029756One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrestKatharina S Sunnerhagen0Adam Viktorisson1Dongni Johansson2Johan Herlitz3Åsa Axelsson4Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Goteborg, SwedenInst of Neuroscience and Physiology, Univ of Gothenburg, Gothenburg, Sweden1 Rehabilitation Medicine, Institute of Neuroscience and Physiology at Sahlgrenska Academy, University of Gothenburg, SwedenUniversity of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden4 Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, SwedenObjectives Few studies have investigated the psychological and health-related outcome after out-of-hospital cardiac arrest (OHCA) over time. This longitudinal study aims to evaluate psychological distress in terms of anxiety and depression, self-assessed health and predictors of these outcomes in survivors of OHCA, 3 and 12 months after resuscitation.Methods Recruitment took place from 2008 to 2011 and survivors of OHCA were identified through the national Swedish Cardiopulmonary Resuscitation Registry. Inclusion criteria were age ≥18 years, survival ≥12 months and a Cerebral Performance Category score ≤2. Questionnaires containing the Hospital Anxiety and Depression Scale and European Quality of Life 5 Dimensions 3 Level (EQ-5D-3L) were administered at 3 and 12 months after the OHCA. Participants were also asked to report treatment-requiring comorbidities.Results Of 298 survivors, 85 (29%) were eligible for this study and 74 (25%) responded. Clinically relevant anxiety was reported by 22 survivors at 3 months and by 17 at 12 months, while clinical depression was reported by 10 at 3 months and 4 at 12 months. The mean EQ-5D-3L index value increased from 0.82 (±0.26) to 0.88 (±0.15) over time. There were significantly less symptoms of psychological distress (p=0.01) and better self-assessed health (p=0.003) at 12 months. Treatment-requiring comorbidity predicted anxiety (OR 4.07, p=0.04), while being female and young age predicted poor health (OR 6.33, p=0.04; OR 0.91, p=0.002) at 3 months. At 12 months, being female was linked to anxiety (OR 9.23, p=0.01) and depression (OR 14.78, p=0.002), while young age predicted poor health (OR 0.93, p=0.003).Conclusion The level of psychological distress and self-assessed health improves among survivors of OHCA between 3 and 12 months after resuscitation. Higher levels of psychological distress can be expected among female survivors and those with comorbidity, while survivors of young age and who are female are at greater risk of poor health.https://bmjopen.bmj.com/content/9/7/e029756.full |
| spellingShingle | Katharina S Sunnerhagen Adam Viktorisson Dongni Johansson Johan Herlitz Åsa Axelsson One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest BMJ Open |
| title | One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest |
| title_full | One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest |
| title_fullStr | One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest |
| title_full_unstemmed | One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest |
| title_short | One-year longitudinal study of psychological distress and self-assessed health in survivors of out-of-hospital cardiac arrest |
| title_sort | one year longitudinal study of psychological distress and self assessed health in survivors of out of hospital cardiac arrest |
| url | https://bmjopen.bmj.com/content/9/7/e029756.full |
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