Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit
This study aimed to investigate the mismatch between the preferred and actual roles in the medical decision-making of intensive care unit (ICU) patients’ family members and the relationship between the role mismatch of family members’ decisions and anxiety and depression syndromes. A total of 223 fa...
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ftdoajarticles:oai:doaj.org/article:1489d79939794999ae45cb2ca6d140ee 2023-05-15T15:12:12+02:00 Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit Tingting Fang Pengfei Du Yin Wang Dandan Chen Hailin Lu Haoran Cheng Wenqing Hu Donghui Jiang 2022-01-01T00:00:00Z https://doi.org/10.1155/2022/8027422 https://doaj.org/article/1489d79939794999ae45cb2ca6d140ee EN eng Hindawi Limited http://dx.doi.org/10.1155/2022/8027422 https://doaj.org/toc/1687-9694 1687-9694 doi:10.1155/2022/8027422 https://doaj.org/article/1489d79939794999ae45cb2ca6d140ee Journal of Tropical Medicine, Vol 2022 (2022) Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1155/2022/8027422 2022-12-30T23:53:33Z This study aimed to investigate the mismatch between the preferred and actual roles in the medical decision-making of intensive care unit (ICU) patients’ family members and the relationship between the role mismatch of family members’ decisions and anxiety and depression syndromes. A total of 223 family members of ICU patients in the Affiliated Hospital of Jiangnan University in China were enrolled. The simple Chinese version of the Control Preference Scale was used to complete the surveys to assess the preferred and actual roles, and anxiety and depression syndromes were measured using the Generalized Anxiety Disorder-7 scale and Patient Health Questionnaire-9, respectively. For the preferred and actual roles, the active role rates were 16.1% and 8.1%, the cooperative role rates were 49.3% and 31.4%, and the passive role rates were 34.5% and 60.5%, respectively. The incidence of mismatch was 43.0% between the preferred and actual roles, and the consistency between their preferred and actual decision-making roles was poor (kappa = 0.309, P < 0.001). Family members with mismatched decision-making roles had significantly higher incidence rates of anxiety (90.6% vs. 57.5%, P < 0.001) and depression (86.5% vs. 63.0%, P < 0.001). Logistic regression analysis revealed that mismatches in decision-making roles remained independently associated with these outcomes after adjustment for family members’ sociodemographic features. The results of the present study demonstrate that the preferred role of ICU patients’ family members is mainly cooperative, and the actual role is mainly passive. The mismatch between the preferred and actual roles is associated with anxiety and depression among the ICU patients’ family members. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Journal of Tropical Medicine 2022 1 8 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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English |
topic |
Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Tingting Fang Pengfei Du Yin Wang Dandan Chen Hailin Lu Haoran Cheng Wenqing Hu Donghui Jiang Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 |
description |
This study aimed to investigate the mismatch between the preferred and actual roles in the medical decision-making of intensive care unit (ICU) patients’ family members and the relationship between the role mismatch of family members’ decisions and anxiety and depression syndromes. A total of 223 family members of ICU patients in the Affiliated Hospital of Jiangnan University in China were enrolled. The simple Chinese version of the Control Preference Scale was used to complete the surveys to assess the preferred and actual roles, and anxiety and depression syndromes were measured using the Generalized Anxiety Disorder-7 scale and Patient Health Questionnaire-9, respectively. For the preferred and actual roles, the active role rates were 16.1% and 8.1%, the cooperative role rates were 49.3% and 31.4%, and the passive role rates were 34.5% and 60.5%, respectively. The incidence of mismatch was 43.0% between the preferred and actual roles, and the consistency between their preferred and actual decision-making roles was poor (kappa = 0.309, P < 0.001). Family members with mismatched decision-making roles had significantly higher incidence rates of anxiety (90.6% vs. 57.5%, P < 0.001) and depression (86.5% vs. 63.0%, P < 0.001). Logistic regression analysis revealed that mismatches in decision-making roles remained independently associated with these outcomes after adjustment for family members’ sociodemographic features. The results of the present study demonstrate that the preferred role of ICU patients’ family members is mainly cooperative, and the actual role is mainly passive. The mismatch between the preferred and actual roles is associated with anxiety and depression among the ICU patients’ family members. |
format |
Article in Journal/Newspaper |
author |
Tingting Fang Pengfei Du Yin Wang Dandan Chen Hailin Lu Haoran Cheng Wenqing Hu Donghui Jiang |
author_facet |
Tingting Fang Pengfei Du Yin Wang Dandan Chen Hailin Lu Haoran Cheng Wenqing Hu Donghui Jiang |
author_sort |
Tingting Fang |
title |
Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
title_short |
Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
title_full |
Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
title_fullStr |
Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
title_full_unstemmed |
Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit |
title_sort |
role mismatch in medical decision-making participation is associated with anxiety and depression in family members of patients in the intensive care unit |
publisher |
Hindawi Limited |
publishDate |
2022 |
url |
https://doi.org/10.1155/2022/8027422 https://doaj.org/article/1489d79939794999ae45cb2ca6d140ee |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Tropical Medicine, Vol 2022 (2022) |
op_relation |
http://dx.doi.org/10.1155/2022/8027422 https://doaj.org/toc/1687-9694 1687-9694 doi:10.1155/2022/8027422 https://doaj.org/article/1489d79939794999ae45cb2ca6d140ee |
op_doi |
https://doi.org/10.1155/2022/8027422 |
container_title |
Journal of Tropical Medicine |
container_volume |
2022 |
container_start_page |
1 |
op_container_end_page |
8 |
_version_ |
1766342924113543168 |