Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients' relatives--the DEPRESS study.
BACKGROUND
Symptoms of anxiety and depression are common among family members of ICU patients and are culturally dependent. The aim of the study was to assess the prevalence of symptoms of anxiety and depression and associated factors in family members of ICU patients in two Central European countries.


METHODS
We conducted a prospective multicenter study involving 22 ICUs (250 beds) in the Czech and Slovak Republics. The Hospital Anxiety and Depression Scale (HADS) was used to assess symptoms of anxiety and depression in family members of ICU patients. Family member understanding of the patient's condition was assessed using a structured interview and a questionnaire was used to assess satisfaction with family member/ICU staff communication.


RESULTS
Twenty two intensive care units (both adult and pediatric) in academic medical centers and community hospitals participated in the study. During a 6 month period, 405 family members of 293 patients were enrolled. We found a high prevalence of anxiety and depression symptoms - 78% and 54%, respectively. Information leaflets distributed to family members did not lower incidences of anxiety/depression. Family members with symptoms of depression reported higher levels of satisfaction according to the modified Critical Care Family Needs Inventory. Extended contact between staff and family members was the only related factor associated with anxiety reduction (p = 0.001).


CONCLUSIONS
Family members of ICU patients in East European countries suffer from symptoms of anxiety and depression. We identified limited family member/ICU staff communication as an important health care professional-related factor associated with a higher incidence of symptoms of anxiety. This factor is potentially amenable to improvement and may serve as a target for proactive intervention proactive intervention.
Department of Anesthesiology and Intensive Care Medicine, 1st Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic. katerina.rusinova@vfn.cz.
Katerina
K
Rusinova
Jaromir
J
Kukal
Jiri
J
Simek
Vladimir
V
Cerny
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003142:Communication; D018153:Czech Republic; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005060:Europe; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D015995:Prevalence; D011368:Professional-Family Relations; D011446:Prospective Studies; D018154:Slovakia; D011795:Surveys and Questionnaires; D055815:Young Adult