The current study has the following objectives: 1. To determine predictors of time 2 and 3 (3 and 6 months post-ICU admission) depression, PTSD, satisfaction with life and quality of life in both patients and caregivers, after controlling for injury severity and impairment. 2. To determine factors associated with patient and caregiver satisfaction with medical care at time 2 and time 3. The investigators would thus be able to identify the best time point for intervention delivery, intervention targets, and risk factors for chronic psychological distress.
Study Type
OBSERVATIONAL
Enrollment
180
All subjects (patients and caregivers) will complete a battery of psychological questionnaires at baseline (ICU admission), 3 months post-baseline, and 6 months post-baseline.
Massachusetts General Hospital
Boston, Massachusetts, United States
Hospital Anxiety and Depression Scale (HADS)
Measures symptoms of anxiety and depression.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Posttraumatic Stress (PCL-S)
Measures symptoms of posttraumatic stress disorder
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Satisfaction with Life Questionnaire (SWL)
Measures global cognitive judgements of satisfaction with one's life
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
World Health Organization QOL Questionnaire (WHOQOL-BREF)
Measures one's perceptions in the context of their culture and value systems, and their personal goals, standards and concerns.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
General Self-Efficacy Scale
Measures optimistic self-beliefs to cope with a variety of difficult demands in life. (Completed by the patient only).
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Caregiver Self-Efficacy Scale
Measures 3 domains of caregiving self-efficacy: Obtaining Respite, Responding to Disruptive Patient Behaviors, and Controlling Upsetting Thoughts. (Completed by the caregiver only).
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Distress Thermometer Scale
Measures one's distress, anxiety, depression, anger, and need for help over the past week on a scale from 0 to 10.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Visual Analog Stress Scale
Measures one's distress, stress, and ability to cope with that stress over the past week on a scale from 0 to 10.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Healthcare satisfaction (CSQ-8)
Measures one's satisfaction with health, human service, governmental, and public benefit programs and services.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Cognitive and Affective Mindfulness Scale (CAMS)
Measures the degree to which individuals experience their thoughts and feelings.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Patient-caregiver interaction (Intimate Bond Measure)
Measures the dimensions of care and control between partners in an intimate relationship.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Measure of Current Status (MOCS-A)
Measures participants' current self-perceived status on several skills that are targeted by the intervention: the ability to relax at will, recognize stress-inducing situations, restructure maladaptive thoughts, be assertive about needs, and choose appropriate coping responses as needed.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Qualitative Adherence Measure
Measures medication and instruction adherence amongst patients and caregivers.
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
Caregiving Preparedness (Preparedness for Caregiving Scale)
A caregiver self-rated instrument that consists of eight items that asks caregivers how well prepared they believe they are for multiple domains of caregiving. Preparedness is defined as perceived readiness for multiple domains of the caregiving role such as providing physical care, providing emotional support, setting up in-home support services, and dealing with the stress of caregiving. (Completed by the caregiver only).
Time frame: Change between Baseline (week 0), 3-month Follow Up (week 13) and 6-month Follow Up (week 26)
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