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Post-intensive care syndrome symptoms and health-related quality of life in family decision-makers of critically ill patients

Published online by Cambridge University Press:  26 December 2017

Amy B. Petrinec  and
Bradley R. Martin
Amy B. Petrinec*
Affiliation:
Case Western Reserve University Frances Payne Bolton School of Nursing, Cleveland, Ohio Kent State University College of Nursing, Kent, Ohio
Bradley R. Martin
Affiliation:
Summa Health System Department of Internal Medicine, Division of Critical Care Medicine, Akron, Ohio
*
Author for correspondence: Amy Petrinec, Case Western Reserve University Frances Payne Bolton School of Nursing and Kent State University College of Nursing, 2760 Hawkesbury Blvd., Hudson, OH 44236. E-mail: apetrine@kent.edu
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Abstract

Objective

Family members of critically ill patients can suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and posttraumatic stress disorder (PTSD) with a diminished quality of life. Our aim was to examine the relationship between coping strategies used by family decision-makers (FDMs) of critically ill patients and the severity of PICS-F symptoms and to examine the relationship between FDM PICS-F symptoms and health-related quality of life (HRQOL).

Method

A single-center, prospective, longitudinal descriptive study was undertaken of FDMs of intensive care unit (ICU) patients admitted to a large tertiary care hospital. PICS-F symptoms and coping strategy use were measured upon ICU admission (T1), 30 days (T2) after ICU admission, and 60 days (T3) after ICU admission. HRQOL was measured by the Short Form-36 version 2 at T1 and T3.

Results

We found a significant prevalence of anxiety (45.8%), depression (25%), and PTSD (11.1%) symptoms among FDMs over the course of the study. The patient mortality rate in our sample was 50%. The HRQOL mental summary score in FDMs was low at T1 and decreased to M = 41.72 (standard deviation = 12.47) by T3. Avoidant coping demonstrated moderate relationships with PTSD symptoms and anxiety at T3. A previous history of anxiety, depression, or PTSD was a significant predictor of PICS-F symptom severity and prevalence. PICS symptom severity at T3 explained 75% of the variance in HRQOL mental summary score.

Significance of results

This study describes a significant prevalence of PICS-F symptoms in FDMs with a diminished mental HRQOL.

Keywords

Anxietydepressionpost-intensive care syndrome-familyPTSDquality of life
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 6 , December 2018 , pp. 719 - 724
Copyright
Copyright © Cambridge University Press 2017 

