ICU sedation, delirium & recovery

Self-confidence as a mediator in the relationship between executive functioning and depression among ICU survivors: a latent variable analysis

Crit CarePublished Cross-sectional study

Authors' conclusion

Self-confidence mediates the relationship between executive function and depression among ICU survivors.

Study context

Population
Adult ICU survivors with ≥72-h stay at one of three ICUs of a Swedish university hospital, 6 months to 3 years post-discharge
Participants
395 survivors
Outcome
Mediating effect of self-confidence on the relationship between executive function and depression
Methodological detailsstructural equation modelling, confirmatory factor analysis, mediation analysis
  • Structural equation modelling
  • Confirmatory factor analysis
  • Mediation analysis

Main finding

As reported in the abstract

Mediation of executive function–depression effect by self-confidence
Indirect effect of impaired executive function on depressive symptoms via diminished self-confidence (full mediation), B
0.45; 95% CI 0.34-0.59
Direct effect of executive function on depression with self-confidence in model (non-significant), B
0.07, p = 0.18
Correlation depressive symptoms vs diminished self-confidence, r
0.80, p < 0.001
Correlation depressive symptoms vs poorer executive function, r
0.55, p < 0.001
Correlation reduced self-confidence vs compromised executive function, r
0.62, p < 0.001

Observational data: associations, not effects.

Further findings

Associations with age and gender

Age negatively associated with depression, self-confidence and executive function; male gender positively correlated with higher self-confidence

Model fit

CFI
0.962
RMSEA
0.075
  • Satisfactory

Original publication

Self-confidence as a mediator in the relationship between executive functioning and depression among ICU survivors: a latent variable analysis. Crit Care. Published 26 October 2024. doi:10.1186/s13054-024-05136-2

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