Prolonged Grief Disorder Among Relatives of Deceased Patients in Intensive Care Unit During the French Covid-19 Lockdown

The death of a relative in an intensive care unit (ICU) represents a major psychological burden. During the first COVID-19 lockdown in France, strict visiting restrictions profoundly altered end-of-life experiences and bereavement. In this context, our University Hospital implemented OLAF, a temporary ICU-psychiatry liaison phone-support service for relatives. We conducted a one-year prospective follow-up study of relatives bereaved after an ICU death. The primary outcome was the prevalence of Prolonged Grief Disorder (PGD) at 12 months. Secondary analyses explored the association between grief severity and early posttraumatic stress symptoms. Among 25 bereaved relatives, 5 (20%) met criteria for probable PGD at 12 months. Grief severity at 1 year was strongly associated with posttraumatic stress symptom severity measured three months after the loss. These findings highlight the close relationship between traumatic stress and prolonged grief and provide a descriptive illustration of an ICU-psychiatry liaison model implemented under crisis conditions

Complicated grief · Grief · Intensive care · Intensive care unit · Posttraumatic stress · Prospective cohort study · Traumatic grief · Traumatic stress · Family and Patient Care in Intensive Care Units · Grief, Bereavement, and Mental Health · Palliative Care and End-of-Life Issues

• Complicated Grief

  Open Access•Camilla Gesi, Claudia Carmassi et al.•Frontiers in Psychiatry•2020

  Incluir item

• Hospital Anxiety and Depression (HAD) scale

  Open Access•Arnstein Mykletun, Eystein Stordal et al.•The British Journal of Psychiatry•2001

  Incluir item

• Psychometric Validation of the English and French Versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

  Open Access•Andrea R Ashbaugh, Stephanie A Houle et al.•PLoS ONE•2016

  Incluir item

• Prevalence of prolonged grief disorder in adult bereavement

  Open Access•Marie Lundorff, Helle Holmgren et al.•Journal of Affective Disorders•2017

  Incluir item

• Inventory of complicated grief

  Open Access•Holly G Prigerson, Paul K Maciejewski et al.•Psychiatry Research•1995

  Incluir item

• Complicated grief and related bereavement issues for DSM-5

  Open Access•M Katherine Shear, Naomi Simon et al.•Depression and Anxiety•2011

  Incluir item

• The Peritraumatic Distress Inventory

  Alain Brunet, Daniel S Weiss et al.•American Journal of Psychiatry•2001

  Incluir item

• The Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5)

  Open Access•Christy A Blevins, Frank W Weathers et al.•Journal of Traumatic Stress•2015

  Incluir item

• The Hospital Anxiety and Depression Scale

  Open Access•A S Zigmond, R P Snaith•Acta Psychiatrica Scandinavica•1983

  Incluir item

• Covid-19

  Open Access•Nour Chams, Sana Chams et al.•Frontiers in Public Health•2020

  Incluir item

• Restricted Mourning

  Open Access•Huibertha B Mitima‐Verloop, Huibertha B Mitima-Verloop et al.•Frontiers in Psychiatry•2022

  Incluir item

• The Absence of Funeral Rites as a Risk Factor for the French Bereaved Population

  Open Access•Livia Sani, Chad Cape et al.•OMEGA - Journal of Death and Dying•2024

  Incluir item

• The Covid-19 pandemic has changed dying and grief

  Timothy R Jordan, Amy J Wotring et al.•Death Studies•2021

  Incluir item