caa a22 4500 606216073 CHVBK 20210128101101.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00701-015-2470-0 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2470-0 Trauma- and distress-associated mental illness symptoms in close relatives of patients with severe traumatic brain injury and high-grade subarachnoid hemorrhage [Elektronische Daten] [Stefan Rueckriegel, Marianne Baron, Katharina Domschke, Silke Neuderth, Ekkehard Kunze, Almuth Kessler, Robert Nickl, Thomas Westermaier, Ralf-Ingo Ernestus] Background: Close relatives (CR) of patients with severe traumatic brain injury (TBI) and high-grade subarachnoid hemorrhage (SAH) suffer extraordinary distress during the treatment: Distress may lead to persisting mental illness symptoms within the spectrum of post-traumatic stress disorder (PTSD), anxiety disorders, and depression. The primary goal of this study was to determine the prevalence and severity of these symptoms in CR. The secondary goal was identification of associated factors. Method: Standardized interviews were conducted with 53 CR (mean age of 57.7 ± 11.4years) of patients with TBI °III (n = 27) and high-grade SAH H&H °III-V (n = 26) between 5 and 15months after the event. The interviews contained a battery of surveys to quantify symptoms of PTSD, anxiety disorders, and depression, i.e., Impact of Event Scale (IES-R), 36-item Short-Form General Health Survey (SF-36), and Hospital Anxiety and Depression Scale (HADS). Fixed and modifiable possibly influencing factors were correlated. Results: Twenty-eight CR (53%) showed IES-R scores indicating a probable diagnosis of PTSD. Twenty-five CR (47%) showed an increased anxiety score and 18 (34%) an increased depression score using HADS. Mean physical component summary of SF-36 was not abnormal (49.1 ± 9.1), whereas mean mental component summary was under average (41.0 ± 13.2), indicating a decreased quality of life caused by mental effects. Perception of the interaction quality with the medical staff and involvement into medical decisions correlated negatively with severity of mental illness symptoms. Evasive coping strategies were highly significantly associated with symptoms. Conclusions: This study quantifies an extraordinarily high prevalence of mental illness symptoms in CR of patients with critical acquired brain injury due to SAH and TBI. Modifiable factors were associated with severity of mental illness symptoms. Prospective studies testing efficiency of early psychotherapeutic interventions are needed. Springer-Verlag Wien, 2015 Subarachnoid hemorrhage nationallicence Traumatic brain injury nationallicence Post-traumatic stress disorder nationallicence Anxiety symptoms nationallicence Depression symptoms nationallicence Intensive care unit nationallicence Rueckriegel Stefan Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Baron Marianne Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Domschke Katharina Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Fuechsleinstrasse 15, 97080, Wuerzburg, Germany aut Neuderth Silke Department of Medical Psychology, Psychotherapy and Rehabilitation Sciences, Julius-Maximilians-University Wuerzburg, Klinikstrasse 3, 97070, Wuerzburg, Germany aut Kunze Ekkehard Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Kessler Almuth Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Nickl Robert Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Westermaier Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Ernestus Ralf-Ingo Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1329-1336 0001-6268 157:8<1329 2015 157 701 https://doi.org/10.1007/s00701-015-2470-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2470-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rueckriegel Stefan Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Baron Marianne Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Domschke Katharina Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Fuechsleinstrasse 15, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Neuderth Silke Department of Medical Psychology, Psychotherapy and Rehabilitation Sciences, Julius-Maximilians-University Wuerzburg, Klinikstrasse 3, 97070, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Kunze Ekkehard Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Kessler Almuth Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Nickl Robert Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Westermaier Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Ernestus Ralf-Ingo Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Strasse 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1329-1336 0001-6268 157:8<1329 2015 157 701