Psychological symptoms among surrogates of critically ill patients during and before the COVID-19 pandemic
Open accessAbstract
The subjects were surrogates of non-decisional, critically ill patients at Rush University Medical Center (RUMC), an academic, tertiary care medical center in Chicago, Illinois. Subjects, who were fluent in the English language, were randomized to receive usual care with or without additional written summaries of the patient’s medical plan each day. We conducted a preliminary analysis of this ongoing institutional review board-approved clinical trial given the impact that COVID-19 has had on hospital policy and society in general.
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The circumstances of ICU family surrogates heighten their risk of anxiety, depression, PTSD, Prolonged Grief Disorder, and decisional regret about the care the patient received.
“These circumstances heighten surrogates' risk of anxiety, depression, Posttraumatic Stress Disorder (PTSD), Prolonged Grief Disorder, and decisional regret about the care that the patient received (2-10).”
From EMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU (2024) · cites this paper as [8]
The opening passage says families of critically ill patients frequently experience anxiety, depression, and acute stress; the Discussion reports more depressive symptoms and some stress symptoms among surrogates during the COVID-19 period. The Methods measured acute stress, not a PTSD diagnosis, and the paper does not address Prolonged Grief Disorder or decisional regret. Page numbers are not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe COVID-19 pandemic further exacerbated the long-lasting mental health challenges among family surrogate decision-makers.
“The growing body of research on Post Intensive Care Syndrome-Family (PICS-F) among family surrogate decision-makers acknowledges the long-lasting mental health challenges that result from this experience (3, 11), circumstances further exacerbated by the COVID-19 pandemic (8, 12).”
From EMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU (2024) · cites this paper as [8]
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Cites
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Lichtenthal, W. G., Viola, M., Rogers, M., Roberts, K. E., Lief, L., Cox, C. E., Brewin, C. R., Xu, J. C., Maciejewski, P. K., Pan, C. X., et al. (2022) · Palliative and Supportive Care · doi:10.1017/s1478951521000626 · Cited by 23 · see citing works
“We highlight the role in coping of experiential avoidance, which is the natural tendency to avoid unpleasant feelings and consideration of negative outcomes (Plumb et al., 2004; Gamez et al., 2011, 2014) and which has been associated with PTSD and PGD (Marx and Sloan, 2005; Bishop et al., 2018; Williams et al., 2019;…”
InfluentialEMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU
Lichtenthal, W. G., Lief, L., Rogers, M., Russell, D., Viola, M., Winoker, H., Kakarala, S., Traube, C., Coats, T., Fadalla, C., et al. (2024) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2024.03.002 · Cited by 17 · see citing works
Piloting Group-Based Behavioral Activation Therapy for Families of Deceased COVID-19 Patients
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Self-citation
- Authors
- Greenberg, J. A., Basapur, S., Quinn, T. V., Bulger, J. L., Glover, C. M., & Shah, R. C.
- Affiliations
- Rush University Medical Center (US)
- Corresponding author
- Greenberg, Jared A.
- ORCID
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 159
- Issue
- 6
- Pages
- 2318-2320
- ISSN
- 0012-3692 (ISSN-L)
- PMC
- PMC7832129
- OpenAlex
- W3120621701
- Semantic Scholar
- 57f36af782b14402c9cfb8f7e2606a8eaeea59b1
- Cited by
- 15
- References
- 10
- Citations by year
- 2024: 2 · 2023: 4 · 2022: 6 · 2021: 3
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- CHEST Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- family caregivers, surrogates, critically ill patients, psychological symptoms, anxiety, depression, acute stress, COVID-19 pandemic, family visitation restrictions, intensive care unit
- MeSH terms
- COVID-19, Adult, Aged, Anxiety, Critical Care, Depression, Family, Female, Hospitalization, Humans, Male, Middle Aged, Surveys and Questionnaires, Stress, Psychological
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