Sex and spouse conditions influence symptoms of anxiety, depression, and posttraumatic stress disorder in both patients admitted to intensive care units and their spouses

Oliveira, Henrique Souza Barros de; Fumis, Rrl

doi:10.5935/0103-507x.20180004

Cited by 16 publications

(17 citation statements)

References 18 publications

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“…Promoting actions to improve stress management can also be relevant since it is associated with discussions on gender inequality in broader forums, aiming to dismantle the culture of assigning the role of caring for the family only to women, as well as combat the culture of submission, which permeates their daily lives. The importance of debating these themes is also reiterated in the literature ( 50 – 51 ) .…”

Section: Discussionmentioning

confidence: 94%

O papel do apoio social no adoecimento psíquico de mulheres

Gaino

Almeida

Oliveira

et al. 2019

Rev. Latino-Am. Enfermagem

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Objetivo: analisar a relação entre percepção de apoio social e sintomas emocionais e físicos associados a quadros psiquiátricos entre mulheres. Método: estudo transversal, quantitativo, realizado com uma amostra aleatória randomizada de 141 mulheres atendidas numa Unidade de Saúde da Família do munícipio de Ribeirão Preto/SP. Foram utilizados questionário sociodemográfico, Questionário de Suporte Social e Self Report Questionaire. Resultados: não houve associação entre as características sociodemográficas e o transtorno mental, mas entre aspectos como baixa renda e escolaridade. O exercício de profissões culturalmente consideradas de baixo prestígio suscitou algumas reflexões relacionadas à desigualdade de gênero. Houve diferença significativa nos escores de satisfação entre as mulheres que referiram ou não os sintomas de cansaço e tristeza e do número de apoiadores entre as que referiram ou não o sintoma de cansaço. Cônjuges e filhos foram os apoiadores mais mencionados e ter transtorno mental foi significativamente associado a não ter amigos na rede de apoio. Conclusão: questões relacionadas à equidade de gênero e à satisfação com o apoio social são aspectos importantes para a assistência. Para a promoção da saúde mental deve-se empreender esforços para que as mulheres se sintam mais conectadas e amparadas pelos apoiadores disponíveis em seu entorno social.

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Section: Discussionmentioning

confidence: 94%

O papel do apoio social no adoecimento psíquico de mulheres

Gaino

Almeida

Oliveira

et al. 2019

Rev. Latino-Am. Enfermagem

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“…The de nitive conclusions are considerably limited by the quality and heterogeneity of the included studies. ICU death n=7 [12,28,33,39,46,55,59] ICU stay/ MV > 24/48/72/more hrs n=31 [9,16,17,19,21,22,25,26,[28][29][30]31,[34][35][36][37][38]40,42,44,45,[47][48][49][50][51][52][53][54]56,58,60] Others n=10 [10,11,13,18,20,23,27,31,20,49] ICU length of stay (n=26) < 7 days n=6 [9,17,18…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, the majority of papers lacked in terms of selection criterion: "demonstration that outcome of interest was not present at start of study", as they did not exclude relatives with mental health disorders, such as depression, anxiety or PTSD. Only 9 studies excluded participants due to the above mentioned issue [16,17,20,22,39,41,42,48,57]. Secondly, a number of studies included only relatives of survivors [14, 15, 22, 24, 32, 34-37, 41, 44, 51, 57, 60] or only relatives of deceased patients [12,28,33,39,47,55,59] which limited the representativeness of exposed cohorts.…”

Section: Quality Assessmentmentioning

confidence: 99%

Risk Factors for Post-Intensive Care Syndrome in Family Members (PICS-F) of Adult Patients: A Systematic Review.

Putowski

Rachfalska

Majewska

et al. 2021

Preprint

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Background: Relatives of critically ill patients who either die or survive the intensive care unit (ICU) may develop substantial mental health problems that are collectively defined as Post-Intensive Care Syndrome in Family (PICS-F). It is important to document in a systematic manner all of the possible risk factors associated with the development of the latter.Methods: By using a systematized search strategy we included studies that focused on PICS-F in relatives of adult ICU patients and reported the risk factors associated with its development. The search was conducted within PubMed, Embase, SCOPUS, clinicaltrials.gov and Cochrane Library on the 2nd of May, 2021. PRISMA guidelines were implemented for appropriate reporting. Results: We included 52 papers covering 8293 relatives. The prevalence of PICS-F varied between 2.5-69%. We identified over 70 different risk factors of PICS-F, among which we distinguished patient-related (n=28), relative-related (n=33) and medical staff-related (n=9) risk factors. Among 17 studies with the highest quality we identified the 7 following factors associated with the development of PICS-F: younger age of a patient, death of a patient, depression in relatives during the ICU stay, history of mental disorders in relatives, being a spouse and low satisfaction with communication & care in the ICU.Conclusions: PICS-F is a highly prevalent phenomenon that may be exacerbated by a number of risk factors. Special attention should be paid to proper identification of susceptible relatives in order to prevent PICS.

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“…(1,3,19,20) Another important consideration is the predominance of female family members in this sample, and being female is a major risk factor for the development of symptoms of anxiety and depression. (34)…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors

Midega¹,

Oliveira²,

Fumis³

2019

Revista Brasileira De Terapia Intensiva

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Objective To analyze the satisfaction, medical situation understanding and symptoms of anxiety and depression in family members of patients admitted to the intensive care unit. Methods The family members of patients who were hospitalized for ≥ 72 hours were invited to participate in the study, which was performed in a public hospital. Questionnaires were answered to assess the understanding of the diagnosis, treatment and prognosis, and the support received in the intensive care unit. The family needs were also evaluated using a modified version of the Critical Care Family Needs Inventory (CCFNI). The Hospital Anxiety and Depression Scale (HADS) was used to assess the symptoms of anxiety and depression. Results A total of 35 family members were interviewed within the patients' first week of stay in the intensive care unit. Most patients (57.1%) were male, aged 54 ± 19 years. Sepsis was the main reason for admission to the intensive care unit (40%); the median of the Simplified Acute Physiology Score (SAPS) 3 was 68 (48 - 77), and 51.4% of the patients died in the intensive care unit. The majority of the family members were female (74.3%) and were sons or daughters of patients (54.3%), with a mean age of 43.2 ± 14 years. Overall, 77.1% of the family members were satisfied with the intensive care unit. A total of 37.1% of the family members did not understand the prognosis. Receiving clear and complete information in the intensive care unit and the doctor being accessible were factors that were significantly correlated with the overall family satisfaction. The prevalence of symptoms of anxiety (60%) and depression (54.3%) in the family members was high. Conclusion The emotional distress of family members is high during a patient's hospitalization in the intensive care unit, although satisfaction is also high. Clear and complete information provided by the intensivist and the support received in the intensive care unit are significantly correlated with the satisfaction of family members in a public hospital.

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Sex and spouse conditions influence symptoms of anxiety, depression, and posttraumatic stress disorder in both patients admitted to intensive care units and their spouses

Cited by 16 publications

References 18 publications

O papel do apoio social no adoecimento psíquico de mulheres

O papel do apoio social no adoecimento psíquico de mulheres

Risk Factors for Post-Intensive Care Syndrome in Family Members (PICS-F) of Adult Patients: A Systematic Review.

Satisfaction of family members of critically ill patients admitted to a public hospital intensive care unit and correlated factors

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