ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2011
Comparison of anxiety, depression, and post-traumatic stress symptoms in relatives of ICU patients in an American and an Indian public hospital.
Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
PREDICTABLE: The Effect of Exercise Dosage on Physical Function, Cognition and Disability Following Critical Illness
Prevalence of anxiety and depression among family members of icu patients in a tertiary-level hospital in nepal: a prospective observational study
Who cites it
16 citing papers in PubMed, 39 citations in OpenAlex.
- Intravenous administration of ulinastatin (human urinary trypsin inhibitor) in severe sepsis: a multicenter randomized controlled study.Intensive care medicine · 2014Trial
- Determinants of ICU Admission Care Limitation in Patients Younger Than 65 Years: A Prospective, Observational, Multicenter Study.Critical care explorations · 2026Observational
- To assess the level of knowledge, attitude, and practice of communication among ICU trainees across India, TALK ICU SURVEY.BMC medical education · 2025Article
- Decision-making Preferences and Levels of Anxiety and Depression in Family Members of Patients Admitted to the ICU.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Family's Perceived Needs and Satisfaction with Intensive Care Services: A Questionnaire-based Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024Article
- Effect of family-centered care on the anxiety levels among family members of patients undergoing cardiac surgery: a randomized controlled trial.Annals of medicine and surgery (2012) · 2024Article
- Longitudinal Experience and Determinants for Common Mental Health Problems, Phantom Limb and Functional Outcome in Lower Limb Amputees.Indian journal of orthopaedics · 2023Article
- Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors.European journal of psychotraumatology · 2021Article
- The Cross-Cultural Validity of Post-Traumatic Stress Disorder and Post-Traumatic Stress Symptoms in the Indian Context: A Systematic Search and Review.Frontiers in psychiatry · 2019Review
- Review
- Critical care: Are we customer friendly?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2015Article
- Care and caring in the intensive care unit: Family members' distress and perceptions about staff skills, communication, and emotional support.Journal of critical care · 2015Article
- Comparing the effect of whole body massage by a specialist nurse and patients' relatives on blood cortisol level in coronary patients.ARYA atherosclerosis · 2015Article
- Psychological evaluation of patients in critical care/intensive care unit and patients admitted in wards.Journal of clinical and diagnostic research : JCDR · 2014Article
- Effect of Whole Body Massage by Patient's Companion on the Level of Blood Cortisol in Coronary Patients.Nursing and midwifery studies · 2013Article
- Depressive and Anxiety Symptoms in Relatives of Intensive Care Unit Patients and the Perceived Need for Support.Journal of neurosciences in rural practiceArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAn intensive care unit (ICU) admission of a patient causes considerable stress among relatives. Whether this impact differs among populations with differing sociocultural factors is unknown.
aimsThe aim was to compare the psychological impact of an ICU admission on relatives of patients in an American and Indian public hospital. SETTINGS AND
designA cross-sectional study was carried out in ICUs of two tertiary care hospitals, one each in major metropolitan cities in the USA and India. MATERIALS AND
methodsA total of 90 relatives visiting patients were verbally administered a questionnaire between 48 hours and 72 hours of ICU admission that included the Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory-II (BDI-II) and Impact of Events Scale-Revised (IES-R) for post-traumatic stress response. STATISTICAL ANALYSIS: Statistical analysis was done using the Mann-Whitney and chi-square tests.
resultsRelatives in the Indian ICU had more anxiety symptoms (median HADS-A score 11 [inter-quartile range 9-13] vs. 4 [1.5-6] in the American cohort; P<0.0001), more depression symptoms (BDI-II score 14 [8.5-19] vs. 6 [1.5-10.5], P<0.0001) but a comparable post-traumatic stress response (IES-R score>30). 55% of all relatives had an incongruous perception regarding "change in the patient's condition" compared to the objective change in severity of illness. "Change in worry" was incongruous compared to the perception of improvement of the patient's condition in 78% of relatives.
conclusionsRelatives of patients in the Indian ICU had greater anxiety and depression symptoms compared to those in the American cohort, and had significant differences in factors that may be associated with this psychological impact. Both groups showed substantial discordance between the perceived and objective change in severity of illness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.