Abstract:OBJECTIVES:Family members of patients in a vegetative state have relatively high rates of anxiety and distress. It is important to recognize the problems faced by this population and apply psychological interventions to help them. This exploratory study describes the psychological stress experienced by family members of patients in a vegetative state. We discuss the effectiveness of a psychological crisis intervention directed at this population and offer suggestions for future clinical work.METHODS:A total of… Show more
“…A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ). The brief single‐session group intervention was in the format of a critical incident stress debriefing, which included participants describing what happened and their first thoughts concerning the event, discussing their emotional reactions, and receiving training to increase coping abilities (Li & Xu ). In another RCT, a teachable brief intervention for persons who attempted suicide was associated with greater patient satisfaction, improvement in motivation to address their problems, and significant improvements on reasons for living compared to the group who received usual care (O'Connor et al ).…”
Section: Resultsmentioning
confidence: 96%
“…The studies examined outcomes of patient satisfaction, readiness to change problematic behaviours, reasons for living and suicidal ideation, psychological symptoms, social role functioning, and interpersonal relationships. Components of brief intervention varied throughout the studies; however, brief crisis interventions that considered trauma‐informed principles had positive outcomes (Li & Xu ; O'Connor et al ), as opposed to brief crisis interventions that did not consider trauma‐informed principles (Van Oenen et al ). A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ).…”
Section: Resultsmentioning
confidence: 99%
“…Components of brief intervention varied throughout the studies; however, brief crisis interventions that considered trauma‐informed principles had positive outcomes (Li & Xu ; O'Connor et al ), as opposed to brief crisis interventions that did not consider trauma‐informed principles (Van Oenen et al ). A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ). The brief single‐session group intervention was in the format of a critical incident stress debriefing, which included participants describing what happened and their first thoughts concerning the event, discussing their emotional reactions, and receiving training to increase coping abilities (Li & Xu ).…”
Section: Resultsmentioning
confidence: 99%
“…The teachable moment brief intervention involved a functional assessment, crisis planning, and discussion of further outpatient mental health services (O'Connor et al ). Overall, the studies that examined brief interventions for crisis events utilized trauma‐informed principles of ensuring psychological safety, establishing a collaborative relationship (O'Connor et al ), and offering training to increase coping abilities (Li & Xu ; O'Connor et al ).…”
There exists a growing need for health and service providers to respond to persons in a manner that recognizes the prevalence and impact of trauma in individuals and prevent inadvertent re-traumatization in the routine process of care. The experience of mental health crisis in of itself can have traumatic and impactful effects on individuals. Trauma-informed approaches to care offer a framework to provide crisis intervention responses that are based on the acknowledgement of the prevalence and impact of trauma and define trauma not by the event per se, but by the impact of an experience of trauma. The integration of trauma-informed principles in the context of crisis intervention is a current practice gap. In order to inform a portion of a bestpractice guideline for registered nurses and the interprofessional team, a systematic literature review was conducted to primarily identify nursing interventions within four weeks of a mental health crisis, with a secondary focus on identifying particular interventions that included traumainformed principles. The systematic review yielded 21 quantitative and qualitative studies related to nursing interventions for mental health crisis, 10 of which referred to one or more principles of trauma-informed approaches. There was a lack of studies on nursing interventions explicitly linked to implementation of trauma-informed principles, highlighting future research needs and focused efforts to integrate trauma-informed principles into crisis intervention practices.
