Long‐term psychiatric disorders in families of severe COVID‐19 patients

Abstract Aim The present study aimed to describe in detail the changes to and assess the risk factors for poor long‐term outcomes of psychiatric disorders in families of COVID‐19 patients. Methods A single‐center, retrospective study using questionnaires. Family members of patients admitted to the i...

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Main Authors: Kasumi Shirasaki, Toru Hifumi, Moe Sekiguchi, Shutaro Isokawa, Yusuke Nakao, Shinobu Tanaka, Shinsuke Hashiuchi, Ryosuke Imai, Norio Otani
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Acute Medicine & Surgery
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Online Access:https://doi.org/10.1002/ams2.926
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author Kasumi Shirasaki
Toru Hifumi
Moe Sekiguchi
Shutaro Isokawa
Yusuke Nakao
Shinobu Tanaka
Shinsuke Hashiuchi
Ryosuke Imai
Norio Otani
author_facet Kasumi Shirasaki
Toru Hifumi
Moe Sekiguchi
Shutaro Isokawa
Yusuke Nakao
Shinobu Tanaka
Shinsuke Hashiuchi
Ryosuke Imai
Norio Otani
author_sort Kasumi Shirasaki
collection DOAJ
description Abstract Aim The present study aimed to describe in detail the changes to and assess the risk factors for poor long‐term outcomes of psychiatric disorders in families of COVID‐19 patients. Methods A single‐center, retrospective study using questionnaires. Family members of patients admitted to the intensive care unit (ICU) with severe COVID‐19 participated. Psychiatric disorders refer to the psychological distress such as anxiety, depression, and posttraumatic stress disorder (PTSD) experienced by the patient's family. Results Forty‐six family members completed the survey and were analyzed. Anxiety, depression, and PTSD occurred in 24%, 33%, and 2% of family members, respectively, and psychiatric disorders occurred in 39%. On multivariable analysis, living in the same house with the patient was independently associated with a lower risk of psychiatric disorders in families of COVID‐19 patients (OR, 0.180; 95% CI, 0.036–0.908; p = 0.038). Furthermore, four family members overcame psychiatric disorders, and six family members newly developed psychiatric disorders during the one‐year follow‐up period. Conclusion Approximately 40% of family members had long‐term psychiatric disorders, and some of them overcame the psychiatric disorders, and some newly developed psychiatric disorders over the one‐year follow‐up. Living in the same house with the patient was possibly significantly associated with the reduction of long‐term symptoms of psychiatric disorders, but this result must be interpreted with care. Further large studies are needed to examine the factors associated with the long‐term mental status of family members.
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spelling doaj-art-68b2d98477724a7a9fe51f65e3dca1482024-12-30T10:18:37ZengWileyAcute Medicine & Surgery2052-88172024-01-01111n/an/a10.1002/ams2.926Long‐term psychiatric disorders in families of severe COVID‐19 patientsKasumi Shirasaki0Toru Hifumi1Moe Sekiguchi2Shutaro Isokawa3Yusuke Nakao4Shinobu Tanaka5Shinsuke Hashiuchi6Ryosuke Imai7Norio Otani8Department of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo JapanDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo JapanDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo JapanDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo JapanDepartment of Nursing St. Luke's International Hospital Tokyo JapanDepartment of Nursing St. Luke's International Hospital Tokyo JapanDepartment of Nursing St. Luke's International Hospital Tokyo JapanDepartment of Pulmonary Medicine St. Luke's International Hospital Tokyo JapanDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo JapanAbstract Aim The present study aimed to describe in detail the changes to and assess the risk factors for poor long‐term outcomes of psychiatric disorders in families of COVID‐19 patients. Methods A single‐center, retrospective study using questionnaires. Family members of patients admitted to the intensive care unit (ICU) with severe COVID‐19 participated. Psychiatric disorders refer to the psychological distress such as anxiety, depression, and posttraumatic stress disorder (PTSD) experienced by the patient's family. Results Forty‐six family members completed the survey and were analyzed. Anxiety, depression, and PTSD occurred in 24%, 33%, and 2% of family members, respectively, and psychiatric disorders occurred in 39%. On multivariable analysis, living in the same house with the patient was independently associated with a lower risk of psychiatric disorders in families of COVID‐19 patients (OR, 0.180; 95% CI, 0.036–0.908; p = 0.038). Furthermore, four family members overcame psychiatric disorders, and six family members newly developed psychiatric disorders during the one‐year follow‐up period. Conclusion Approximately 40% of family members had long‐term psychiatric disorders, and some of them overcame the psychiatric disorders, and some newly developed psychiatric disorders over the one‐year follow‐up. Living in the same house with the patient was possibly significantly associated with the reduction of long‐term symptoms of psychiatric disorders, but this result must be interpreted with care. Further large studies are needed to examine the factors associated with the long‐term mental status of family members.https://doi.org/10.1002/ams2.926coronavirus disease 2019critical carefamilypost‐intensive care syndromeresilience
spellingShingle Kasumi Shirasaki
Toru Hifumi
Moe Sekiguchi
Shutaro Isokawa
Yusuke Nakao
Shinobu Tanaka
Shinsuke Hashiuchi
Ryosuke Imai
Norio Otani
Long‐term psychiatric disorders in families of severe COVID‐19 patients
Acute Medicine & Surgery
coronavirus disease 2019
critical care
family
post‐intensive care syndrome
resilience
title Long‐term psychiatric disorders in families of severe COVID‐19 patients
title_full Long‐term psychiatric disorders in families of severe COVID‐19 patients
title_fullStr Long‐term psychiatric disorders in families of severe COVID‐19 patients
title_full_unstemmed Long‐term psychiatric disorders in families of severe COVID‐19 patients
title_short Long‐term psychiatric disorders in families of severe COVID‐19 patients
title_sort long term psychiatric disorders in families of severe covid 19 patients
topic coronavirus disease 2019
critical care
family
post‐intensive care syndrome
resilience
url https://doi.org/10.1002/ams2.926
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