Journal article
Stress-Related Disorders of Family Members of Patients Admitted to the Intensive Care Unit With COVID-19
JAMA internal medicine, Vol.182(6), pp.624-633
06/01/2022
DOI: 10.1001/jamainternmed.2022.1118
PMCID: PMC9039825
PMID: 35467698
Abstract
The psychological symptoms associated with having a family member admitted to the intensive care unit (ICU) during the COVID-19 pandemic are not well defined.
To examine the prevalence of symptoms of stress-related disorders, primarily posttraumatic stress disorder (PTSD), in family members of patients admitted to the ICU with COVID-19 approximately 90 days after admission.
This prospective, multisite, mixed-methods observational cohort study assessed 330 family members of patients admitted to the ICU (except in New York City, which had a random sample of 25% of all admitted patients per month) between February 1 and July 31, 2020, at 8 academic-affiliated and 4 community-based hospitals in 5 US states.
Having a family member in the ICU with COVID-19.
Symptoms of PTSD at 3 months, as defined by a score of 10 or higher on the Impact of Events Scale 6 (IES-6).
A total of 330 participants (mean [SD] age, 51.2 [15.1] years; 228 [69.1%] women; 150 [52.8%] White; 92 [29.8%] Hispanic) were surveyed at the 3-month time point. Most individuals were the patients' child (129 [40.6%]) or spouse or partner (81 [25.5%]). The mean (SD) IES-6 score at 3 months was 11.9 (6.1), with 201 of 316 respondents (63.6%) having scores of 10 or higher, indicating significant symptoms of PTSD. Female participants had an adjusted mean IES-6 score of 2.6 points higher (95% CI, 1.4-3.8; P < .001) than male participants, whereas Hispanic participants scored a mean of 2.7 points higher compared with non-Hispanic participants (95% CI, 1.0-4.3; P = .002). Those with graduate school experience had an adjusted mean score of 3.3 points lower (95% CI, 1.5-5.1; P < .001) compared with those with up to a high school degree or equivalent. Qualitative analyses found no substantive differences in the emotional or communication-related experiences between those with high vs low PTSD scores, but those with higher scores exhibited more distrust of practitioners.
In this cohort study, symptoms of PTSD among family members of ICU patients with COVID-19 were high. Hispanic ethnicity and female gender were associated with higher symptoms. Those with higher scores reported more distrust of practitioners.
Details
- Title: Subtitle
- Stress-Related Disorders of Family Members of Patients Admitted to the Intensive Care Unit With COVID-19
- Creators
- Timothy Amass - University of Colorado DenverLauren Jodi Van Scoy - Penn State Milton S. Hershey Medical CenterMay Hua - Columbia UniversityMelanie Ambler - Columbia UniversityPriscilla Armstrong - Kaiser PermanenteMatthew R Baldwin - Columbia UniversityRachelle Bernacki - Dana-Farber Cancer InstituteMansoor D Burhani - University of Colorado DenverJennifer Chiurco - Tulane UniversityZara Cooper - Brigham and Women's HospitalHope Cruse - University of Colorado DenverNicholas Csikesz - South Shore HospitalRuth A Engelberg - Kaiser PermanenteLaura D Fonseca - Columbia UniversityKarin Halvorson - Tulane UniversityRachel Hammer - Tulane UniversityJoanna Heywood - Kaiser PermanenteSarah Hochendoner Duda - Penn State Milton S. Hershey Medical CenterJin Huang - University of Colorado DenverYing Jin - Colorado School of Public HealthLaura Johnson - Evergreen Health Medical CenterMasami Tabata-Kelly - Brigham and Women's HospitalEmma Kerr - Brigham and Women's HospitalTrevor Lane - University of Colorado DenverMelissa Lee - Evergreen Health Medical CenterKeely Likosky - Evergreen Health Medical CenterDonald McGuirl - Maine Medical CenterTijana Milinic - University of WashingtonMarc Moss - University of Colorado DenverElizabeth Nielsen - Kaiser PermanenteRyan Peterson - Colorado School of Public HealthSara J Puckey - Evergreen Health Medical CenterOlivia Rea - Kaiser PermanenteSarah Rhoads - University of Colorado DenverChristina Sheu - Brigham and Women's HospitalWendy Tong - Columbia UniversityPamela D Witt - Penn State Milton S. Hershey Medical CenterJames Wykowski - University of WashingtonStephanie Yu - University of Colorado DenverRenee D Stapleton - University of VermontJ Randall Curtis - Kaiser Permanente
- Resource Type
- Journal article
- Publication Details
- JAMA internal medicine, Vol.182(6), pp.624-633
- DOI
- 10.1001/jamainternmed.2022.1118
- PMID
- 35467698
- PMCID
- PMC9039825
- NLM abbreviation
- JAMA Intern Med
- ISSN
- 2168-6106
- eISSN
- 2168-6114
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Biostatistics; Internal Medicine
- Record Identifier
- 9984914145002771
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