The psychosocial outcomes of anoxic brain injury following cardiac arrest

RESUSCITATION

卷:85

Article

Wilson, Michelle¹  Staniforth, Andrew²  Till, Richard³  das Nair, Roshan⁴  Vesey, Patrick⁵ 

[1] Lincoln Univ, Trent Doctorate Clin Psychol, Hull Community Stroke Team, Highlands Hlth Ctr, Kingston Upon Hull HU7 5DD, N Humberside, England

[2] Nottingham Univ Hosp NHS Trust, Linby Cardiol, City Hosp Campus, Nottingham NG5 1PB, England

[3] Basildon & Thurrock NHS Trust, Essex Cardiothorac Ctr, Basildon Univ Hosp, Basildon SS16 5NL, Essex, England

[4] Univ Nottingham, Inst Work Hlth & Org, Nottingham NG8 1BB, England

[5] Nottingham Univ Hosp NHS Trust, Queens Med Ctr, Nottingham NG7 2UH, England

关键词: Anoxic brain injury;    Cardiac arrest;    Psychological outcome;   

DOI  :  10.1016/j.resuscitation.2014.02.008

来源: Elsevier

【 摘 要 】

Aim of the study: This exploratory study aimed to investigate the psychosocial outcomes for cardiac arrest survivors and explore if there is a greater impact on psychosocial outcome for individuals experiencing anoxic brain injury as a result of the cardiac arrest. Methods: Self-report measures were used to compare the quality of life, social functioning and symptoms of anxiety, depression and post-traumatic stress of individuals with and without anoxic brain injury. Secondary measures of subjective memory and executive difficulties were also used. Fifty-six participants (27 with anoxia, 29 without anoxia) took part in the study between six months and four years after experiencing cardiac arrest. Results: A MANOVA identified a significant difference between the two groups, with the anoxia group reporting more psychosocial difficulties. They reported more social functioning difficulties and more anxiety, depression and post-traumatic stress symptoms. There was, however, no significant difference in self-reported quality of life between the two groups. Conclusion: As the first known study to compare psychosocial outcomes for cardiac arrest survivors experiencing anoxic brain injury with those without anoxia, the current results suggest that cardiac arrest survivors with subsequent acquired brain injury experience more psychosocial difficulties. This could be due to a combination of neuropsychological, social and psychological factors. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

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