Depression, anxiety, hopelessness, and suicide in first-degree relatives of patients hospitalised in intensive care units in Türkiye

Başak Merve Yanmaz, Melike Yüce Aktepe, Ali Erdoğan, Özlem Çakin
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Abstract

ObjectiveThe purpose of this study was to investigate the prevalence of depression, anxiety disorder, hopelessness, and suicide among first-degree relatives of patients hospitalised in medical and anaesthesia intensive care units at an academic medical centre.MethodsIn this case–control study conducted in Türkiye, 32 first-degree relatives of 32 patients hospitalised for 14 days or more in intensive care units and 32 healthy volunteers were included for assessment. The Beck Depression Scale (BDS), Beck Anxiety Scale (BAS), Beck Hopelessness Scale (BHS), and Suicide Probability Scale (SPS) were administered to participants. Results: The mean age of patients’ relatives was 42.1 ± 11.6 years and that of the controls was 43.0 ± 11.3 years. The median scores for the BDS, BHS, and SPS were significantly higher among the relatives of the patients than among controls ( P = .008, P = .013, and P = .001, respectively). Based on cutoff scores for the BDS and BAS, depression was observed in 56.3% of the relatives of the patients and anxiety disorder was observed in 46.9%. In the group comprising patients’ relatives, the median score for the BDS was significantly higher among female participants than among male participants ( P = .038).ConclusionsFirst-degree relatives of patients hospitalised in intensive care units have a higher prevalence of depression, hopelessness, and suicidality. Female relatives are more depressed than male. Ensuring psychiatric evaluation of the relatives of patients hospitalised in intensive care units in Türkiye is important.
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土耳其重症监护病房住院患者一级亲属的抑郁、焦虑、绝望和自杀情况
本研究旨在调查一家学术医疗中心内科和麻醉科重症监护病房住院患者的一级亲属中抑郁症、焦虑症、绝望症和自杀的患病率。方法 在土耳其进行的这项病例对照研究中,纳入了 32 名在重症监护病房住院 14 天或以上的患者的 32 名一级亲属和 32 名健康志愿者进行评估。对参与者进行了贝克抑郁量表(BDS)、贝克焦虑量表(BAS)、贝克无望量表(BHS)和自杀可能性量表(SPS)的测试。结果显示患者亲属的平均年龄为(42.1 ± 11.6)岁,对照组的平均年龄为(43.0 ± 11.3)岁。患者亲属的 BDS、BHS 和 SPS 中位数得分明显高于对照组(分别为 P = .008、P = .013 和 P = .001)。根据 BDS 和 BAS 的临界值,56.3% 的患者亲属患有抑郁症,46.9% 的患者亲属患有焦虑症。在由患者亲属组成的小组中,女性参与者的 BDS 中位数得分明显高于男性参与者 ( P = .038)。女性亲属比男性亲属更容易患抑郁症。确保对土耳其重症监护病房住院患者的亲属进行精神评估非常重要。
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