Family members of critically ill cancer patients: assessing the symptoms of anxiety and depression
To determine prevalence and factors associated with symptoms of anxiety and depression in family members of critically ill cancer patients.
Prospective cohort study.
A 23-bed intensive care unit in a tertiary cancer centre.
Patients and Participants
Three hundred consecutive families of cancer patients with length of stay >72 h in ICU.
Measurements and main results
The Hospital Anxiety and Depression Scale questionnaire and critical care family needs inventory were completed by family members. Prevalence of anxiety and depression in family members was 71 and 50.3%, respectively. Regarding the patients’ disease, family depression was correlated with presence of metastasis, whereas hematological malignancies correlated with family’ anxiety. Anxiety was independently associated with one patient-related factor (prolonged mechanical ventilation) and two family-related factors (catholic religion and gender). Factors associated with symptoms of depression included one patient-related factor (presence of metastasis) and one family-related factor (gender).
Present findings demonstrated a high prevalence of anxiety and depression in critically ill cancer patients’ family members during an intensive care unit stay.
KeywordsAnxiety Depression Intensive care unit Hospital anxiety and depression scale Cancer
- 4.Pochard F, Azoulay E, Chevret S, Lemaire F, Hubert P, Canoui P, Grassin M, Zittoun R, le Gall JR, Dhainaut JF, Schlemmer B, French FAMIREA Group (2001) Symptoms of anxiety and depression in family members of intensive care unit patients: ethical hypothesis regarding decision-making capacity. Crit Care Med 29:1893–1897PubMedCrossRefGoogle Scholar
- 5.Pochard F, Darmon M, Fassier T, Bollaert PE, Cheval C, Coloigner M, Merouani A, Moulront S, Pigne E, Pingat J, Zahar JR, Schlemmer B, Azoulay E, French FAMIREA study group (2005) Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death: a prospective multicenter study. J Crit Care 20:90–96PubMedCrossRefGoogle Scholar
- 8.Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, Annane D, Bleichner G, Bollaert PE, Darmon M, Fassier T, Galliot R, Garrouste-Orgeas M, Goulenok C, Goldgran-Toledano D, Hayon J, Jourdain M, Kaidomar M, Laplace C, Larché J, Liotier J, Papazian L, Poisson C, Reignier J, Saidi F, Schlemmer B, FAMIREA Study Group (2005) Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med 171:987–994PubMedCrossRefGoogle Scholar