Evidence map›Paper›PMID 23676301›Full record

ArticleThe Gerontologist2014

Positive affect is associated with fewer sleep problems in older caregivers but not noncaregivers.

Lisa Fredman, Sheryl A Gordon, Timothy Heeren, Sherri O Stuver

Open access · bronzeAbstract read
In one paragraph

Article in The Gerontologist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Stress, positive affect, and sleep in older African American adults: a test of the stress buffering hypothesis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  4. Article
  5. Article
  6. Discrepancy between self-reported and objective sleep duration among dementia caregivers and noncaregivers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  7. Article
  8. Changes in Caregiving Status and Intensity and Sleep Characteristics Among High and Low Stressed Older Women.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017
    Article
  9. How Adult Caregiving Impacts Sleep: a Systematic Review.Current sleep medicine reports · 2016
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lisa FredmanDepartment of Epidemiology, Boston University School of Public Health, Massachusetts. lfredman@bu.edu.
Sheryl A GordonDepartment of Epidemiology, Boston University School of Public Health, Massachusetts.
Timothy HeerenDepartment of Biostatistics, Boston University School of Public Health, Massachusetts.
Sherri O StuverDepartment of Epidemiology, Boston University School of Public Health, Massachusetts.
Boston University · US

Funding

THE ROLE OF ADVANCED CAA IN ALZHEIMER'S DEMENTIAP50AG005134 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI HYMAN, BRADLEY T. · 1985 to 2018
$42.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI CHENG, DEBBIE M. · 1985 to 2008
$13.2M
OLDER AMERICANS INDEPENDENCE CENTERP60AG008812 · NIA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI LIPSITZ, LEWIS · 1995 to 2006
$6.9M
Pathways from Stress to Metabolic Syndrome and Health Decline in Aged CaregiversR01AG028144 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FREDMAN, LISA · 2007 to 2011
$3.1M
NCRR NIH HHS UL1RR025771NIA NIH HHS 1R01AG028144-01A1NIA NIH HHS 2 P50 AG05134NIA NIH HHS 2 P60 AG08812NIA NIH HHS 5 P01 AG04390NIA NIH HHS R01 AG028144
6 · The paper itself

Abstract

purpose of the studyOlder adults who are depressed or are caregivers experience more sleep problems, whereas recent studies suggest that adults with high positive affect (PA) have fewer sleep problems. This study examined whether the associations of PA and depressive symptoms with sleep problems differed between caregivers and noncaregivers. DESIGN AND

methodsFace-to-face interviews were conducted with 92 caregivers to a relative or friend with Alzheimer's disease or Parkinson's disease, and 137 noncaregivers aged 60 years and older (mean 73.8±7.9 years) from the Boston, Massachusetts, metropolitan area. Sleep problems were assessed using the Pittsburgh Sleep Quality Index (PSQI). Respondents were categorized as high PA (n = 122), low PA (n = 69), and depressive symptoms (n = 38) based on the Center for Epidemiologic Studies-Depression scale.

resultsThe mean PSQI score was 5.19 (SD = 3.26) and did not differ by caregiving status. In multivariable linear regression analyses among caregivers, those with high PA had significantly fewer sleep problems than their counterparts with low PA (adjusted mean PSQI score was 4.16 [SE = 0.50] vs. 5.69 [SE = 0.58], p = .05), whereas caregivers with depressive symptoms reported slightly more problems (adjusted mean 6.92 [SE = 0.80], p = .22). High PA and depressive symptoms were not associated with sleep problems among noncaregivers (adjusted mean PSQI scores were 4.88 [SE = 0.35], 5.38 [SE = 0.51], and 5.99 [SE = 0.73], respectively). Similar associations were found with PSQI scale components. IMPLICATIONS: Results suggest that routine screening and interventions to increase PA may reduce sleep problems among older caregivers.

Indexed as

AgedAged, 80 and overCaregiversCross-Sectional StudiesDepressionFemaleHumansIncidenceMaleMassachusettsMiddle AgedRetrospective StudiesSleep Wake DisordersSurveys and QuestionnairesCaregivingDepressive symptomsPositive affectSleep

Identifiers

PMID23676301
PMCPMC4110452
OpenAlexW2012531054

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.