Having a loved one in the ICU: the forgotten family

  title={Having a loved one in the ICU: the forgotten family},
  author={Matthieu Schmidt and {\'E}lie Azoulay},
  journal={Current Opinion in Critical Care},
Purpose of reviewAn 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. Recent findingsThe long-term consequences of critical illness are growing in importance as the aging population increases its demand for critical care, and as the short-term mortality after critical illness decreases. Recently, postintensive care syndrome family was proposed as a new term for this cluster of psychological… 

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.

Caregiver strain and posttraumatic stress symptoms of informal caregivers of intensive care unit survivors.

This study shows that relatives of ICU survivors could experience strain 3 months after hospital discharge and are at risk of developing PTSD-related symptoms, which complements existing data that relatives are atrisk of psychological symptoms.

Stress, anxiety, depression and basic hope in family members of patients hospitalised in intensive care units - preliminary report.

Most relatives of the patients reported stress, anxiety, depression and low basic hope, and preventive family-centred interventions are needed to minimize the risk of adverse psychological repercussions, including post-intensive care syndrome family.

Psychological burden in inpatient relatives: the forgotten side of medical management.

The prevalence of symptoms of anxiety and depression in family members remains high at the end of acute health care and it is hoped that improving the provision of information will decrease the risk of psychological distress.

Depressive and Anxiety Symptoms in Relatives of Intensive Care Unit Patients and the Perceived Need for Support

Over the 1st week of ICU admission, depressive symptoms in patients’ relatives were gradually evolving, while anxiety symptoms fluctuated and they were affected by the severity of the patients' condition.

Post Intensive Care Syndrome

The PICS-pediatric (PICS-p) framework includes the fourth domain of social health applicable to all family members of the PICU patient, the most common of which are sleep deprivation, anxiety, depression, and complicated grief.

Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness

Interventions aimed at increasing resilience may improve a family member’s experience in the ICU, and when caring for the critically ill, resilient family members have fewer symptoms of depression, anxiety, and acute stress.

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.

Post-Traumatic Stress Symptoms in Post-ICU Family Members

A significant prevalence of family PTSD symptoms in the months following ICU hospitalization is demonstrated and there are several methodological challenges to the interpretation of existing studies and to the conduct of future research including differences in sampling, identification of risk factors and covariates of PTSD, and lack of consensus regarding the most appropriate PTSD symptom measurement tools and timing.

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

Family members of poor prognosis patients admitted to the ICU were more likely to suffer with symptoms of anxiety, depression and post traumatic distress.



Family response to critical illness: Postintensive care syndrome–family

This work has shown that psychological repercussions of critical illness affect the family member's ability to fully engage in necessary care-giving functions after hospitalization, and the cluster of complications from exposure to critical care is now entitled postintensive care syndrome–family.

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.

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.

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.

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.

Well-being in informal caregivers of survivors of acute respiratory distress syndrome*

Informal caregivers experience negative health outcomes that persist almost 2 yrs after ARDS, and new approaches, such as family-centered rehabilitation, caregiver education, improved respite, and home care, may benefit informal caregivers.

Coping strategies of relatives when an adult next-of-kin is recovering at home following critical illness.

A communication strategy and brochure for relatives of patients dying in the ICU.

Providing relatives of patients who are dying in the ICU with a brochure on bereavement and using a proactive communication strategy that includes longer conferences and more time for family members to talk may lessen the burden of bereavement.

Symptoms of anxiety and depression in family members of intensive care unit patients: Ethical hypothesis regarding decision-making capacity

Characterization of symptoms that reflect anxiety and depression in family members visiting intensive care patients should be of major relevance to the ethics of involving family members in decision-making, particularly about end-of-life issues.