Acute traumatic and depressive symptoms in family members of hospitalized individuals with delirium

Objectives: 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.