Evidence map›Paper›PMID 42410774›Full record

SynthesisMedicine2026

Non-pharmacological interventions for the treatment of post-intensive care family syndrome in caregivers: A systematic review and meta-analysis.

Laura Pilar de Paz-Montón, Juan Manuel Carmona-Torres, José Alberto Laredo-Aguilera, Noelia Martín-Espinosa

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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

4 authors.

Laura Pilar de Paz-MontónFaculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.ORCID 0009-0006-9261-6153
Juan Manuel Carmona-TorresFaculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.
José Alberto Laredo-AguileraFaculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.
Noelia Martín-EspinosaFaculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.

Funding

European Regional Development Fund (DOCM 04/22/2025).
6 · The paper itself

Abstract

backgroundFamily members of intensive care unit patients are at risk of post-intensive care syndrome-family (PICS-F), including anxiety, depression, post-traumatic stress disorder (PTSD), and reduced quality of life. Non-pharmacological interventions such as counseling, education, and support programs may help, but evidence is limited. Evaluating these interventions is essential to guide tailored strategies that improve caregiver well-being. This systematic review aimed to evaluate the effectiveness of different non-pharmacological interventions for improving post-intensive care family symptoms in family members and caregivers of adult patients.

methodsA systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Searches were performed in PubMed, Scopus, Web of Science, and ClinicalTrials.gov. Randomized controlled trials (RCTs) evaluating non-pharmacological interventions in adult caregivers of critically ill patients were included. Variables such as anxiety, depression, PTSD, and quality of life were analyzed. Risk of bias was assessed using the Cochrane RoB-2 tool.

resultsSeven RCTs involving 1026 participants, predominantly women, were included. Most interventions did not demonstrate statistically significant improvements in PICS-F symptoms. However, 2 multicomponent interventions that combined structured follow-up, personalized support, and active professional involvement showed significant reductions in anxiety, depression, and PTSD symptoms, as well as improvements in quality of life. In contrast, brief, standardized, or self-guided interventions without sustained professional support were generally ineffective.

conclusionMost non-pharmacological interventions evaluated did not show consistent efficacy in reducing PICS-F symptoms. Interventions incorporating longitudinal follow-up, personalized emotional support, and multicomponent approaches appeared to provide greater benefit. Further high-quality RCTs using standardized diagnostic and outcome measures are needed to establish robust therapeutic recommendations.

Indexed as

CaregiversCritical CareFamilyStress Disorders, Post-TraumaticAdultAnxietyCritical IllnessDepressionFemaleHumansIntensive Care UnitsQuality of LifeRandomized Controlled Trials as Topicadultscaregiversfamilypost-intensive care syndrometherapy

Identifiers

PMID42410774
PMCPMC13337103

What OpenQuestion holds

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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.