{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:47:21Z","timestamp":1777384041871,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2019,6,30]],"date-time":"2019-06-30T00:00:00Z","timestamp":1561852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01NR011179, and K24NR015340"],"award-info":[{"award-number":["R01NR011179, and K24NR015340"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Family members of children admitted to intensive care units (ICUs) suffer from severe stress, which sometimes results in long-term psychological problems. We aimed to identify associations between demographic and psychosocial variables at early stages of a child\u2019s admission to the ICU and depression and anxiety in family members at approximately 3 months after admission. We also explored predictive models for depression and anxiety at 3 months after admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study is a secondary analysis of data from a previous clinical trial of palliative care for family members in ICUs, in which 380 family members of 220 children reported demographic and psychosocial status at approximately 1 week after ICU admission (baseline), at discharge from the ICUs, and at 3 months after the child\u2019s admission to the ICU. Clinical data were extracted from the children\u2019s medical records. We used linear regression models and stepwise linear regression for the analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After controlling for significant confounders of gender (female) and child mortality, worse psychological status at baseline, represented by reported depression, anxiety, and acute stress symptoms, was associated with more severe depression and anxiety at 3 months. Also, a better family relationship at baseline was associated with lower depression and anxiety at 3 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We suggest a need to screen family members of children admitted to the ICU with validated scales and intervening with those at high risk of depression and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trials:<\/jats:title>\n                    <jats:p>Registry number NCT02144779 on ClinicalTrials.gov . https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02144779?term=NCT02144779&amp;rank=1 .<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909119859517","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:17:55Z","timestamp":1561940275000},"page":"841-850","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Predictors of Depression and Anxiety in Family Members 3 Months After Child\u2019s Admission to a Pediatric ICU"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6012-1558","authenticated-orcid":false,"given":"Masayuki","family":"Iwata","sequence":"first","affiliation":[{"name":"Graduate School of Health Management, Keio University, Shinjuku, Japan"},{"name":"Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7130-818X","authenticated-orcid":false,"given":"Soojeong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Hays","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Center for Child Health, Behavior and Development, Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ardith Z.","family":"Doorenbos","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, USA"},{"name":"Department of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,30]]},"reference":[{"key":"bibr1-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1658"},{"key":"bibr2-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000137354.19807.44"},{"key":"bibr3-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182196a8f"},{"key":"bibr4-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2011.109"},{"key":"bibr5-1049909119859517","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.942626"},{"key":"bibr6-1049909119859517","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2010.506759"},{"key":"bibr7-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-014-1415-6"},{"key":"bibr8-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3301_16"},{"key":"bibr9-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000112"},{"key":"bibr10-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.02.006"},{"key":"bibr11-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.6.e597"},{"key":"bibr12-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12984"},{"key":"bibr13-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e318227b3dc"},{"key":"bibr14-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009581"},{"issue":"3","key":"bibr15-1049909119859517","doi-asserted-by":"crossref","first-page":"379","DOI":"10.17533\/udea.iee.v32n3a03","volume":"32","author":"Raffray M","year":"2014","journal-title":"Invest Educ Enferm"},{"issue":"6","key":"bibr16-1049909119859517","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1111\/j.1399-3046.2011.01536.x","volume":"15","author":"Lerret SM","year":"2011","journal-title":"Pediatr Transplant"},{"key":"bibr17-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000488"},{"key":"bibr18-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.24.6.25"},{"key":"bibr19-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1999.00987.x"},{"key":"bibr20-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000335"},{"key":"bibr21-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0751-7"},{"key":"bibr22-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1177\/1074840713496317"},{"key":"bibr23-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(198911)45:6<897::AID-JCLP2270450611>3.0.CO;2-T"},{"key":"bibr24-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.1990.9674095"},{"key":"bibr25-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L"},{"key":"bibr26-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.01070"},{"key":"bibr27-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"bibr28-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00409.x"},{"key":"bibr29-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"bibr30-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.12.1.61"},{"key":"bibr31-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000218409.58256.AA"},{"key":"bibr32-1049909119859517","unstructured":"Richard AF, Norbert G, Jack HS, et al. 3M APR DRG Classification System Version 26.1, Methodology Overview. 2008."},{"key":"bibr33-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2015.08.019"},{"key":"bibr34-1049909119859517","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2013.853332"},{"key":"bibr35-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.72"},{"key":"bibr36-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1300\/J010v10n04_07"},{"key":"bibr37-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2015.144"},{"key":"bibr38-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1177\/1049909111403465"},{"key":"bibr39-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.0710.2753"},{"key":"bibr40-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211840"},{"key":"bibr41-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.31.5.295"},{"key":"bibr42-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1177\/1074840710394854"},{"key":"bibr43-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1097\/CNQ.0b013e3181c8e015"},{"key":"bibr44-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2012.02787.x"},{"key":"bibr45-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2013.801347"},{"key":"bibr46-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2014.06.003"},{"key":"bibr47-1049909119859517","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2013.02.011"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909119859517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049909119859517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909119859517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:28:15Z","timestamp":1777368495000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049909119859517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,30]]},"references-count":47,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1177\/1049909119859517"],"URL":"https:\/\/doi.org\/10.1177\/1049909119859517","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,30]]}}}