Nandita R. Nadig|Nidhi G. Huff|Christopher E. Cox|Dee W. Ford
Coping as a Multifaceted Construct: Associations With Psychological Outcomes Among Family Members of Mechanical Ventilation Survivors
Medical University of South Carolina|Duke University|Duke University|Medical University of South Carolina
objectives develop evaluate preliminary multifaceted model coping among family members patients survive mechanical ventilation design setting multicenter crosssectional survey interviewed family members mechanically ventilated patients time transfer icu hospital ward constructed theoretic model coping included characteristics attributable family members familyclinician rapport patients explored relationships coping factors symptoms psychological distress anxiety depression posttraumatic stress subjects fiftysix family members survivors mechanical ventilation measurements main results psychological distress measured hospital anxiety depression scale posttraumatic stress scale optimism measured using life orientation test scale resiliency connerdavidson resilience scale social support using patient reported outcomes measurement information system inventory family members moderate levels psychological distress median total hospital anxiety depression scale equal 14 interquartile range 520 posttraumatic stress scale equal 22 interquartile range 1531 among family member characteristics greater optimism p 0001 hospital anxiety depression scale p 0010 posttraumatic stress scale resilience p 0012 hospital anxiety depression scale social support p 0013 hospital anxiety depression scale protective psychological distress contrary characteristics familyclinician rapport communication quality presence conflict associations psychological distress conclusion knowledge first study explore coping multifaceted construct relationship family psychological outcomes among survivors mechanical ventilation found certain family characteristics coping optimism resilience social support associated less psychological distress research warranted identify potentially modifiable aspects coping might guide future interventions