Evidence map›Paper›PMID 41737396›Full record

SynthesisFrontiers in medicine2026

Effects of psychological intervention on outcomes of critically ill patients and their families: a systematic review and meta-analysis.

Qinqin Li, Tingrui Wang, Zhangyi Wang, Jiajia Yin, Yan Liu, Zihan Zhou, Gang Lei, Zhenfa Li, Jie Yang, Zhigang Zhang and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Qinqin Li *School of Nursing, Guizhou Medical University, Guiyang, Guizhou, China.
Tingrui Wang *School of Nursing, Guizhou Medical University, Guiyang, Guizhou, China.
Zhangyi Wang *Clinical Medical Technology Demonstration Base for Emergency Treatment of Chest Pain in Hunan Province, The Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, China.
Jiajia YinSchool of Nursing, Guizhou Medical University, Guiyang, Guizhou, China.
Yan LiuSchool of Nursing, Guizhou Medical University, Guiyang, Guizhou, China.
Zihan ZhouSchool of Nursing, Guizhou Medical University, Guiyang, Guizhou, China.
Gang LeiClinical Medical Technology Demonstration Base for Emergency Treatment of Chest Pain in Hunan Province, The Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, China.
Zhenfa LiClinical Medical Technology Demonstration Base for Emergency Treatment of Chest Pain in Hunan Province, The Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, China.
Jie YangClinical Medical Technology Demonstration Base for Emergency Treatment of Chest Pain in Hunan Province, The Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, China.
Zhigang ZhangDepartment of Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Li YaoDepartment of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: To evaluate the effectiveness of psychological interventions in alleviating Post-Intensive Care Syndrome (PICS) in ICU patients and PICS-Family (PICS-F) in their families. Design: Systematic review and meta-analysis of randomized controlled trials (RCTs). Data sources: PubMed, Web of Science, Cochrane Library, and Embase were searched from database inception until December 2nd, 2025. Review methods: Two reviewers independently screened the studies, extracted the data, and evaluated the risk of bias of the evidence. A systematic review and meta-analysis approach was employed, integrating both qualitative synthesis and quantitative statistical methods to analyze the included RCTs. We included RCTs that compared any form of psychological intervention against any type of control intervention. Results: A total of 25 RCTs involving 3, 849 participants were included. Among them, 22 studies included 3, 070 ICU patients, and 5 studies included 779 family members of ICU patients. The main findings are summarized as follows: (1) patients: psychological interventions demonstrated potential in reducing anxiety symptoms, with effects sustained into short-term follow-up. While depression improved immediately post-intervention, this benefit was not maintained at follow-up. No significant effects were observed for sleep quality, PTSD, or quality of life. (2) families: no statistically significant improvements were found across all assessed outcomes. Conclusion: This meta-analysis comprehensively evaluates psychological interventions for ICU patients and their families. Preliminary evidence suggests that specific interventions may improve anxiety and depression in patients, though effects varied and evidence is limited by small trials and heterogeneity. No significant effects were found for family outcomes. Current evidence remains insufficient to draw definitive conclusions, highlighting the need for larger, high-quality trials with clearly defined interventions. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251003303, CRD420251003303.

Indexed as

critical care nursingfamilyintensive care unitspatientspsychological intervention

Identifiers

PMID41737396
PMCPMC12926472

What OpenQuestion holds

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LicenceCC BY
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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.