Associations between caregiver-detected delirium and symptoms of depression and anxiety in family caregivers of critically ill patients: a cross-sectional study
| dc.contributor.author | Rosgen, Brianna K | |
| dc.contributor.author | Krewulak, Karla D | |
| dc.contributor.author | Davidson, Judy E | |
| dc.contributor.author | Ely, E. W | |
| dc.contributor.author | Stelfox, Henry T | |
| dc.contributor.author | Fiest, Kirsten M | |
| dc.date.accessioned | 2021-04-11T00:02:21Z | |
| dc.date.available | 2021-04-11T00:02:21Z | |
| dc.date.issued | 2021-04-09 | |
| dc.date.updated | 2021-04-11T00:02:21Z | |
| dc.description.abstract | Abstract Background Witnessing delirium can be distressing for family caregivers (i.e., relatives or friends) of critically ill patients. This study aimed to evaluate associations between caregiver-detected delirium in critically ill patients and depression and anxiety symptoms in their family caregivers. Methods Consecutive adult patient-caregiver dyads were enrolled from a 28-bed medical-surgical intensive care unit. Patient delirium was screened for daily by family caregivers using the Sour Seven instrument. Family caregivers completed the Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) instruments daily to assess their own depression and anxiety symptoms. Response feature analysis was used to handle repeated measures. Descriptive statistics and regression analyses were completed. Results One hundred forty-seven patient-caregiver dyads were enrolled. Clinically significant symptoms of depression and anxiety occurred in 27% and 35% of family caregivers, respectively. Caregiver-detected delirium occurred in 65% of patients, and was not associated with clinically significant caregiver depression (Odds Ratio [OR] 1.4, 95% Confidence Interval [95%CI] 0.6–3.1) or anxiety (OR 1.2, 95%CI 0.6–2.6) symptoms. When stratified by Sour Seven scores, scores 1–3 and 4–9 were associated with increased symptoms of anxiety (OR 3.1, 95%CI 1.3–7.0) and depression (OR 2.6, 95%CI 1.1–6.1) in family caregivers. Caregiver-detected delirium score was associated with severity of family caregiver anxiety symptoms (coefficient 0.2, 95%CI 0.1–0.4), but not depression symptoms (coefficient 0.2, 95%CI -0.0–0.3). Conclusions Caregiver-detected patient delirium was associated with increased depression and anxiety symptoms in family caregivers of critically ill patients. Further randomized research is required to confirm these associations. | |
| dc.identifier.citation | BMC Psychiatry. 2021 Apr 09;21(1):187 | |
| dc.identifier.doi | https://doi.org/10.1186/s12888-021-03200-7 | |
| dc.identifier.uri | http://hdl.handle.net/1880/113217 | |
| dc.identifier.uri | https://doi.org/10.11575/PRISM/45755 | |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s) | |
| dc.title | Associations between caregiver-detected delirium and symptoms of depression and anxiety in family caregivers of critically ill patients: a cross-sectional study | |
| dc.type | Journal Article |