Family response to critical illness: Postintensive care syndrome–family

  title={Family response to critical illness: Postintensive care syndrome–family},
  author={Judy E. Davidson and Christina Jones and O. Joseph Bienvenu},
  journal={Critical Care Medicine},
Background: The family response to critical illness includes development of adverse psychological outcomes such as anxiety, acute stress disorder, posttraumatic stress, depression, and complicated grief. This cluster of complications from exposure to critical care is now entitled postintensive care syndrome–family. Adverse psychological outcomes occur in parents of neonatal and pediatric patients and in family members of adult patients, and may be present for >4 yrs after intensive care unit… 

Life After the ICU: Post-intensive Care Syndrome in Family Members

Providers may reduce the risk of psychological morbidity among the families of ICU patients through understanding and implementation of the interventions discussed throughout this chapter.

The importance of caregiver outcomes after critical illness.

An informative systematic review of the prevalence, risk factors and trajectory of psychosocial morbidity in informal caregivers of critical care survivors concludes that adverse psychological symptoms are experienced by a substantial portion of ICU caregivers and that these symptoms persist for some time after discharge.

Mitigating Postintensive Care Syndrome Among Patients And Caregivers via a Dyadic Intervention.

  • D. Hwang
  • Psychology, Medicine
    JAMA network open
  • 2020
The outcomes of a pilot randomized clinical trial for Recovering Together, an ICU support program conducted at Massachusetts General Hospital that aimed to improve long-term psychological outcomes among patients and their main informal caregivers, surpassed all of the prespecified feasibility and fidelity primary end points and found clinically meaningful between-group improvement in some secondary end points.

Life after Critical Illness in Children—Toward an Understanding of Pediatric Post‐intensive Care Syndrome

Having a loved one in the ICU: the forgotten family

An appreciation of the post-ICU burden for family members, as well as the ways to prevent and minimize their symptoms of stress, anxiety, and depression, is appreciation.

Patient and Family Engagement in Care in the Cardiac Intensive Care Unit.

Identifying, Analyzing, and Combating Family Intensive Care Unit Syndrome in Long-Term Acute Care Hospitals

It is crucial to identify and assess which family member or surrogate has the propensity to develop or worsen the mental and physical manifestations associated with FICUS, as well as several risk factors such as age, gender, the patient’s acuity, and social economic status.

Psychological reactions in family members of patients hospitalised in intensive care units.

The psychological repercussions in the ICU patient's family and the means to prevent their undesirable responses are discussed.

New developments in the provision of family-centered care in the intensive care unit

Support for and effective communication with family members will facilitate high quality and ethical shared decision-making in the ICU and high quality family-centered care should be considered a basic skill for ICU clinicians.

Palliative care in critical illness: Challenges for research and practice

The intensive care unit (ICU) is a setting where death is— unfortunately—common, and while the problems of poor quality palliative care in the ICU are characterized, much less progress is made in identifying effective and cost-effective interventions to address these problems.



Risk of post-traumatic stress symptoms in family members of intensive care unit patients.

Post-traumatic stress reaction consistent with a high risk of PTSD is common in family members of ICU patients and is the rule among those who share in end-of-life decisions.

Post-traumatic stress disorder-related symptoms in relatives of patients following intensive care

High levels of psychological distress in patients were found to be correlated with high levels in relatives, and written information concerning recovery from ICU provided to the patient and their close family did not reduce this.

ICU care associated with symptoms of depression and posttraumatic stress disorder among family members of patients who die in the ICU.

Family members of younger patients and those for whom mechanical ventilation is not withdrawn are at increased risk of psychologic symptoms and may represent an important group for intervention.

Posttraumatic Stress and Complicated Grief in Family Members of Patients in the Intensive Care Unit

Symptoms of anxiety and depression diminished over time, but both bereaved and nonbereaved participants had high rates of posttraumatic stress and complicated grief.

Traumatic stress in parents of children admitted to the pediatric intensive care unit

Traumatic stress symptoms are common among parents in the PICU and may persist long after discharge, and there is strong support from these data for continued attention to supporting parents both during and after a child’s P ICU admission.

Predictors of symptoms of posttraumatic stress and depression in family members after patient death in the ICU.

Characteristics associated with symptoms may help target interventions to reduce these symptoms and demonstrate a high prevalence of psychologic symptoms after a death in the ICU.

The relationship between acute stress disorder and posttraumatic stress disorder in the neonatal intensive care unit.

The relatively high levels of psychological distress experienced by parents coupled with the potential negative outcomes on the parent and infant suggest that it is important to try to prepare parents for the expected psychological reactions that may occur in the event of a NICU hospitalization and also to support parents during the transition to home care.

Rehabilitation after critical illness: A randomized, controlled trial

A self-help rehabilitation manual is effective in aiding physical recovery and reducing depression in patients recalling delusional memories from the ICU, however, further psychological care may be needed to reduce the incidence of anxiety and PTSD-related symptoms.

Assessing burden in families of critical care patients

It is believed that burden on families should be assessed routinely and using markers for burden measured by validated tools may provide further evidence that effective communication and efforts to detect and to prevent symptoms of stress, anxiety, or depression provide valuable benefits to families.

Short-term psychiatric adjustment of children and their parents following meningococcal disease

  • Daniel ShearsS. NadelJ. GledhillM. Garralda
  • Medicine, Psychology
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2005
Length of hospital admission was associated with psychiatric symptoms in the child and posttraumatic stress disorder symptoms in parents and Pediatric follow-up should explore psychiatric as well as physical sequelae in children and parents.