Emotional Distress in Neuro-ICU Survivor-Caregiver Dyads: The Recovering Together Randomized Clinical Trial

被引:11
作者
Bannon, Sarah M. [1 ]
Cornelius, Talea [2 ]
Gates, Melissa, V [1 ]
Lester, Ethan [1 ]
Mace, Ryan A. [1 ]
Popok, Paula [1 ]
Macklin, Eric A. [3 ]
Rosand, Jonathan [4 ,5 ]
Vranceanu, Ana-Maria [1 ]
机构
[1] Harvard Med Sch, Dept Psychiat, Massachusetts Gen Hosp, Integrated Brain Hlth Clin & Res Program, One Bowdoin Sq,1st Floor,Suite 100, Boston, MA 02114 USA
[2] Columbia Univ, Dept Med, Div Gen Med, Irving Med Ctr, New York, NY 10027 USA
[3] Harvard Med Sch, Biostat Ctr, Massachusetts Gen Hosp, Boston, MA 02114 USA
[4] Harvard Med Sch, Henry & Allison McCance Ctr Brain Hlth, Massachusetts Gen Hosp, Boston, MA 02114 USA
[5] Massachusetts Gen Hosp, Neurosci Intens Care Unit, Boston, MA 02114 USA
关键词
anxiety; depression; dyads; intervention; posttraumatic stress; CORONARY-HEART-DISEASE; INTENSIVE-CARE-UNIT; BUILDING RESILIENCY; INFORMAL CAREGIVERS; ADVANCED CANCER; INTERDEPENDENCE; RISK; DEPRESSION; SYMPTOMS; STROKE;
D O I
10.1037/hea0001102
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Emotional distress is common in both survivors and their informal caregivers following admission to a neuroscience intensive care unit (Neuro-ICU) and can negatively affect their individual recovery and quality of life. Neuro-ICU survivor-caregiver dyads can influence each other's emotional distress over time, but whether such influence emerges during dyadic treatment remains unknown. The present study involved secondary data analysis of Neuro-ICU dyads enrolled in a randomized clinical trial of a dyadic resiliency intervention, Recovering Together (RT), versus a health education attention placebo control to test dyadic similarities in emotional distress before and after treatment. Method: Data were collected from 58 dyads following Neuro-ICU admission. Emotional distress (depression, anxiety, and posttraumatic stress) was assessed at baseline, 6 weeks (postintervention), and 12 weeks later. Nonindependence within survivor-caregiver dyads was examined (i.e., correlations between cross-sectional symptoms and changes in symptoms over time); mutual influence of emotional functioning over time (i.e., "partner effects") was examined using cross-lagged path analyses. Results: There were strong, positive cross-sectional correlations between survivor and caregiver distress at postintervention and follow-up and between changes in survivor and caregiver distress from baseline to postintervention and postintervention to follow-up. There were no partner effects. Conclusions: Neuro-ICU survivors and their informal caregivers show similar changes in emotional distress after treatment. These findings highlight the potential benefits of intervening on both survivor and caregiver distress following Neuro-ICU admission.
引用
收藏
页码:268 / 277
页数:10
相关论文
共 50 条
[1]   Dyadic Interventions for Cancer Survivors and Caregivers: State of the Science and New Directions [J].
Badr, Hoda ;
Bakhshaie, Jafar ;
Chhabria, Karishma .
SEMINARS IN ONCOLOGY NURSING, 2019, 35 (04) :337-341
[2]   Recovering together: building resiliency in dyads of stroke patients and their caregivers at risk for chronic emotional distress; a feasibility study [J].
Bannon, Sarah ;
Lester, Ethan G. ;
Gates, Melissa, V ;
McCurley, Jessica ;
Lin, Ann ;
Rosand, Jonathan ;
Vranceanu, Ana-Maria .
PILOT AND FEASIBILITY STUDIES, 2020, 6 (01)
[3]   Risk factors for potentially harmful informal caregiver behavior [J].
Beach, SR ;
Schulz, R ;
Williamson, GM ;
Miller, LS ;
Weiner, MF ;
Lance, CE .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (02) :255-261
[4]  
Bjelland I., 2002, Journal of Psychosomatic Research, V52, P69, DOI [DOI 10.1016/S0022-3999(01)00296-3, 10.1016/S0022-3999]
[5]   Psychometric properties of the PTSD checklist (PCL) [J].
Blanchard, EB ;
JonesAlexander, J ;
Buckley, TC ;
Forneris, CA .
BEHAVIOUR RESEARCH AND THERAPY, 1996, 34 (08) :669-673
[6]   The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor-Partner Interdependence Model [J].
Chung, Misook L. ;
Moser, Debra K. ;
Lennie, Terry A. ;
Rayens, Mary Kay .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2009, 67 (01) :29-35
[7]  
Cohen J., 1988, Statistical Power Analysis For The Behavioral Sciences, DOI [10.4324/9780203771587, DOI 10.4324/9780203771587]
[8]   The actor-partner interdependence model: A model of bidirectional effects in developmental studies [J].
Cook, WL ;
Kenny, DA .
INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT, 2005, 29 (02) :101-109
[9]   Dyadic Dynamics in a Randomized Weight Loss Intervention [J].
Cornelius, Talea ;
Gettens, Katelyn ;
Gorin, Amy A. .
ANNALS OF BEHAVIORAL MEDICINE, 2016, 50 (04) :506-515
[10]   Engagement in health-promoting behaviors and patient-caregiver interdependence in dyads facing advanced cancer: an exploratory study [J].
Ellis, Katrina R. ;
Janevic, Mary R. ;
Kershaw, Trace ;
Caldwell, Cleopatra H. ;
Janz, Nancy K. ;
Northouse, Laurel .
JOURNAL OF BEHAVIORAL MEDICINE, 2017, 40 (03) :506-519