“…A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ). The brief single‐session group intervention was in the format of a critical incident stress debriefing, which included participants describing what happened and their first thoughts concerning the event, discussing their emotional reactions, and receiving training to increase coping abilities (Li & Xu ). In another RCT, a teachable brief intervention for persons who attempted suicide was associated with greater patient satisfaction, improvement in motivation to address their problems, and significant improvements on reasons for living compared to the group who received usual care (O'Connor et al ).…”
Section: Resultsmentioning
confidence: 96%
“…The studies examined outcomes of patient satisfaction, readiness to change problematic behaviours, reasons for living and suicidal ideation, psychological symptoms, social role functioning, and interpersonal relationships. Components of brief intervention varied throughout the studies; however, brief crisis interventions that considered trauma‐informed principles had positive outcomes (Li & Xu ; O'Connor et al ), as opposed to brief crisis interventions that did not consider trauma‐informed principles (Van Oenen et al ). A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ).…”
Section: Resultsmentioning
confidence: 99%
“…Components of brief intervention varied throughout the studies; however, brief crisis interventions that considered trauma‐informed principles had positive outcomes (Li & Xu ; O'Connor et al ), as opposed to brief crisis interventions that did not consider trauma‐informed principles (Van Oenen et al ). A brief, group psychological session for relatives of patients in a vegetative state was associated with a decrease in psychological symptoms such as somatization, obsessive–compulsive behaviour, depression, and anxiety compared to the control group who did not receive the intervention (Li & Xu ). The brief single‐session group intervention was in the format of a critical incident stress debriefing, which included participants describing what happened and their first thoughts concerning the event, discussing their emotional reactions, and receiving training to increase coping abilities (Li & Xu ).…”
Section: Resultsmentioning
confidence: 99%
“…The teachable moment brief intervention involved a functional assessment, crisis planning, and discussion of further outpatient mental health services (O'Connor et al ). Overall, the studies that examined brief interventions for crisis events utilized trauma‐informed principles of ensuring psychological safety, establishing a collaborative relationship (O'Connor et al ), and offering training to increase coping abilities (Li & Xu ; O'Connor et al ).…”
There exists a growing need for health and service providers to respond to persons in a manner that recognizes the prevalence and impact of trauma in individuals and prevent inadvertent re-traumatization in the routine process of care. The experience of mental health crisis in of itself can have traumatic and impactful effects on individuals. Trauma-informed approaches to care offer a framework to provide crisis intervention responses that are based on the acknowledgement of the prevalence and impact of trauma and define trauma not by the event per se, but by the impact of an experience of trauma. The integration of trauma-informed principles in the context of crisis intervention is a current practice gap. In order to inform a portion of a bestpractice guideline for registered nurses and the interprofessional team, a systematic literature review was conducted to primarily identify nursing interventions within four weeks of a mental health crisis, with a secondary focus on identifying particular interventions that included traumainformed principles. The systematic review yielded 21 quantitative and qualitative studies related to nursing interventions for mental health crisis, 10 of which referred to one or more principles of trauma-informed approaches. There was a lack of studies on nursing interventions explicitly linked to implementation of trauma-informed principles, highlighting future research needs and focused efforts to integrate trauma-informed principles into crisis intervention practices.
“…In this regard, another study in China showed that the psychological interventions reduces anxiety and enhance coping power of PVS caregivers (33). We believe the caregivers of PVS patients should be visited periodically by clinicians, and underwent some psychological and physical supports in the hospitals.…”
Background persistent vegetative state (PVS) is one of the results of traumatic brain injury. These patients are hospitalized for a long time, and need more cares. The caregivers are first members who provide care and have some challenges accordingly. With regards to a lack of information in this issue, the current study was conducted to explore Iranian care-givers experiences of caring for PVS patients following traumatic brain injury.Methods this study was conducted as a descriptive phenomenological study in 2019. Semi-structured interviews were done on caregivers of PVS in a center of trauma in Iran. The interviews were recorded and wrote verbatim, then analyzed using seven steps of Collazi with management of MAXQUDA software. Guba and Lincoln`s criteria were used in favor of rigor, including credibility, dependability, transferability, and confirmability.Results twelve people participated in the study and five themes, and ten subthemes extracted from 428 codes. The themes were "falling into tensions", "seeking peace", "imposed therapeutic duties", "preserve connection" and 'unheard sounds ".Conclusion In this study, the caregivers of PVS experienced some injuries and familial crises. They wished peace by praying and drain their feelings, also did some imposed duties, and tried to address all the needs of patient. They assessed patients' signs daily and some information gap, therefore, wanted to obtain them by relationship with staff. The caregivers communicated with patients and hoped to recovery of patients. They were complained of accommodations and lack of staff visits.
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