Anticipatory grief and impaired problem solving among surrogate decision makers of critically ill patients: A cross-sectional study
| Autor: | Melissa Motta, Avelino C. Verceles, Robert M. Reed, Nirav Shah, Giora Netzer, Debra L. Wiegand, Patrick Range, D.R. Glick |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Psychometrics Cross-sectional study media_common.quotation_subject Critical Illness Decision Making Hospital Anxiety and Depression Scale Critical Care Nursing Anticipatory grief law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care Surveys and Questionnaires medicine Humans 030212 general & internal medicine media_common Aged Maryland business.industry Middle Aged Anticipation Psychological Intensive care unit humanities Social problem-solving Intensive Care Units Cross-Sectional Studies 030228 respiratory system Caregivers Anxiety Grief Female medicine.symptom business Clinical psychology |
| Zdroj: | Intensivecritical care nursing. 49 |
| ISSN: | 1532-4036 |
| Popis: | Objectives Anticipatory grief, the experience of grief before the death of a mourned individual, is common among people with seriously ill loved ones and associated with impaired social problem solving. We sought to evaluate anticipatory grief in the Intensive Care Unit setting. Research methodology/design Cross-sectional study of surrogate decision-makers of patients admitted to an intensive care unit, incorporating survey methodology. Setting Intensive care units at a tertiary care centre. Main outcome measures Surrogates completed a 78-question, self-administered questionnaire consisting of demographic and clinical data, as well as three validated instruments: Anticipatory Grief Scale (AGS), Hospital Anxiety and Depression Scale (HADS), and Social Problem Solving Inventory Revised Short Form (SPSI-R:S). Main results Surveys were completed by 50 surrogate decision-makers, among whom anticipatory grief was elevated and associated with anxiety and depression. Anticipatory grief was also significantly associated with worsened overall problem solving (Spearman’s Rho −0.32, p value 0.02). Surrogates with loved ones who were older or admitted to a trauma unit experienced anticipatory grief at lower levels. Prior admission and Charlson Comorbidity Index scores were not associated with anticipatory grief. Conclusion Levels of anticipatory grief in the intensive care unit are high and associated with concurrent anxiety and depression. Association of anticipatory grief with worsened social problem solving may worsen decision making ability in surrogates. |
| Databáze: | OpenAIRE |
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