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Phenomenological memory characteristics and impact of near-death experience in critically ill survivors: Observations at discharge and after a 1-year follow-up.

Charlotte Martial, Pauline Fritz, Héléna Cassol, Olivia Gosseries, Bernard Lambermont, Benoit Misset, Anne-Françoise Rousseau

International journal of clinical and health psychology : IJCHP 2024 DOI: 10.1016/j.ijchp.2024.100478 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Prospective cohort study with 1-year follow-up Peer reviewed
Sample size 126
Population Adult survivors of a prolonged (>7 days) ICU stay (all etiologies)
Duration 1-year follow-up
Topics Near-death experience Philosophy of mind
Keywords Critical illness Haut du formulaire Impact Memory
Citations 3
Key findings NDE memories persisted with stable phenomenological characteristics over one year, and a minority of both NDE and non-NDE patients became less afraid of death.

Abstract

It is not rare that intensive care unit (ICU) patients report unusual subjective experiences, ranging from a feeling of harmony with the environment to complex phenomena such as near-death experience (NDE). This 1-year follow-up study investigates the characteristics and potential global impact of the NDE memories recalled by ICU survivors. We prospectively enrolled 126 adult survivors of a prolonged (>7days) ICU stay (all etiologies), including 19 (15 %) who reported a NDE as identified by the Greyson NDE scale. The NDE group underwent a semi-structured interview one month later evaluating their memory characteristics and the associated life-threatening situation. One year after inclusion, all patients (regardless of whether they recalled an NDE) were contacted for a follow-up Greyson NDE scale assessment and questions about their ICU experience and opinions on death since discharge. The Greyson NDE scale revealed that the most frequently reported features were altered time perception, heightened senses and life review, and the Greyson total scores did not evolve over time. NDE memories persisted, with a consequent number of phenomenological characteristics (e.g., visual details, emotions). One year post-ICU, two patients (18 %) of the NDE group and 12 (24 %) of the non-NDE group were less afraid of death. Results emphasize the clinical importance of interviewing all ICU patients to explore any memory after an ICU stay.

Comparable studies

Other observational and cohort studies on near-death experience, most cited first.

Study Year Design Participants
Near-death experience in survivors of cardiac arrest: a prospective study in the Netherlands Cardiac patients successfully resuscitated after cardiac arrest in ten Dutch hospitals 2001 Prospective cohort study n = 344
Incidence and correlates of near-death experiences in a cardiac care unit Cardiac inpatients at a tertiary care center 2003 Observational cohort n = 1,595
Features of "near-death experience" in relation to whether or not patients were near death Patients who believed they were near death during an illness or after an injury and... 1990 Observational cohort n = 58
The phenomenology of near-death experiences Subjects who reported near-death experiences 1980 Retrospective study n = 78
Near-Death Experiences and the Temporal Lobe Individuals who reported having had a near-death experience during a life-threatening... 2004 Observational cohort

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