September 23, 2025Open Access

Psychological assessment of the patients after intensive care unit discharge: a prospective cohort study

Key Points

Prevalence of borderline and abnormal anxiety was 21.5% among ICU patients upon discharge, indicating high psychological stress.
At 4 to 6 weeks post-discharge, symptoms improved, yet the odds of abnormal anxiety remained significantly influenced by benzodiazepine treatment.
The study utilized a self-administered questionnaire including socio-demographic variables and the Hospital Anxiety Depression Scale (HADS) for assessment.
Identifying anxiety and depression in discharged ICU patients highlights the need for continued psychological support after severe health episodes.

Abstract

Background P = 0.049] and 4.67-fold higher with patients on benzodiazepines (BDZ) adjusted OR 4.67 (95% CI 1.21, 18.41); P = 0.026. There were no significant factors in the multivariate analysis related to abnormal depression. Conclusions: The prevalence of borderline and abnormal anxiety and depression was 21.5% and 34.4% respectively, upon ICU discharge and improved after 4 to 6 weeks. Medical diagnosis and benzodiazepine treatment were significant predictors of anxiety. Abbreviations: BDZ: benzodiazepines, HADS: Hospital Anxiety Depression Scale, ICU: Intensive Care Unit, Keywords: Anxiety; Depression; Intensive Care Unit; Benzodiazepines; Prevalence Citation: Ismail MA, Zaini RHM, Abdullah F, Mazlan MZ. Psychological assessment of the patients after intensive care unit discharge: a prospective cohort study. Anaesth. pain intensive care 2025;29(6):520-527. DOI: 10.35975/apic.v29i6.2904 Received: May 09, 2024; Revised: October 26, 2024; Accepted: January 01, 2025

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