Psychological response of family members of patients hospitalised for influenza A/H1N1 in Oaxaca, Mexico

Elizarrarás-Rivas, Jesús; Vargas-Mendoza, Jaime E.; Mayoral-García, Maurilio; Matadamas-Zarate, Cuauhtémoc; Elizarrarás-Cruz, Anaid; Taylor, Melanie; Agho, Kingsley
January 2010
BMC Psychiatry;2010, Vol. 10, p104
Academic Journal
Background: The A/H1N1 pandemic originated in Mexico in April 2009, amid high uncertainty, social and economic disruption, and media reports of panic. The aim of this research project was to evaluate the psychological response of family primary caregivers of patients hospitalised in the Intensive Care Unit (ICU) with suspected influenza A/H1N1 to establish whether there was empirical evidence of high adverse psychological response, and to identify risk factors for such a response. If such evidence was found, a secondary aim was to develop a specific early intervention of psychological support for these individuals, to reduce distress and possibly lessen the likelihood of post-traumatic stress disorder (PTSD) in the longer term. Methods: Psychological assessment questionnaires were administered to the family primary caregivers of patients hospitalised in the ICU in the General Hospital of Zone 1 of the Mexican Institute for Social Security (IMSS), Oaxaca, Mexico with suspected influenza A/H1N1, during the month of November 2009. The main outcome measures were ratings of reported perceived stress (PSS-10), depression (CES-D), and death anxiety (DAQ). Data were subjected to simple and multiple linear regression analysis to identify risk factors for adverse psychological response. Results: Elevated levels of perceived stress and depression, compared to population normative data, and moderate levels of death anxiety were noted. Levels of depression were similar to those found in comparable studies of family members of ICU patients admitted for other conditions. Multiple regression analysis indicated that increasing age and non-spousal family relationship were significantly associated with depression and perceived stress. Female gender, increasing age, and higher levels of education were significantly associated with high death anxiety. Comparisons with data collected in previous studies in the same hospital ICU with groups affected by a range of other medical conditions indicated that the psychological response reported in this study was generally lower. Conclusions: Data indicated that, contrary to widely publicised reports of 'panic' surrounding A/H1N1, that some of those most directly affected did not report excessive psychological responses; however, we concluded that there was sufficient evidence to support provision of limited psychological support to family caregivers.


Related Articles

  • Central nervous system pathology in fatal swine-origin influenza A H1N1 virus infection in patients with and without neurological symptoms: an autopsy study of 15 cases. Mukherjee, Abir; Peterson, Jo; Sandberg, Glenn; Takei, Hidehiro; Adesina, Adekunle; Goodman, J.; Powell, Suzanne // Acta Neuropathologica;Sep2011, Vol. 122 Issue 3, p371 

    A letter to the editor is presented which discusses the affect of fatal swine-origin influenza A H1N1 virus infection in the central nervous system of the patients with and without neurological symptoms.

  • Influenza A virus vaccine H1N1.  // Reactions Weekly;May2015, Vol. 1550 Issue 1, p122 

    The article presents a case study of a 55-year-old woman who was diagnosed with the Churg Strauss syndrome (CSS) following the administration of Influenza A virus vaccine for treatment of H1N1 influenza virus, published in the September 2014 issue of the journal "Acta Neurologica Taiwanica."

  • Pandemic Influenza A (H1N1) 2009 in the English- and Dutch-speaking Caribbean An Epidemiological Overview. Boisson, E. V.; Des Vignes, F.; Quesnel, S. // West Indian Medical Journal;Jul2013, Vol. 62 Issue 6, p489 

    Objective: To describe epidemiological trends of pandemic influenza A (H1N1) in the English- and Dutch-speaking Caribbean during the pandemic period. Design and Methods: Data on laboratory-confirmed cases and deaths associated with pandemic influenza A (H1N1) contained in two regional databases...

  • Link between swine flu and stillbirth.  // Africa Health;Nov2011, Vol. 34 Issue 1, p10 

    The article reports on the greater risk of being stillborn for babies born to mothers with swine flu virus, according to the study conducted by the National Perinatal Epidemiology Unit at Oxford University.

  • Independent Nurse: Vital Statistics - Swine flu.  // GP: General Practitioner;6/11/2010, p6 

    A vital statistic related to 440 people who died from pandemic influenza in 2009-2010 in Great Britain is presented.

  • ILI highest among real estate, food service employees.  // Infectious Disease News;Apr2014, Vol. 27 Issue 4, p59 

    The article discusses a U.S. Centers for Disease Control and Prevention (CDC) study, published in a 2014 issue of "Morbidity and Mortality Weekly Report," on the highest prevalence of influenza-like illness (ILI) in real estate and food service workers during the 2009 influenza A(H1N1) pandemic.

  • Selected Abstracts.  // Lung India;2015 Supplement, Vol. 32, pS43 

    The article presents several abstracts on topics including "Correlation between pollen counts and allergy patients" by Nishtha Singh and others, "The clinical profile of H1N1 patients" by Harry Jacob George and others and "Reasons for non-adherence in bronchial asthma" by Caroline Simon and others.

  • 2009 H1N1 pandemic flu more damaging to lungs, opens opportunities for bacterial infection.  // Biomedical Market Newsletter;9/30/2011, Vol. 21, p850 

    The article reports on a study which reveals that the infected individuals during the outbreak of the H1N1 pandemic flu in 2009 might suffer with pneumonia.

  • H1N1 patients in ICU. Gin, Alfred; Kumar, Anand // CMAJ: Canadian Medical Association Journal;10/13/2009, Vol. 181 Issue 8, p500 

    A letter to the editor regarding the large number of patients with H1N1 influenza who were admitted to the adult medical intensive care unit in Manitoba from April 23-June 30, 2009 is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics