ArticleBioPsychoSocial medicine2021
Factors influencing post-ICU psychological distress in family members of critically ill patients: a linear mixed-effects model.
Article in BioPsychoSocial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- 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
- Nurse-Led Family Support Intervention for Families of Critically Ill Patients: The FICUS Cluster Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Rethinking Regret: Reappraisal Tendencies Buffer Regret for ICU Surrogates Following Patient Death.Western journal of nursing research · 2025Trial
- 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
- Family-administered delirium screening improves satisfaction among ICU caregivers: a prospective cohort study.Intensive care medicine · 2026Article
- The effect of coping with stress in predicting the needs, death anxiety, and depression of patients' relatives in intensive care units.BMC public health · 2026Article
- Unraveling family resilience patterns in ICU first-episode stroke: a latent profile analysis.Frontiers in psychology · 2026Article
- Review
- From Resuscitation to Rehabilitation: The Post-Intensive Care Syndrome Continuum in Sepsis Care.Journal of clinical medicine · 2025Review
- Hostility in the ICU Waiting Room: Extrapunitive and Intropunitive Reactions Among Family Members.Healthcare (Basel, Switzerland) · 2025Article
- Resilience in Family Members of ICU Patients: Scoping Review of the Literature.Journal of clinical medicine · 2025Review
- Article
- 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
- Observational
- Experiences with and needs for aftercare following the death of a loved one in the ICU: a mixed-methods study among bereaved relatives.BMC palliative care · 2024Article
- Assessment of Satisfaction Levels Among Families of Intensive Care Unit Patients in Saudi Arabia: A Cross-Sectional Study.Critical care research and practice · 2024Article
- 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
- Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis.Child health nursing research · 2022Article
- Article
- Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit.Journal of tropical medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdverse responses to critical illness, such as symptoms of depression, anxiety or posttraumatic stress, are relatively common among family members. The role of risk factors, however, remains insufficiently understood, but may be important to target those family members most in need for support. We therefore examined the association of patient-, family member- and care-related factors with post-ICU psychological distress in family members in a general population of critical ill patients.
methodsWe conducted a prospective, single-centre observational study in a twelve-bed surgical ICU in a 900-bed University Hospital in Switzerland. Participants were family members of patients treated in ICU who completed the Family Satisfaction in ICU-24 Survey, the Hospital Anxiety Depression Scale, Impact of Event Scale-Revised-6, and a demographic form within the first 3 months after their close other's ICU stay. Data were analysed using linear mixed-effects models, with depression, anxiety, and posttraumatic stress as outcome measures.
resultsA total of 214 family members (53% return rate) returned a completed questionnaire. We found that higher levels of satisfaction were significantly associated with lower levels of depression, anxiety and posttraumatic stress. There was no statistically significant association between family member characteristics and any measure of psychological distress. Among the included patient characteristics, younger patient age was associated with higher levels of depression, and patient death was associated with higher levels of depression and posttraumatic stress.
conclusionsOur results suggest that satisfaction with ICU care is strongly associated with family well-being post-ICU. Family members of younger patients and of those who die seem to be most at risk for psychological distress, requiring specific support, whereas family member characteristics may have less relevance.
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