Evidence map›Paper›PMID 36587003›Full record

ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses2023

Factors Affecting Psychological Distress in Family Caregivers of Critically Ill Patients: A Qualitative Study.

Amanda C Blok, Thomas S Valley, Lauren E Weston, Jacquelyn Miller, Kyra Lipman, Sarah L Krein

Abstract read
In one paragraph

Article in American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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  7. Investigating stress, social support, and decisional conflict dynamics in surrogates of intensive care unit patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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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

6 authors.

Amanda C BlokAmanda C. Blok is a research health scientist, Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and a research assistant professor, Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor.
Thomas S ValleyThomas S. Valley is a research health scientist, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and an assistant professor, Department of Internal Medicine, University of Michigan, Ann Arbor.
Lauren E WestonLauren E. Weston is a qualitative analyst, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System.
Jacquelyn MillerJacquelyn Miller is a research analyst, Department of Internal Medicine, University of Michigan, Ann Arbor.
Kyra LipmanKyra Lipman is a medical degree candidate, University of Miami Miller School of Medicine, Miami, Florida.
Sarah L KreinSarah L. Krein is a research health scientist, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and a research professor, Department of Internal Medicine, University of Michigan, Ann Arbor.

Funding

Promoting Equity via Change in Practice for Respiratory Failure (PRECIPICE)R01HL157361 · NHLBI · NEW YORK UNIVERSITY · PI ARMSTRONG-HOUGH, MARI, VALLEY, THOMAS SEBASTIAN · 2022 to 2025
$2.7M
Preventing avoidable deaths from pneumonia by improving use of intensive careK23HL140165 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI VALLEY, THOMAS SEBASTIAN · 2018 to 2022
$915k
Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC)R01HS028038 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI VALLEY, THOMAS SEBASTIAN · 2021 to 2022
$776k
Research Career Scientist AwardIK6HX003399 · VA · VETERANS HEALTH ADMINISTRATION · PI KREIN, SARAH · 2023 to 2025
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AHRQ HHS R01 HS028038HSRD VA IK6 HX003399NHLBI NIH HHS K23 HL140165NHLBI NIH HHS L30 HL133988NHLBI NIH HHS R01 HL157361
6 · The paper itself

Abstract

backgroundFamily caregivers often experience psychological distress during a critical care hospitalization, potentially compromising their ability to function effectively in a supportive role. A better understanding of the sources of family caregiver distress is needed to inform strategies to mitigate its development and impact.

objectiveTo explore sources of family caregiver psychological distress during a critical care hospitalization and how caregivers' experiences may differ by their anxiety level.

methodsForty adult family members of patients receiving mechanical ventilation for more than 72 hours in 2 intensive care units at an academic medical center were interviewed. A qualitative directed content analysis was done. Experiences were compared by anxiety level group, defined using the Hospital Anxiety and Depression Scale: anxiety (n = 15), borderline anxiety (n = 11), and low anxiety (n=14).

resultsMost family members (32%) were adult children; no major demographic differences were noted across anxiety groups. Among caregivers in the anxiety group, salient factors included early unknowns around critical illness, health care team processes, care decisions made, financial and housing concerns, family dysfunction, and new responsibilities. In general, low-anxiety family caregivers did not express their concerns using language of distress but rather expressed emotion and disappointment and often took action to process their concerns.

conclusionsFactors influencing family caregiver distress during the critical care stay were wide-ranging and varied by level of anxiety. The findings highlight several key areas and potential interventions to reduce psychological distress, especially among caregivers with anxiety.

Indexed as

CaregiversPsychological DistressAdultAnxietyCritical IllnessDepressionEmotionsFamilyHumansStress, Psychological

Identifiers

PMID36587003
PMCPMC10066878

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Registered trials

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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.