Table 4.
Bereaved Caregivers' Mental Health Outcomes | n | N | % | Patients' Place of Death* |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Intensive Care Unit |
Hospital |
Home Without Hospice |
Home With Hospice |
||||||||||||
AOR | 95% CI | P† | AOR | 95% CI | P† | AOR | 95% CI | P† | AOR | 95% CI | P† | ||||
PTSD‡ | 10 | 238 | 4.2 | 5.00 | 1.26 to 19.91 | .02 | 0.16 | 0.009 to 2.94 | .22 | 0.35 | 0.02 to 7.19 | .49 | – | Ref | – |
GAD§ | 4 | 236 | 1.7 | 5.35 | 0.69 to 41.51 | .11 | 0.47 | 0.03 to 8.31 | .61 | 0.69 | 0.03 to 15.68 | .81 | – | Ref | – |
PD‖ | 9 | 238 | 3.8 | 0.60 | 0.04 to 9.27 | .71 | 0.95 | 0.18 to 4.96 | .95 | 0.39 | 0.02 to 6.75 | .52 | – | Ref | – |
MDD¶ | 17 | 239 | 7.1 | 3.49 | 0.86 to 14.22 | .08 | 1.89 | 0.63 to 5.69 | .26 | 1.34 | 0.21 to 8.55 | .92 | – | Ref | – |
PGD# | 15 | 142 | 10.6 | 5.24 | 0.62 to 44.36 | .13 | 8.83 | 1.51 to 51.77 | .02 | 1.98 | 0.07 to 60.11 | .69 | – | Ref | – |
NOTE. Missing data at follow-up: PGD (n = 191), PTSD (n = 95), GAD (n = 97), PD (n = 95), MDD (n = 94). Number of observations used for analyses examining associations between caregivers' psychiatric illness at follow-up and patients' place of death: PTSD (n = 222 of 333), GAD (n = 217 of 333), PD (n = 218 of 333), MDD (223 of 333), and PGD (142 of 333).
Abbreviations: AOR, adjusted odds ratio; PTSD, posttraumatic stress disorder; GAD, generalized anxiety disorder; PD, panic disorder; MDD, major depressive disorder; PGD, prolonged grief disorder; ANCOVA, two-way analysis of covariance.
The reference group for these models is patients who died at home with hospice services.
Using logistic regression to control for significant confounders and baseline mental health. Every patient/caregiver variable associated (P < .20) with patients' location of death in univariate analyses was entered into each ANCOVA model, and retained if it remained significant at a level of P < .05 while controlling for other confounders.
Model adjusted for baseline PTSD.
Model adjusted for baseline GAD, caregiver age, and functional status.
Model adjusted for baseline PD, caregiver age, and functional status.
Model adjusted for baseline MDD.
Model adjusted for preloss grief.