The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest


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Abstract

Purpose:To determine the association of depressive and PTSD symptoms with cardiac arrest survivors' long-term recovery perceptions, after accounting for cognitive status, functional independence, and medical comorbidities.Methods:Perceived recovery of 78 cardiac arrest survivors at 6-months post-hospital discharge was assessed through the question, “Do you feel that you have made a complete recovery from your arrest?” Psychological symptoms were measured using the Center for Epidemiological Studies-Depression scale (CES-D) and the PTSD Checklist-Specific (PCL-S). Logistic regression was utilized to assess the association between psychological symptoms with positive and negative recovery perceptions, adjusting for demographics, cognitive impairment, functional dependence, and medical comorbidities.Results:At 6months, 53% of patients (n=41) had negative recovery perceptions. 32.1% (n=25) of patients screened for depression and 28.2% (n=22) for PTSD. Patients with higher CES-D scores were significantly more likely to have negative recovery perceptions in both unadjusted and adjusted analyses (OR: 1.10, 95% CI [1.03, 1.16], p<.01). PCL-S scores were significantly associated with negative recovery perceptions in an unadjusted model (OR: 1.05, 95% CI [1.01, 1.10], p<.01), but not after adjustment of covariates.Conclusions:In contrast with cognitive and functional measures, depressive symptoms were strongly associated with cardiac arrest survivors' negative recovery perceptions at 6-months post-discharge.HIGHLIGHTS53% of patients reported negative perceived recovery 6-months post-cardiac arrest.Psychological symptoms were independently associated with perceived recovery.Cognitive and functional impairment were not associated with perceived recovery.Depression and PTSD are intimately tied to subjective well-being.

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