The intensive care unit experience: Psychological impact on family members of patients with and without traumatic brain injury.

Warren, Ann Marie; Rainey, Evan Elizabeth; Weddle, Rebecca Joanne; Roden-Foreman, Kenleigh; Foreman, Michael L.

doi:10.1037/rep0000080

Cited by 32 publications

(34 citation statements)

References 27 publications

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“…Eight studies identified that 15–57% of relatives reported the presence of PTSD symptoms at up to 6 months after the patients' discharge from ICU (McAdam et al ., ; Dithole and Thupayagale‐Tshweneagae, ; Sundararajan et al ., ; Andresen et al ., ; van den Born–van Zanten et al ., ; Warren et al ., ; Wintermann et al ., ; Wolters et al ., ). Significantly, Andresen et al .…”

Section: Health and Well‐beingmentioning

confidence: 97%

“…Thirteen studies reported moderate to severe depressive symptoms in 20–43% of relatives 2 to 3 months after ICU discharge (Van Pelt et al ., ; Douglas et al ., ; Lemiale et al ., ; Choi et al ., ; McAdam et al ., ; Hwang et al ., ; Sundararajan et al ., ; Andresen et al ., ; Gallop et al ., ; Cameron et al ., ; McPeake et al ., ; Warren et al ., ). Cameron et al .…”

Section: Health and Well‐beingmentioning

confidence: 99%

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Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

Stayt

Venes

2018

Nursing in Critical Care

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Background Patients discharged from intensive care may experience psychological and physical deficits resulting in a long and complex rehabilitation upon discharge. Relatives are also vulnerable to psychological pathologies and diminished health‐related quality of life following the patients' critical illness. Relatives often provide care during the patients' rehabilitation, which may influence their health. Aim To report the outcomes and experiences of relatives of patients discharged home after critical illness. Design Systematic integrative review. Methods Electronic databases Cumulative Index of Nursing and Allied Health Literature, PubMed, Embase®, and PsychINFO® were searched using keywords, synonyms, and medical subject headings. Reference lists of articles and critical care journals were manually searched. Studies eligible for inclusion reported primary research and were published in English between 2007 and 2017. Studies were appraised using the Critical Appraisal Skills Programme checklists. Data were extracted and then analysed according to framework. Findings Twenty‐five studies were included: 19 quantitative, 4 qualitative, and 1 mixed method study. Three themes were identified: health and well‐being, employment and lifestyle, and caregiving role. Health and well‐being reports the incidence and significance of psychological morbidity such as post‐traumatic stress disorder, anxiety, and depression. Employment and lifestyle describes the impact of caregiving on the relative's ability to work and engage in usual social activities. The final theme describes and discusses the caregiving role in terms of activities of daily living, knowledge and skills, and adaption to the role. Conclusions There is a significant and meaningful impact on outcomes and experiences of relatives of patients discharged home after critical illness. Relatives' caregiving is embedded within the context of their psychological morbidity and social adjustment. Relevance to practice If informal care giving is to be sustainable, there is a need to design effective strategies of supporting families through all stages of the critical illness trajectory.

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Section: Health and Well‐beingmentioning

confidence: 97%

Section: Health and Well‐beingmentioning

confidence: 99%

Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

Stayt

Venes

2018

Nursing in Critical Care

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“…Other studies found an association between a greater severity of the disease [39], more days of hospitalization [40], persistent patient's pain [49], and the levels of PTSD symptoms. Another study on 82 family members of ICU patients found that being caregivers of ICU patients with a traumatic brain injury (TBI), rather than of ICU patients without TBI, was a risk factor for experiencing more PTSD symptoms [57]. Furthermore, Dew et al [47] examined 190 family caregivers to heart transplant recipients and found that in the first year post-transplant, caregivers presented higher PTSD symptoms.…”

Section: Risk Factors For Ptsdmentioning

confidence: 99%

Risk and Protective Factors for PTSD in Caregivers of Adult Patients with Severe Medical Illnesses: A Systematic Review

Carmassi

Foghi

Dell’Oste

et al. 2020

IJERPH

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Caregivers of severely ill individuals often struggle to adjust to new responsibilities and roles while experiencing negative psychological outcomes that include depression, anxiety and Post-Traumatic Stress Disorder (PTSD). This systematic review aims to outline potential risk and protective factors for the development of PTSD in caregivers of adult subjects affected by severe somatic, potentially life-threatening illnesses. Twenty-nine studies on caregivers of adult patients affected by severe, acute, or chronic somatic diseases have been included. Eligibility criteria included: full-text publications reporting primary, empirical data; PTSD in caregivers of adult subjects affected by severe physical illnesses; risk and/or protective factors related to PTSD; and English language. Specific sociodemographic and socioeconomic characteristics, besides the illness-related distress, familiar relationships, exposure characteristics, coping style, and support, were identified as relevant risk/protective factors for PTSD. The review limitations are the small number of studies; studies on different types of diseases; studies with same samples. It is crucial to consider factors affecting caregivers of severely ill adult patients in order to plan effective intervention strategies aimed at reducing the risk of an adverse mental health outcome and at enhancing the psychological endurance of this population.

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“…Many family members find traumatic injury and subsequent hospitalization of a loved one to be jarring and overwhelming. Family members of patients are likely to contend with symptoms of depression, post-traumatic stress, anxiety, and grief during the acute phase post-injury (Warren, Rainey, Weddle, et al, 2016;Davidson, Jones, & Bienvenu, 2012). Family members, in their effort to support their loved one, will often remain at bedside or nearby within the hospital for many hours each day.…”

Section: Early Inpatient Psychological Interventionmentioning

confidence: 99%

Life-Changing Injuries: Psychological Intervention Throughout the Recovery Process Following Traumatic Amputations

Silander

2018

J Health Serv Psychol

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The intensive care unit experience: Psychological impact on family members of patients with and without traumatic brain injury.

Cited by 32 publications

References 27 publications

Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

Outcomes and experiences of relatives of patients discharged home after critical illness: a systematic integrative review

Risk and Protective Factors for PTSD in Caregivers of Adult Patients with Severe Medical Illnesses: A Systematic Review

Life-Changing Injuries: Psychological Intervention Throughout the Recovery Process Following Traumatic Amputations

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