Mindfulness and coping are inversely related to psychiatric symptoms in patients and informal caregivers in the neuroscience ICU: implications for clinical care
Open accessAbstract
Objective: To assess the correlation of psychosocial resiliency factors (mindfulness and coping) with symptoms of posttraumatic stress, anxiety, and depression in patients recently admitted to the neuroscience ICU and their primary informal caregivers. Design: A descriptive, cross-sectional correlational study. Setting: Neuroscience ICU in a major medical center. Participants: A total of 78 dyads of patients (total n = 81) and their primary caregivers (total n = 92) from June to December 2015. Study enrollment occurred within the first 2 weeks of patient admission to the neuroscience ICU. Intervention: None. Measurements and Main Results: Dyads completed self-report measures of mindfulness (Cognitive and Affective Mindfulness Scale-Revised), coping (Measure of Coping Status-A), posttraumatic stress (Posttraumatic Checklist–Specific Stressor), anxiety (Hospital Anxiety and Depression Scale-A), and depression (Hospital Anxiety and Depression Scale-D). Rates of clinically significant posttraumatic stress, anxiety, and depressive symptoms were high and comparable between patient and caregiver samples. Own psychological resilience factors and psychiatric symptoms were strongly correlated for both patients and caregivers. Depressive symptoms were interdependent between patients and their caregivers, and one’s own mindfulness was independently related to one’s partner’s depressive symptoms. Conclusions: Rates of clinically significant psychiatric symptoms were high, equally prevalent in patients and caregivers, and interdependent between patients and their caregivers. For both patients and caregivers, psychological resiliency factors were associated with both self and partner psychiatric symptoms. Findings suggest that attending to the psychiatric health of both patients and caregivers in the neuroscience ICU is a priority and that patients and their caregivers must be considered together in a system to fully address either individual’s psychiatric symptoms.
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Mindfulness can have both state-like and trait-like qualities and is influenced by genetic and environmental factors.
“Mindfulness, described as the capacity to nonjudgmentally attend to mental and physical processes during everyday activities 20 can possess both “state-like” and “trait-like” qualities and is considered to be influenced by both genetic and environmental influences.21,22”
From Mindfulness, Anxiety Symptoms, and Quality of Life in Heart Failure. (2020) · cites this paper as [21]
The Introduction describes mindfulness as attentive, nonjudgmental awareness, and the Measurement section describes a measure of everyday mindfulness; neither addresses the qualities attributed to citations 21 and 22. Searches for state-like and trait-like qualities and for genetic and environmental influences found no passage addressing those claims. (LLM, conf=0.74)
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“The CAMS-R has been used in various clinical populations, including neurocritical care (Choi et al., 2018; Meyers et al., 2020 ; Shaffer et al., 2016; Vranceanu et al., 2020), chronic pain (Greenberg et al., 2020 ), and neurofibromatosis (Mace et al., 2021) and has been validated in people living…”
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“This inverse association is consistent with recent findings in neurocritical care (Meyers, Lin, et al., 2020; Meyers, Presciutti, et al., 2020; Meyers, Shaffer, et al., 2020; Shaffer et al., 2016).”
Self-citation
- Authors
- Shaffer, K. M., Riklin, E., Jacobs, J. M., Rosand, J., & Vranceanu, A.-M.
- Affiliations
- University of Miami (US)
- Massachusetts General Hospital (US)
- Venue
- Critical Care Medicine
- Published
- 2016-11
- Volume
- 44
- Issue
- 11
- Pages
- 2028-2036
- ISSN
- 0090-3493 (ISSN-L)
- PMC
- PMC5069080
- OpenAlex
- W2517278699
- Cited by
- 50
- References
- 49
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 1 · 2016: 2
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (F31CA189431, P30CA008748, T32CA009461)
- National Institute of Neurological Disorders and Stroke (R25NS088248)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- mindfulness, coping, psychiatric symptoms, post-traumatic stress, anxiety, depression, informal caregivers, psychological resilience, patient-caregiver dyads, intensive care unit patients
- MeSH terms
- Adaptation, Psychological, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Intensive Care Units, Male, Middle Aged, Stress Disorders, Post-Traumatic, Critical Illness, Caregivers, Resilience, Psychological, Mindfulness
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