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Symptoms of Depression and Anxiety After Delirium

Received April 2, 2008; revised May 19, 2008; accepted May 19, 2008. From the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA. Send correspondence and reprint requests to Dimitry Davydow, M.D., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, 325 Ninth Avenue, Box 356896, Seattle, WA 98104. e-mail: ddavydo1{at}u.washington.edu
© 2009 The Academy of Psychosomatic Medicine

BACKGROUND: Delirium is a common problem in hospitalized patients. OBJECTIVE: The author investigated the relationship between in-hospital delirium and subsequent depressive and anxiety symptoms. METHOD: A literature search and review using MEDLINE, EMBASE, Cochrane Library, CINAHL, and PsycINFO was performed. RESULTS: Eight studies were eligible. Five studies found significant associations between delirium episodes and subsequent symptoms of depression and/or anxiety. CONCLUSION: Psychological distress is common after delirium, warranting comprehensive evaluation and treatment.

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