Evidence map›Paper›PMID 27065467›Full record

Observational studyCritical care medicine2016

Coping as a Multifaceted Construct: Associations With Psychological Outcomes Among Family Members of Mechanical Ventilation Survivors.

Nandita Nadig, Nidhi G Huff, Christopher E Cox, Dee W Ford

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05827354 (Incidence and Factors Associated to The Development of Post-Intensive Care Syndrome Among Family Members of Intensive Care Unit Survivors), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT05827354 unknown statusnot on this mapstarted 2023, after this paper: background citation

Incidence and Factors Associated to The Development of Post-Intensive Care Syndrome Among Family Members of Intensive Care Unit Survivors: A Longitudinal Exploratory Study

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2023 to 2025Enrolled175ConditionsPost Intensive Care Syndrome, Family Members, Caregiver Burden, Critical Illness
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. The prevalence of oral mucositis after radiotherapy in patients with Head and Neck Cancer and its associated factors: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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  4. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Nandita Nadig1Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, SC.2Division of Pulmonary and Critical Care Medicine, Duke University, Durham, NC.3Duke Program to Support People and Enhance Recovery, Duke University, Durham, NC.
Nidhi G Huff
Christopher E Cox
Dee W Ford
Duke University · USMedical University of South Carolina · US

Funding

Improving decision making for patients with prolonged mechanical ventilationR01HL109823 · NHLBI · DUKE UNIVERSITY · PI COX, CHRISTOPHER ETHAN · 2012 to 2016
$3.5M
NHLBI NIH HHS R01 HL109823
6 · The paper itself

Abstract

objectivesTo develop and evaluate a preliminary multifaceted model for coping among family members of patients who survive mechanical ventilation. DESIGN AND

settingIn this multicenter cross-sectional survey, we interviewed family members of mechanically ventilated patients at the time of transfer from the ICU to the hospital ward. We constructed a theoretic model of coping that included characteristics attributable to family members, family-clinician rapport, and patients. We then explored relationships between coping factors and symptoms of psychological distress (anxiety, depression, and posttraumatic stress). SUBJECTS: Fifty-six family members of survivors of mechanical ventilation. MEASUREMENTS AND MAIN

resultsPsychological distress measured by the Hospital Anxiety and Depression Scale and Posttraumatic Stress Scale. Optimism measured using the Life Orientation Test scale, resiliency by Conner-Davidson Resilience Scale, and social support using the Patient Reported Outcomes Measurement Information System inventory. Family members had moderate levels of psychological distress with median total Hospital Anxiety and Depression Scale equal to 14 (interquartile range, 5-20) and Posttraumatic Stress Scale equal to 22 (interquartile range, 15-31). Among family member characteristics, greater optimism (p = 0.001, Hospital Anxiety and Depression Scale; p = 0.010, Posttraumatic Stress Scale), resilience (p = 0.012, Hospital Anxiety and Depression Scale), and social support (p = 0.013, Hospital Anxiety and Depression Scale) were protective against psychological distress. On the contrary, characteristics of family-clinician rapport such as communication quality and presence of conflict did not have any associations with psychological distress.

conclusionTo our knowledge, this is the first study to explore coping as a multifaceted construct and its relationship with family psychological outcomes among survivors of mechanical ventilation. We found certain family characteristics of coping such as optimism, resilience, and social support to be associated with less psychological distress. Further research is warranted to identify potentially modifiable aspects of coping that might guide future interventions.

Indexed as

Adaptation, PsychologicalCritical CareAdultAgedCross-Sectional StudiesFamilyFemaleHumansInterpersonal RelationsMaleMiddle AgedModels, PsychologicalOutcome Assessment, Health CareRespiration, ArtificialStress, Psychological

Identifiers

PMID27065467
PMCPMC4987186
OpenAlexW2338885216

What OpenQuestion holds

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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.