+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Resiliency is independently associated with greater quality of life among informal caregivers to neuroscience intensive care unit patients



Resiliency is independently associated with greater quality of life among informal caregivers to neuroscience intensive care unit patients



General Hospital Psychiatry 52: 27-33



Every year, millions of Americans become informal caregivers to loved ones admitted to Neuroscience Intensive Care Units (Neuro-ICU), and face challenges to Quality of Life (QoL). This study sought to identify associations between resiliency, distress, and caregiver QoL at time of Neuro-ICU admission. Informal caregivers (N = 79, Mage = 53, 64% female) of Neuro-ICU patients were recruited and completed self-report questionnaires during the hospitalization. We used hierarchical regression to test relative contributions of caregiver mindfulness, perceived coping abilities, and preparedness for caregiving to caregiver QoL, above-and-beyond non-modifiable patient and caregiver factors (e.g., gender) and caregiver psychological distress (i.e., anxiety, depression, history of mental health conditions). Preparedness for caregiving was uniquely and positively associated with Physical Health QoL (sr2 = 0.07, p = 0.001), Social QoL (sr2 = 0.05, p = 0.021), and Environmental QoL (sr2 = 0.14, p < 0.001), even after accounting for psychological distress. Mindfulness was uniquely and positively associated with Physical Health QoL (sr2 = 0.12, p < 0.001) and Psychological QoL (sr2 = 0.07, p = 0.004), above-and-beyond variance accounted for by psychological distress. Mindfulness and preparedness for caregiving emerged as consistent, unique resiliency factors associated with greater caregiver QoL across QoL dimensions. Results highlight the importance of resiliency factors in QoL among Neuro-ICU caregivers and the need for early interventions to support resiliency.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 065478739

Download citation: RISBibTeXText

PMID: 29549820

DOI: 10.1016/j.genhosppsych.2018.02.012


Related references

Psychosocial resiliency is associated with lower emotional distress among dyads of patients and their informal caregivers in the neuroscience intensive care unit. Journal of Critical Care 36: 154-159, 2016

Outcome/quality of life in those patients receiving surgical intensive care unit care for greater than 30 days. Surgical Forum 47: 641-643, 1996

Neglect of quality-of-life considerations in intensive care unit family meetings for long-stay intensive care unit patients. Critical Care Medicine 40(2): 671-672, 2012

Follow up and quality of life of patients after treatment at the intensive care unit. Report from the Intensive Care Unit of the Second Clinical Hospital in Szczecin. Annales Academiae Medicae Stetinensis 57(3): 107-117, 2011

Interviews with intensive care unit survivors: assessing post-intensive care quality of life and patients' preferences regarding intensive care and mechanical ventilation. Critical Care Medicine 31(5 Suppl): S400, 2003

Care for the caregivers: a review of self-report instruments developed to measure the burden, needs, and quality of life of informal caregivers. Journal of Pain and Symptom Management 26(4): 922-953, 2003

Caregiver strain and posttraumatic stress symptoms of informal caregivers of intensive care unit survivors. Rehabilitation Psychology 61(2): 173-178, 2016

Determinants of quality of life in Alzheimer's disease: perspective of patients, informal caregivers, and professional caregivers. International Psychogeriatrics 24(11): 1805-1815, 2012

A quality assurance initiative targeting radiation exposure to neuroscience patients in the intensive care unit. Neurohospitalist 5(1): 9-14, 2015

End of life in the intensive care unit: from practice to law. What do the lawmakers tell the caregivers? A new series in Intensive Care Medicine. Intensive Care Medicine 32(7): 955-957, 2006

Mindfulness and Coping Are Inversely Related to Psychiatric Symptoms in Patients and Informal Caregivers in the Neuroscience ICU: Implications for Clinical Care. Critical Care Medicine 44(11): 2028-2036, 2016

Formal and informal support of family caregivers managing medications for patients who receive end-of-life care at home: a cross-sectional survey of caregivers. Palliative Medicine 28(9): 1146-1155, 2014

Atrial Fibrillation on Intensive Care Unit Admission Independently Increases the Risk of Weaning Failure in Nonheart Failure Mechanically Ventilated Patients in a Medical Intensive Care Unit: A Retrospective Case-Control Study. Medicine 95(20): E3744, 2016

Health-related quality of life of long-term survivors of intensive care: changes after intensive care treatment. Experience of an Austrian intensive care unit. Wiener Klinische Wochenschrift 124(17-18): 624-632, 2012

Care-related Quality of Life of informal caregivers of the elderly after a hip fracture. JournalofPatient-ReportedOutcomes2(1):23, 2017