Depression and Change in Caregiver Burden Among Family Members of Intensive Care Unit Survivors
| Autor: | Thomas A. Oniki, Eliotte L. Hirshberg, Kathryn G. Kuttler, Emily L. Wilson, Jorie Butler, Sarah J. Beesley, Ramona O. Hopkins, James F. Orme, Samuel M. Brown |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Illness MEDLINE Caregiver Burden Critical Care Nursing law.invention 03 medical and health sciences symbols.namesake 0302 clinical medicine law Intensive care Adaptation Psychological History of depression Medicine Humans Family 030212 general & internal medicine Survivors Psychiatry Fisher's exact test Depression (differential diagnoses) APACHE Aged business.industry Depression 030208 emergency & critical care medicine Small sample General Medicine Caregiver burden Middle Aged Physical Functional Performance Intensive care unit Intensive Care Units Caregivers Socioeconomic Factors symbols Quality of Life Female business Stress Psychological |
| Zdroj: | American journal of critical care : an official publication, American Association of Critical-Care Nurses. 29(5) |
| ISSN: | 1937-710X |
| Popis: | Background Family members of patients in intensive care units may experience psychological distress and substantial caregiver burden. Objective To evaluate whether change in caregiver burden from intensive care unit admission to 3-month follow-up is associated with caregiver depression at 3 months. Methods Caregiver burden was assessed at enrollment and 3 months later, and caregiver depression was assessed at 3 months. Depression was measured with the Hospital Anxiety and Depression Score. The primary analysis was the association between depression at 3 months and change in caregiver burden, controlling for a history of caregiver depression. Results One hundred one participants were enrolled; 65 participants had a surviving loved one and completed 3-month follow-up. At 3-month follow-up, 12% of participants met criteria for depression. Increased caregiver burden over time was significantly associated with depression at follow-up (Fisher exact test, P = .004), although this association was not significant after controlling for self-reported history of depression at baseline (Cochran-Mantel-Haenszel test, P = .23). Conclusions Family members are increasingly recognized as a vulnerable population susceptible to negative psychological outcomes after a loved one’s admission to the intensive care unit. In this small sample, no significant association was found between change in caregiver burden and depression at 3 months after controlling for baseline depression. |
| Databáze: | OpenAIRE |
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