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Evolution of psychological condition in caregivers of patients with disorders of consciousness: a longitudinal study

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Abstract

The aim of this study is to evaluate mood disorders and needs in caregivers of disorders of consciousness (DOC) patients during the admission to Neurorehabilitation Unit. A total of 80 caregivers was enrolled and divided in two groups (caregivers of vegetative state–VS patients and caregivers of minimally conscious state–MCS patients). Paired sample t tests were carried out to test differences between baseline observation (T0) and after 6 months (T1). Caregivers of VS patients showed an improvement between T0 and T1 especially, in vitality, mean health, Beck Depression Inventory (BDI-II), Spielberger State-Trait Anxiety Inventory-Y (STAI-Y), Prolonged Grief Disorder (PG 12) and Caregiver Needs Assessment (CNA). On the other hand, caregivers of MCS patients showed a significant improvement in: BDI II, STAI Y and CNA. These data confirmed that the presence of psychological problems, the quality of life and the psychological wellbeing of caregivers of DOC patients improved over the time.

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References

  1. Marino S, Ciurleo R, Baglieri A, Corallo F, De Luca R, De Salvo S, Guerrera S, Timpano F, Bramanti P, De Stefano N (2012) Neuroimaging and outcome assessment in vegetative and minimally conscious state. In Neuroimaging/Book 3. Intech, Europe, p 181-204

  2. Leonardi M, Giovannetti AM, Pagani M, Raggi A, Sattin D (2012) Burden and needs of 487 caregivers of patients in vegetative state and in minimally conscious state: results from a national study. Brain Inj 26(10):1201–1210

    Article  CAS  PubMed  Google Scholar 

  3. Bastianelli A, Gius E, Cipolletta S (2014) Changes over time in the quality of life, prolonged grief and family strain of family caregivers of patients in vegetative state: a pilot study. J Health Psychol. doi:10.1177/1359105314539533

    PubMed  Google Scholar 

  4. Giorgi RP, Beccaro M, Miccinesi G, Borgia P, Costantini M, Chini F et al (2007) Dying of cancer in Italy: impact on family and caregiver. The Italian Survey of Dying of Cancer. J Epidemiol Community Health 61(6):547–554

    Article  Google Scholar 

  5. Kitrungroter L, Cohen MZ (2006) Quality of life of family caregivers of patients with cancer: a literature review. Oncol Nurs Forum 33(3):625–632

    Article  PubMed  Google Scholar 

  6. Silvestro D, Azicnuda E, D’Ippolito M, Giustini M, Formisano R (2016) Beyond the classical psychotherapeutic setting to better provide support for caregivers of persons with severe acquired brain injury: some clinical evidence. J Psychol Psychother 6(253):2161–0487

    Google Scholar 

  7. Moroni L, Sguazzin C, Filipponi L, Bruletti G, Callegari S, Galante E et al (2008) Caregiver Need Assessment: uno strumento di analisi dei bisogni del caregiver. G Ital Med Lav Erg 30(3):19–23

    Google Scholar 

  8. Chiambretto P, Moroni L, Guarnerio C, Bertolotti G (2008) Validazione italiana del Questionario Prolonged Grief Disorder (PG-12). G Ital Med Lav Ergon 30:A105–A110

    CAS  PubMed  Google Scholar 

  9. Garlo K, O'Leary JR, Van Ness PH, Fried TR (2010) Burden in caregivers of older adults with advanced illness. J Am Geriatr Soc 58(12):2315–2322

    Article  PubMed  PubMed Central  Google Scholar 

  10. Guarnerio C, Prunas A, Della Fontana I, Chiambretto P (2012) Prevalence and comorbidity of prolonged grief disorder in a sample of caregivers of patients in a vegetative state. Psychiatry Q 83(1):65–73

    Article  Google Scholar 

  11. Moretta P, Estraneo A, De Lucia L, Cardinale V, Loreto V, Trojano L (2014) A study of the psychological distress in family caregivers of patients with prolonged disorders of consciousness during in-hospital rehabilitation. Clin Rehabil 28(7):717–725

    Article  PubMed  Google Scholar 

  12. Etchegary H (2011) Healthcare experiences of families affected by Huntington disease: need for improved care. Chronic illness. doi:10.1177/1742395311403637

    PubMed  Google Scholar 

  13. Vitaliano PP, Echeverria D, Yi J, Phillips PE, Young H, Siegler IC (2005) Psychophysiological mediators of caregiver stress and differential cognitive decline. Psychol Aging 20(3):402

    Article  PubMed  Google Scholar 

  14. Giovannetti AM, Pagani M, Sattin D, Covelli V, Raggi A, Strazzer S, Castelli E, Trabacca A, Martinuzzi A, Leonardi, M (2012) Children in vegetative state and minimally conscious state: patients’ condition and caregivers’ burden. Sci World J. doi:10.1100/2012/232149

  15. Beck AT, Steer RA, Brown GK (1996) Manual for the Beck Depression Inventory-II. Psychological Corporation, San Antonio, TX

  16. Predrabissi L, Santinello M (1989) Spielberger’s State-Trait Anxiety Inventory (Form Y) Italian Version. Editore Giunti OS, Firenze

    Google Scholar 

  17. Ware JE, Kosinski M, Keller SD (1994) SF-36 physical and mental summary scales: a user’s manual. The HealthInstitute, Boston, MA

    Google Scholar 

  18. Tzidkiahu T, Sazbon L, Solzi P (1994) Characteristic reactions of relatives of post-coma unawareness patients in the process of adjusting to loss. Brain Inj 8(2):159–165

    Article  CAS  PubMed  Google Scholar 

  19. Arnetz JE, Arnetz BB (2001) Violence towards health care staff and possible effects on the quality of patient care. Soc Sci Med 52(3):417–427

    Article  CAS  PubMed  Google Scholar 

  20. Gostin L (1989) Editor’s introduction: family privacy and persistent vegetative state. L Med & Health Care 17:295

    CAS  Google Scholar 

  21. Avesani R, Gambini MG, Albertini G (2006) The vegetative state: a report of two cases with a long-term follow-up. Brain Inj 20(3):333–338

    Article  PubMed  Google Scholar 

  22. De la Morena MJ, Cruzado JA (2013) Caregivers of patients with disorders of consciousness: coping and prolonged grief. Acta Neurol Scand 127(6):413–418

    Article  Google Scholar 

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Correspondence to Francesco Corallo.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Corallo, F., Bonanno, L., Lo Buono, V. et al. Evolution of psychological condition in caregivers of patients with disorders of consciousness: a longitudinal study. Neurol Sci 38, 1249–1253 (2017). https://doi.org/10.1007/s10072-017-2941-6

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  • DOI: https://doi.org/10.1007/s10072-017-2941-6

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