Acute traumatic and depressive symptoms in family members of hospitalized individuals with delirium.
OBJECTIVE
This study characterized symptoms of acute stress and depression in caregivers present during the hospitalization of a loved one with delirium.


METHODS
This is an observational, cross-sectional analysis of caregivers of patients hospitalized with delirium. Standardized questionnaires were used in caregiver interviews to assess psychological reactions to traumatic situations and understanding of medical care.


RESULTS
Of the 40 caregivers recruited, half had significant symptoms of acute stress and 12.5% of caregivers were highly symptomatic across all domains related to trauma. Elevated acute stress was positively correlated with both past or current depression and prior mental health treatment (p < 0.028). The caregivers who ranked witnessing delirium as having a negative impact on their lives were also at elevated risk (p < 0.05).


CONCLUSIONS
Caregivers witnessing delirium are at elevated risk for experiencing severe acute traumatic and depressive symptoms, and this response might place them at risk for developing traumatic disorders.
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA rlloyd@nmff.org.
Robert B
RB
Lloyd
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
Lisa J
LJ
Rosenthal
D000293:Adolescent; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003693:Delirium; D003863:Depression / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D040701:Stress Disorders, Traumatic, Acute / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
Delirium; acute traumatic stress; caregiver; depression