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References

Anderson, WG, Arnold, RM, Angus, DC, et al. (2008) Posttraumatic stress and complicated grief in family members of patients in the intensive care unit. Journal of General Internal Medicine 23(11), 1871–1876.Google Scholar
Azoulay, E, Pochard, F, Kentish-Barnes, N, et al. (2005) Risk of post-traumatic stress symptoms in family members of intensive care unit patients. American Journal of Respiratory and Critical Care Medicine 171(9), 987–994.Google Scholar
Ben-Zur, H (2005) Coping, distress, and life events in a community sample. International Journal of Stress Management 12(2), 188.Google Scholar
Butler, AC, Chapman, JE, Forman, EM, et al. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review 26(1), 17–31.Google Scholar
Carver, CS (1997) You want to measure coping but your protocol's too long: Consider the brief cope. International Journal of Behavioral Medicine 4(1), 92–100.Google Scholar
Carver, CS, Scheier, MF, and Weintraub, JK (1989) Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology 56(2), 267.Google Scholar
Coolidge, FL, Segal, DL, Hook, JN, et al. (2000) Personality disorders and coping among anxious older adults. Journal of Anxiety Disorders 14(2), 157–172.Google Scholar
Cooper, C, Katona, C, and Livingston, G (2008) Validity and reliability of the brief COPE in carers of people with dementia: The LASER-AD Study. The Journal of Nervous and Mental Disease 196(11), 838–843.Google Scholar
Coyne, JC and Racioppo, MW (2000) Never the twain shall meet? Closing the gap between coping research and clinical intervention research. American Psychologist 55(6), 655.Google Scholar
Davidson, JE, Jones, C, and Bienvenu, OJ (2012) Family response to critical illness: Postintensive care syndrome–family. Critical Care Medicine 40(2), 618–624.Google Scholar
Desai, SV, Law, TJ, and Needham, DM (2011) Long-term complications of critical care. Critical Care Medicine 39(2), 371–379.Google Scholar
Garrouste-Orgeas, M, Coquet, I, Périer, A, et al. (2012) Impact of an intensive care unit diary on psychological distress in patients and relatives. Critical Care Medicine 40(7), 2033–2040.Google Scholar
Glass, K, Flory, K, Hankin, BL, et al. (2009) Are coping strategies, social support, and hope associated with psychological distress among Hurricane Katrina survivors? Journal of Social and Clinical Psychology 28(6), 779–795.Google Scholar
Gries, CJ, Engelberg, RA, Kross, EK, et al. (2010) Predictors of symptoms of posttraumatic stress and depression in family members after patient death in the ICU. Chest Journal 137(2), 280–287.Google Scholar
Jones, C, Bäckman, C, and Griffiths, RD (2012) Intensive care diaries and relatives’ symptoms of posttraumatic stress disorder after critical illness: A pilot study. American Journal of Critical Care 21(3), 172–176.Google Scholar
Jones, C, Skirrow, P, Griffiths, RD, et al. (2004) Post-traumatic stress disorder-related symptoms in relatives of patients following intensive care. Intensive Care Medicine 30(3), 456–460.Google Scholar
Krause, ED, Kaltman, S, Goodman, LA, et al. (2008) Avoidant coping and PTSD symptoms related to domestic violence exposure: A longitudinal study. Journal of Traumatic Stress 21(1), 83–90.Google Scholar
Kross, EK, Engelberg, RA, Gries, CJ, et al. (2011) ICU care associated with symptoms of depression and posttraumatic stress disorder among family members of patients who die in the ICU. Chest Journal 139(4), 795–801.Google Scholar
Lautrette, A, Darmon, M, Megarbane, B, et al. (2007) A communication strategy and brochure for relatives of patients dying in the ICU. New England Journal of Medicine 356(5), 469–478.Google Scholar
Lemiale, V, Kentish-Barnes, N, Chaize, M, et al. (2010) Health-related quality of life in family members of intensive care unit patients. Journal of Palliative Medicine 13(9), 1131–1137.Google Scholar
McAdam, JL, Fontaine, DK, White, DB, et al. (2012) Psychological symptoms of family members of high-risk intensive care unit patients. American Journal of Critical Care 21(6), 386–394.Google Scholar
Needham, DM, Davidson, J, Cohen, H, et al. (2012) Improving long-term outcomes after discharge from intensive care unit: Report from a stakeholders’ conference. Critical Care Medicine 40(2), 502–509.Google Scholar
Penley, JA, Tomaka, J, and Wiebe, JS (2002) The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine 25(6), 551–603.Google Scholar
Petrinec, AB and Daly, BJ (2014) Post-traumatic stress symptoms in post-ICU family members review and methodological challenges. Western Journal of Nursing Research 38(1):57–78.Google Scholar
Petrinec, AB, Mazanec, PM, Burant, CJ, et al. (2015). Coping strategies and posttraumatic stress symptoms in post-ICU family decision makers. Critical Care Medicine 43(6), 1205.Google Scholar
Pillai, L, Aigalikar, S, Vishwasrao, SM, et al. (2010) Can we predict intensive care relatives at risk for posttraumatic stress disorder? Indian Journal of Critical Care Medicine 14(2), 83.Google Scholar
Schmidt, M and Azoulay, E (2012). Having a loved one in the ICU: The forgotten family. Current Opinion in Critical Care 18(5), 540–547.Google Scholar
Schnider, KR, Elhai, JD, and Gray, MJ (2007) Coping style use predicts posttraumatic stress and complicated grief symptom severity among college students reporting a traumatic loss. Journal of Counseling Psychology 54(3), 344.Google Scholar
Shaw, RJ, Bernard, RS, Storfer-Isser, A, et al. (2013). Parental coping in the neonatal intensive care unit. Journal of Clinical Psychology in Medical Settings 20(2), 135–142.Google Scholar
Siegel, MD, Hayes, E, Vanderwerker, LC, et al. (2008) Psychiatric illness in the next of kin of patients who die in the intensive care unit. Critical Care Medicine 36(6), 1722–1728.Google Scholar
Sikkema, KJ, Ranby, KW, Meade, CS, et al. (2013) Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse. Journal of Consulting and Clinical Psychology 81(2), 274.Google Scholar
Smith, NG, Tarakeshwar, N, Hansen, NB, et al. (2009) Coping mediates outcome following a randomized group intervention for HIV-positive bereaved individuals. Journal of Clinical Psychology 65(3), 319.Google Scholar
Stanton, AL, Danoff-burg, S, and Huggins, ME (2002) The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology 11(2), 93–102.Google Scholar
Ullman, SE, Townsend, SM, Filipas, HH, et al. (2007) Structural models of the relations of assault severity, social support, avoidance coping, self-blame, and PTSD among sexual assault survivors. Psychology of Women Quarterly 31(1), 23–37.Google Scholar
Ware, JE, Kosinski, M, and Keller, SD (1994) SF-36 physical and mental health summary scales. Boston, MA: The Health Institute, New England Medical Center.Google Scholar
Wartella, JE, Auerbach, SM, and Ward, KR (2009) Emotional distress, coping and adjustment in family members of neuroscience intensive care unit patients. Journal of Psychosomatic Research 66(6), 503–509.Google Scholar
Weathers, FW, Litz, BT, Keane, TM, et al. (2013). The PTSD checklist for DSM-5 (PCL-5). Available from https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp.Google Scholar
Zigmond, AS and Snaith, RP (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 67(6), 361–370.Google Scholar
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