ArticleNeurocritical care2017
Post-traumatic Stress Disorder and Complicated Grief are Common in Caregivers of Neuro-ICU Patients.
Article in Neurocritical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Identification of risk factors for post-intensive care syndrome in family members (PICS-F) among adult patients: a systematic review.Anaesthesiology intensive therapy · 2023Pooled it
- Do Interventions Improve Symptoms Among ICU Surrogates Facing End-of-Life Decisions? A Prognostically-Enriched Systematic Review and Meta-Analysis.Critical care medicine · 2022Pooled it
- Risk factors for complicated grief among family members bereaved in intensive care unit settings: A systematic review.PloS one · 2022Pooled it
- Risk and Protective Factors for PTSD in Caregivers of Adult Patients with Severe Medical Illnesses: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Can a Dyadic Resiliency Program Improve Quality of Life in Cognitively Intact Dyads of Neuro-ICU Survivors and Informal Caregivers? Results from a Pilot RCT.Neurocritical care · 2021Trial
- "It's a club nobody wanted to join, but we're there": Focus groups on end-of-life care experiences and long-term outcomes of bereaved neuro-oncology caregivers.Palliative care and social practice · 2026Article
- Identification of unmet information needs among families of critically ill patients and their association with post-intensive care syndrome-family: protocol for a single-center cross-sectional study.BMC palliative care · 2025Article
- Temporal reciprocal relationships among anxiety, depression, and posttraumatic stress disorder for family surrogates from intensive care units over their first two bereavement years.BMC psychiatry · 2023Observational
- Psychological Attachment Orientation and Long-Term Posttraumatic Stress Symptoms Among Family Members of ICU Patients.Critical care explorations · 2022Article
- Evolution of Investigating Informed Assent Discussions about CPR in Seriously Ill Patients.Journal of pain and symptom management · 2022Article
- ICU bereaved surrogates' comorbid psychological-distress states and their associations with prolonged grief disorder.Critical care (London, England) · 2022Observational
- The effect of short music videos on needs satisfaction and separation anxiety of children's family members during COVID-19: The example of TikTok.Frontiers in pediatrics · 2022Article
- Course and predictors of posttraumatic stress-related symptoms among family members of deceased ICU patients during the first year of bereavement.Critical care (London, England) · 2021Observational
- Palliative care after stroke: A review.International journal of stroke : official journal of the International Stroke Society · 2021Review
- End-of-Life Care Decision-Making in Stroke.Frontiers in neurology · 2021Review
- Building Resiliency in Dyads of Patients Admitted to the Neuroscience Intensive Care Unit and Their Family Caregivers: Lessons Learned From William and Laura.Cognitive and behavioral practice · 2020Article
- Factors Associated With DNR Status After Nontraumatic Intracranial Hemorrhage.The Neurohospitalist · 2020Article
- Gender Differences in Longitudinal Associations Between Intimate Care, Resiliency, and Depression Among Informal Caregivers of Patients Surviving the Neuroscience Intensive Care Unit.Neurocritical care · 2020Article
- Complicated Grief: What to Expect After the Coronavirus Pandemic.Frontiers in psychiatry · 2020Review
- Review: Post-Intensive Care Syndrome: Unique Challenges in the Neurointensive Care Unit.Neurocritical care · 2019Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo explore the effect of end of life and other palliative decision making scenarios on the mental health of family members of patients in the neuro-intensive care unit.
methodsDecision makers of patients in the neuro-ICU at a large, urban, academic medical center meeting palliative care triggers were identified from November 10, 2014, to August 27, 2015. Interviews were conducted at 1 and 6 months post-enrollment. At 1 month, the Inventory of Complicated Grief-Revised (ICG-R), Impact of Events Scale-Revised (IES-R), and the Family Satisfaction-ICU (FS-ICU) were performed along with basic demographic questionnaires. At 6 months, only the ICG-R and IES-R were repeated.
resultsAt 1 month, 9 (35%) subjects had significant symptoms in at least one of the three domains of traumatic response. Two (7.7%) subjects met full criteria for PTSD (IES-R ≥ 1.5). At 6 months, 5 (22%) subjects met criteria for PTSD and 5 (22%) for Complicated Grief (ICG-R ≥ 36). Fifteen (50%) had at least one domain of PTSD symptoms identified in follow-up. Time spent at bedside and lower household income were associated with PTSD at 1 and 6 months, respectively. In all, clinically significant psychological outcomes were identified in 9 (30%) of subjects.
conclusionsClinically significant grief and stress reactions were identified in 30% of decision makers for severely ill neuro-ICU patients. Though factors including time at bedside during hospitalization and total household income may have some predictive value for these disorders, further evaluation is required to help identify family members at risk of psychopathology following neuro-ICU admissions.
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Registered trials
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