ArticleCritical care medicine2019
Novel Risk Factors for Posttraumatic Stress Disorder Symptoms in Family Members of Acute Respiratory Distress Syndrome Survivors.
Article in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Post-Intensive Care Syndrome in Family: A Concept Analysis.Scandinavian journal of caring sciences · 2025Pooled 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
- Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients: a multicenter double-blind, randomized, placebo-controlled trial (ICU-Families-Study).Intensive care medicine · 2023Trial
- Symptoms of Anxiety, Depression, and Stress among Families of Critically Ill Patients with COVID-19: A Longitudinal Clinical Trial.Annals of the American Thoracic Society · 2023Trial
- Anxiety, Depression, and Post-traumatic Stress Symptoms in Relatives of Patients Admitted to Intensive and Cardiac Intensive Care Units.Journal of clinical psychology in medical settings · 2026Article
- Development and Validation of a Nomogram Prediction Model for Key Symptoms of Post-Intensive Care Syndrome-Family in Family Members of Critically-Ill Patients: Focusing on Sleep Disturbance, Fatigue, Anxiety, and Depression.Risk management and healthcare policy · 2025Article
- Altered Gut Microbiota Contributes to Acute-Respiratory-Distress-Syndrome-Related Depression through Microglial Neuroinflammation.Research (Washington, D.C.) · 2025Article
- Associations between Post-Intensive Care Syndrome Domains in Cardiac Arrest Survivors and Their Families One Month Post-Event.Journal of clinical medicine · 2024Article
- Risk factors associated with post-intensive care syndrome in family members (PICS-F): A prospective observational study.Journal of the Intensive Care Society · 2023Article
- Posttraumatic Stress Symptom Trajectories in Family Caregivers of Patients With Acute Cardiorespiratory Failure.JAMA network open · 2023Article
- Family member perspectives on intensive care unit in-person visiting restrictions during the COVID-19 pandemic: A qualitative study.Intensive & critical care nursing · 2023Article
- Anxiety and Depression in Family Members of Critically Ill Covid-19 Inpatients: Brief Psychological Interventions via Telephone, an Exploratory Study.Journal of multidisciplinary healthcare · 2023Article
- Ethical Lessons from an Intensivist's Perspective.Journal of clinical medicine · 2022Review
- Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model.BioPsychoSocial medicine · 2021Article
- Peritraumatic Stress among Caregivers of Patients in the Intensive Care Unit.Annals of the American Thoracic Society · 2020Article
- Integration of Mental Health Support Teams in COVID-19 Units within French General Hospitals: A Qualitative Study.International journal of integrated careArticle
- Postintensive care syndrome family: A comprehensive review.Acute medicine & surgeryReview
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesFamily members of ICU survivors report long-term psychologic symptoms of posttraumatic stress disorder. We describe patient- and family-member risk factors for posttraumatic stress disorder symptoms among family members of survivors of acute respiratory distress syndrome.
designProspective cohort study of family members of acute respiratory distress syndrome survivors.
settingSingle tertiary care center in Seattle, Washington. SUBJECTS: From 2010 to 2015, we assembled an inception cohort of adult acute respiratory distress syndrome survivors who identified family members involved in ICU and post-ICU care. One-hundred sixty-two family members enrolled in the study, corresponding to 120 patients.
interventionsNone. MEASUREMENTS AND MAIN
resultsFamily members were assessed for self-reported psychologic symptoms 6 months after patient discharge using the Posttraumatic Stress Disorder Checklist-Civilian Version, the Patient Health Questionnaire 9-item depression scale, and the Generalized Anxiety Disorder 7-item scale. The primary outcome was posttraumatic stress disorder symptoms, and secondary outcomes were symptoms of depression and anxiety. We used clustered multivariable logistic regression to identify patient- and family-member risk factors for psychologic symptoms. Posttraumatic stress disorder symptoms were present in 31% (95% CI, 24-39%) of family participants. Family member risk factors for posttraumatic stress disorder symptoms included preexisting mental health disorders (adjusted odds ratio, 3.22; 95% CI, 1.42-7.31), recent personal experience of serious physical illness (adjusted odds ratio, 3.07; 95% CI, 1.40-6.75), and female gender (adjusted odds ratio, 5.18; 95% CI, 1.74-15.4). Family members of previously healthy patients (Charlson index of zero) had higher frequency of posttraumatic stress disorder symptoms (adjusted odds ratio, 2.25; 95% CI, 1.06-4.77). Markers of patient illness severity were not associated with family posttraumatic stress disorder symptoms.
conclusionsThe prevalence of long-term posttraumatic stress disorder symptoms among family members of acute respiratory distress syndrome survivors is high. Family members with preexisting mental health disorders, recent experiences of serious physical illness, and family members of previously healthy patients are at increased risk for posttraumatic stress disorder symptoms.
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