Warren Ann Marie, Rainey Evan Elizabeth, Weddle Rebecca Joanne, Bennett Monica, Roden-Foreman Kenleigh, Foreman Michael L
Division of Trauma, Critical Care and Acute Care Surgery, Baylor University Medical Center.
Baylor Research Institute.
Rehabil Psychol. 2016 May;61(2):179-85. doi: 10.1037/rep0000080.
PURPOSE/OBJECTIVE: The intensive care unit (ICU) has been identified as a possible contributor to emotional distress. This study seeks to identify whether families of traumatic brain injury (TBI) patients in the ICU experience psychological differences as compared with non-TBI patients' family members.
Eighty-two family members in a trauma/critical care ICU were assessed at baseline and again at 3 months. The Patient Health Questionnaire 8-Item measured depression, the Primary Care PTSD Screen measured symptoms of posttraumatic stress (PTS).
Forty of these individuals were the family members of ICU patients who had sustained a TBI; 42 of the individuals were the family members of non-TBI patients in the ICU. At baseline, 39% (33% non-TBI, 45% TBI, p = .28) of the total sample screened positive for depressive symptoms and 24.3% (26% non-TBI, 23% TBI, p = .69) screened positive for PTS symptoms. However, differences emerged between the groups at 3 months, with family members in the non-TBI group showing a significant decrease in both baseline depression and PTS symptoms.
CONCLUSIONS/IMPLICATIONS: This study, to our knowledge, is the first of its kind to examine psychological differences in the ICU in those whose family members either have or do not have a TBI. Results suggest the TBI group endorsed more symptoms of depression and PTS symptoms at 3 months. Although it is unclear whether symptoms were directly related to the ICU experience or the injury itself, future research should explore the possible additive effect of postintensive care syndrome-family symptoms. (PsycINFO Database Record
目的/目标：重症监护病房（ICU）已被确定为可能导致情绪困扰的因素。本研究旨在确定与非创伤性脑损伤（TBI）患者的家庭成员相比，ICU中TBI患者的家庭成员是否存在心理差异。
对一家创伤/重症监护ICU的82名家庭成员在基线时和3个月后再次进行评估。使用患者健康问卷8项量表测量抑郁情况，使用初级保健创伤后应激障碍筛查量表测量创伤后应激（PTS）症状。
这些个体中有40人是ICU中患有TBI患者的家庭成员；42人是ICU中非TBI患者的家庭成员。在基线时，总样本中有39%（非TBI患者为33%，TBI患者为45%，p = 0.28）筛查出抑郁症状呈阳性，24.3%（非TBI患者为26%，TBI患者为23%，p = 0.69）筛查出PTS症状呈阳性。然而，在3个月时两组之间出现了差异，非TBI组的家庭成员在基线抑郁和PTS症状方面均有显著下降。
结论/启示：据我们所知，本研究是同类研究中首个考察ICU中家庭成员患有或未患有TBI的人群心理差异的研究。结果表明，TBI组在3个月时认可了更多的抑郁症状和PTS症状。虽然尚不清楚这些症状是否与ICU经历或损伤本身直接相关，但未来的研究应探索重症监护后综合征 - 家庭症状的可能累加效应。（PsycINFO数据库记录）
