Baseline resilience and depression symptoms predict trajectory of depression in dyads of patients and their informal caregivers following discharge from the Neuro-ICU

Meyers, Emma; Lin, Ann; Lester, Ethan G.; Shaffer, Kelly M.; Rosand, Jonathan; Vranceanu, Ana‐Maria

doi:10.1016/j.genhosppsych.2019.12.003

Cited by 24 publications

(42 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association between depressive symptoms and resilience was already observed in patients suffering from a chronic physical disease ( García-Carrasco et al, 2019 ) or who lived traumatic life experiences ( Bernstein et al, 2017 ). Also, a significant relationship between low resilience and depressive symptoms was identified in patients recently discharged from an acute psychiatric unit ( Mizuno et al, 2016 ) and in those suffering from bipolar disorder (BD) ( Meyers et al, 2020 ) or schizophrenia ( Rossi et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Resilience and mental health during the COVID-19 pandemic

Verdolini

Amoretti

Montejo

et al. 2021

Journal of Affective Disorders

109

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Resilience and mental health during the COVID-19 pandemic

Verdolini

Amoretti

Montejo

et al. 2021

Journal of Affective Disorders

109

View full text Add to dashboard Cite

“…Within each dyad, either the patient or caregiver had to screen in for clinically significant symptoms of depression, anxiety, or PTS. This criterion ensures risk for chronic emotional distress within a dyad, based on prior research [35][36][37]. Dyads were excluded if they were unable or unwilling to participate in in-person and video sessions, or complete follow up measures electronically or over the phone.…”

Section: Recruitment Screening and Consentmentioning

confidence: 99%

Recovering together: building resiliency in dyads of stroke patients and their caregivers at risk for chronic emotional distress; a feasibility study

Bannon

Lester

Gates

et al. 2020

Pilot Feasibility Stud

Self Cite

138

View full text Add to dashboard Cite

Background: A stroke is a sudden, life-altering event with potentially devastating consequences for survivors and their loved ones. Despite advances in endovascular and neurocritical care approaches to stroke treatment and recovery, there remains a considerable unmet need for interventions targeting the emotional impact of stroke for both patients and their informal caregivers. This is important because untreated emotional distress becomes chronic and negatively impacts quality of life in both patients and caregivers. Our team previously used mixed methods to iteratively develop a six-session modular dyadic intervention to prevent chronic emotional distress in patients with stroke and their informal caregivers called "Recovering Together" (RT) using feedback from dyads and the medical team. The aim of the current study is to test the feasibility of recruitment, acceptability of screening and randomization methods, acceptability of RT, satisfaction with RT, feasibility of the assessment process at all time points, and acceptability of outcome measures. Secondarily, we aimed to explore within-treatment effect sizes and change in clinically significant symptoms of depression, anxiety, and post-traumatic stress (PTS). The larger goal was to strengthen methodological rigor before a subsequent efficacy trial. Methods: We conducted a feasibility randomized controlled trial to evaluate the RT intervention relative to minimally enhanced usual care (MEUC) in stroke patients admitted to a Neurosciences Intensive Care Unit (Neuro-ICU). Dyads were enrolled within 1 week of hospitalization if they met specific eligibility criteria. Assessments were done via paper and pencil at baseline, and electronically via REDCap or over the phone at post-intervention (approximately 6 weeks after baseline), and 3 months later. Assessments included demographics, resiliency intervention targets (mindfulness, coping, self-efficacy, and interpersonal bond), and emotional distress (depression, anxiety, and PTS). Primary outcomes were feasibility and acceptability markers. Secondary outcomes were depression, anxiety, PTS, mindfulness, coping, self-efficacy, and interpersonal bond.

show abstract

“…Second, as symptoms of depression, anxiety, and PTS are interrelated and prevalent during hospitalization, 4 we used a transdiagnostic approach focused on addressing the construct of emotional distress by providing in vivo coping skills, rather than specifically targeting 1 particular psychiatric condition. Third, because psychiatric distress and resiliency factors are interdependent between survivors and caregivers, [5][6][7]19 to fully account for the nuanced presentation of distress, we targeted dyads rather than survivors or caregivers independently. This approach is supported by research from psycho-oncology and recommendations from the American Heart Association.…”

Section: Jama Network Open | Psychiatrymentioning

confidence: 99%

“…Third, we instructed participants to practice skills through the web-based application, but this was not formally collected. Downloaded From: https://jamanetwork.com/ on 10/31/2020 score 4,6,7,18,35,[49][50][51] and others a higher cut-off score. 3,52 Given the acute nature of neurological illness and the detrimental consequences of depression and anxiety symptoms that go unaddressed, we chose to use a lower score that allows for higher sensitivity so that we would not miss any dyads that might benefit from our program.…”

Section: Limitationsmentioning

confidence: 99%

Feasibility and Efficacy of a Resiliency Intervention for the Prevention of Chronic Emotional Distress Among Survivor-Caregiver Dyads Admitted to the Neuroscience Intensive Care Unit

et al. 2020

Self Cite

View full text Add to dashboard Cite

IMPORTANCE To our knowledge, there are no evidence-based interventions to prevent chronic emotional distress (ie, depression, anxiety, and posttraumatic stress [PTS]) in critical care survivors and their informal caregivers. OBJECTIVE To determine the feasibility and preliminary effect of the novel dyadic resiliency intervention Recovering Together (RT) on reducing symptoms of depression, anxiety, and PTS among hospitalized patients and their informal caregivers.

show abstract

Baseline resilience and depression symptoms predict trajectory of depression in dyads of patients and their informal caregivers following discharge from the Neuro-ICU

Cited by 24 publications

References 35 publications

Resilience and mental health during the COVID-19 pandemic

Resilience and mental health during the COVID-19 pandemic

Recovering together: building resiliency in dyads of stroke patients and their caregivers at risk for chronic emotional distress; a feasibility study

Feasibility and Efficacy of a Resiliency Intervention for the Prevention of Chronic Emotional Distress Among Survivor-Caregiver Dyads Admitted to the Neuroscience Intensive Care Unit

Contact Info

Product

Resources

About