Effects of Resourcefulness on Sleep Disturbances, Anxiety, and Depressive symptoms in Family Members of Intensive Care Unit Patients

Kao, Yi-Fen; Chen, Chun-I; Chen, Fen-Ju; Lin, Yu-Hua; Perng, Shoa-Jen; Lin, Hung‐Yu; Huang, Chiung‐Yu

doi:10.1016/j.apnu.2016.02.002

Cited by 18 publications

(26 citation statements)

References 35 publications

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“…However, we find that the key is not having or not offspring but the son's/daughter' developmental stage and their level of dependence on parents. Considering the age, we found a significant positive correlation with depression, which is consistent with previous data (Kao et al, 2016). In our study, older relatives would correspond to middle-age relatives who have lots of responsibilities which often result difficult to combine.…”

Section: Discussionsupporting

confidence: 92%

“…Similarly, a significant correlation was found between educational level and anxiety and depression, though in this case they were negative. The lower level of education, the more symptoms of anxiety and depression appeared along with greater subjective perception of depressed mood were revealed among relatives; this finding is in line with one prior study (Kao et al, 2016).…”

Section: Discussionsupporting

confidence: 91%

“…Our study reveals significant information about the psychological impact of intensive care experience on relatives. Families of ICU patients show high levels of anxiety and depression symptoms as other authors have also stated (Kao et al, 2016;Turner-Cobb et al, 2016). 76.4 percent of relatives have clinical anxiety, symptoms in line with other studies (Fumis and Deheinzelin, 2009;Pochard et al, 2001Pochard et al, , 2005 and higher than others (Anderson et al, 2009;Fumis et al, 2015aFumis et al, , 2015bHwang et al, 2014) considering that the conditions of these last studies were not exactly the same (e.g.…”

Section: Discussionsupporting

confidence: 79%

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Psychological distress in relatives of critically ill patients: Risk and protective factors

et al. 2018

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The admission to an intensive care unit can result in a significant burden of emotional distress in the family. This study analyzes the psychological distress of 89 relatives of intensive care unit patients and the potential risk/protective factors for such distress. Families show high levels of anxiety, depression, and stress. Regarding risk factors, having steady partner, being a woman, and being a mother are associated with increased risk of anxiety, depression, and stress. Contrarily, being younger and having higher educational level are associated with reduced anxiety and stress. Influencing these trends could change positively the suffering course experienced by relatives and intensive care unit patients indirectly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 79%

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Psychological distress in relatives of critically ill patients: Risk and protective factors

et al. 2018

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“…A PSQI score greater than 5 were deemed as sleep disturbances [29]. Cronbach’s α for the Kao et al’s study was .82 [33] and was 0.78 in this study.…”

Section: Methodsmentioning

confidence: 82%

Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis

et al. 2019

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Background The hemodialysis regimen is an inevitable and mandatory treatment for patients with end-stage renal disease (ESRD). During the dialysis journey, patients may experience maladaptation in terms of sleep disturbances, depressive symptoms, and reduced health-related quality of life (HRQOL). Psychosocial resources such as social support may have beneficial influences on health outcomes, but studies have rarely analyzed the integrated relationships among risk factors which include pain, sleep disturbances, duration since diagnosis and various health outcomes in Taiwan. This study aimed to bridge this gap by investigating the relationships among related risk factors, social support, sleep disturbances, depressive symptoms, and HRQOL, which is composed of physical quality of life (PQOL) and mental quality of life (MQOL), in ESRD patients. Method A correlational design was used, and 178 patients aged 20 years or older were recruited via convenience sample. The relationships among the risk factors, the mediators, depressive symptoms, PQOL, and MQOL were analyzed using structural equation modeling. Results The findings showed that more than 70% of the participants reported poor sleep quality, and 32% reported depressive symptoms. When participants had greater pain and more sleep disorders, they were more likely to be depressed. When participants had more appraisal support; they had better PQOL and fewer depressive symptoms. Overall, the structural equation model explained 31.8% of the variance in self-reported depressive symptoms, 29.4% of the variance in PQOL, and 5.7% of the variance in MQOL. Moreover, appraisal support enhanced PQOL and reduced depressive symptoms by exerting its two mediating effects on sleep disturbances. Conclusion Our findings indicate that patients with ESRD who have more social support have better PQOL and MQOL and fewer depressive symptoms than those with less social support.

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“…The inverse association between resourcefulness and depressive symptoms is well established in samples of young, middle-aged, and older adults in both English-speaking (e.g., Bekhet, 2014;Musil, Jeanblanc, Burant, Zauszniewski, & Warner, 2013; and non-English-speaking (e.g., Chung et al, 2012;Huang, Wang, Lin, & Chen, 2018;Kao et al, 2016) populations. Resourcefulness has been negatively correlated with depressive symptoms in adolescents (Huang & Guo, 2009;Yang, Lai, Yen, Hsu, & Zauszniewski, 2016) and school-aged children (Chang et al, 2007;Zauszniewski et al, 2010).…”

Section: Discussionmentioning

confidence: 96%

Grandchildren’s Depressive Symptoms and Perceptions of Family Functioning: Protective and Influencing Factors

et al. 2017

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A recent increase in children living with grandparents places more children at increased risk for emotional, psychological, or behavioral problems. This study used the Resiliency Model of Family Stress, Adjustment, and Adaptation to examine how children's living situation, parental monitoring, child's resourcefulness, and perceived support affect depressive symptoms and perceived family functioning. Of participants, 36% ( n = 56) lived with their parents only, 44% ( n = 69) lived with a grandmother as their primary caregiver, and 20% ( n = 31) lived in a multigenerational household. Results indicate parental monitoring and support affected perceptions of family functioning. Subjective support and resourcefulness affected depressive symptoms. No effects were found from living situation and demographic factors. Resourcefulness had the strongest effect on depressive symptoms, with a 3-point decrease in symptoms for each incremental increase in resourcefulness. This study provides insight into factors influencing children's depressive symptoms and perceived family functioning, and provides direction for the development of future interventions.

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Effects of Resourcefulness on Sleep Disturbances, Anxiety, and Depressive symptoms in Family Members of Intensive Care Unit Patients

Cited by 18 publications

References 35 publications

Psychological distress in relatives of critically ill patients: Risk and protective factors

Psychological distress in relatives of critically ill patients: Risk and protective factors

Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis

Grandchildren’s Depressive Symptoms and Perceptions of Family Functioning: Protective and Influencing Factors

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