{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:59:59Z","timestamp":1785545999691,"version":"3.56.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T00:00:00Z","timestamp":1650067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Jiangsu Provincial Administration of Traditional Chinese Medicine General Project","award":["YB2020105"],"award-info":[{"award-number":["YB2020105"]}]},{"name":"Jiangsu Provincial Administration of Traditional Chinese Medicine General Project","award":["JUPH201810"],"award-info":[{"award-number":["JUPH201810"]}]},{"DOI":"10.13039\/501100004028","name":"Jiangnan University","doi-asserted-by":"publisher","award":["YB2020105"],"award-info":[{"award-number":["YB2020105"]}],"id":[{"id":"10.13039\/501100004028","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004028","name":"Jiangnan University","doi-asserted-by":"publisher","award":["JUPH201810"],"award-info":[{"award-number":["JUPH201810"]}],"id":[{"id":"10.13039\/501100004028","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Tropical Medicine"],"published-print":{"date-parts":[[2022,4,16]]},"abstract":"<jats:p>This study aimed to investigate the mismatch between the preferred and actual roles in the medical decision-making of intensive care unit (ICU) patients\u2019 family members and the relationship between the role mismatch of family members\u2019 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\u2009=\u20090.309, <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001). Family members with mismatched decision-making roles had significantly higher incidence rates of anxiety (90.6% vs. 57.5%, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                     <\/c:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001) and depression (86.5% vs. 63.0%, <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                     <\/e:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001). Logistic regression analysis revealed that mismatches in decision-making roles remained independently associated with these outcomes after adjustment for family members\u2019 sociodemographic features. The results of the present study demonstrate that the preferred role of ICU patients\u2019 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\u2019 family members.<\/jats:p>","DOI":"10.1155\/2022\/8027422","type":"journal-article","created":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T16:50:08Z","timestamp":1650127808000},"page":"1-8","source":"Crossref","is-referenced-by-count":9,"title":["Role Mismatch in Medical Decision-Making Participation Is Associated with Anxiety and Depression in Family Members of Patients in the Intensive Care Unit"],"prefix":"10.1155","volume":"2022","author":[{"given":"Tingting","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"},{"name":"Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengfei","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Chen","sequence":"additional","affiliation":[{"name":"Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailin","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoran","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5161-3980","authenticated-orcid":true,"given":"Wenqing","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6988-3273","authenticated-orcid":true,"given":"Donghui","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Affiliated Hospital of Jiangnan University, Wuxi 214122, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"6","key":"1","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.aucc.2020.01.004","article-title":"The experiences and needs of relatives of intensive care unit patients during the transition from the intensive care unit to a general ward A qualitative study","volume":"33","author":"S. 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