Learned helplessness among families and surrogate decision-makers of patients admitted to medical, surgical, and trauma ICUs

Donald Sullivan, Xinggang Liu, Douglas S. Corwin, Avelino C. Verceles, Michael T. McCurdy, Drew A. Pate, Jennifer M. Davis, Giora Netzer

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: We sought to determine the prevalence of and clinical variables associated with learned helplessness, a psychologic state characterized by reduced motivation, difficulty in determining causality, and depression, in family members of patients admitted to ICUs. Methods: We conducted an observational survey study of a prospectively defined cohort of family members, spouses, and partners of patients admitted to surgical, medical, and trauma ICUs at a large academic medical center. Two validated instruments, the Learned Helplessness Scale and the Perceived Stress Scale, were used, and self-report of patient clinical characteristics and subject demographics were collected. Results: Four hundred ninety-nine family members were assessed. Of these, 238 of 460(51.7%) had responses consistent with a significant degree of learned helplessness. Among surrogate decision-makers, this proportion was 50% (92 of 184). Characteristics associated with significant learned helplessness included grade or high school education (OR, 3.27;95% CI, 1.29-8.27; P =.01) and Perceived Stress Scale score > 18(OR, 4.15;95% CI, 2.65-6.50; P

Original languageEnglish (US)
Pages (from-to)1440-1446
Number of pages7
JournalChest
Volume142
Issue number6
DOIs
StatePublished - Dec 2012

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Learned Helplessness
Wounds and Injuries
Spouses
Causality
Self Report
Observational Studies
Motivation
Demography
Depression
Education

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Learned helplessness among families and surrogate decision-makers of patients admitted to medical, surgical, and trauma ICUs. / Sullivan, Donald; Liu, Xinggang; Corwin, Douglas S.; Verceles, Avelino C.; McCurdy, Michael T.; Pate, Drew A.; Davis, Jennifer M.; Netzer, Giora.

In: Chest, Vol. 142, No. 6, 12.2012, p. 1440-1446.

Research output: Contribution to journalArticle

Sullivan, D, Liu, X, Corwin, DS, Verceles, AC, McCurdy, MT, Pate, DA, Davis, JM & Netzer, G 2012, 'Learned helplessness among families and surrogate decision-makers of patients admitted to medical, surgical, and trauma ICUs', Chest, vol. 142, no. 6, pp. 1440-1446. https://doi.org/10.1378/chest.12-0112
Sullivan, Donald ; Liu, Xinggang ; Corwin, Douglas S. ; Verceles, Avelino C. ; McCurdy, Michael T. ; Pate, Drew A. ; Davis, Jennifer M. ; Netzer, Giora. / Learned helplessness among families and surrogate decision-makers of patients admitted to medical, surgical, and trauma ICUs. In: Chest. 2012 ; Vol. 142, No. 6. pp. 1440-1446.
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