Evidence map›Paper›PMID 27260874›Full record

ArticleAging & mental health2017

The role of compassion, suffering, and intrusive thoughts in dementia caregiver depression.

Richard Schulz, Jyoti Savla, Sara J Czaja, Joan Monin

Open access · greenAbstract readValidation Study
In one paragraph

Article in Aging & mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Empathy and Psychological Outcomes in Informal Caregivers of Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Pooled it
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  10. Feeling Relieved After the Death of a Family Member With Dementia: Associations With Postbereavement Adjustment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Article
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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 4 institutions in 1 country.

Richard Schulza Department of Psychiatry and University Center for Social and Urban Research , University of Pittsburgh , Pittsburgh , PA , USA.
Jyoti Savlab Center for Gerontology , Virginia Tech , Blacksburg , VA , USA.
Sara J Czajac Department of Psychiatry and Behavioral Sciences , University of Miami , Miami , FL , USA.
Joan Monind Social and Behavioral Sciences Division , Yale School of Public Health , New Haven , CT , USA.
University of Miami · USUniversity of Pittsburgh · USVirginia Tech · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chronic Conditions and Mutuality of Care in Late Life Marriage:A Multi-method AppK01AG042450 · NIA · YALE UNIVERSITY · PI MONIN, JOAN E. · 2013 to 2017
$634k
NCATS NIH HHS UL1 TR001863NIA NIH HHS K01 AG042450
6 · The paper itself

Abstract

objectivesExposure to suffering of a relative or friend increases the risk for psychological and physical morbidity. However, little is known about the mechanisms that account for this effect. We test a theoretical model that identifies intrusive thoughts as a mediator of the relation between perceived physical and psychological suffering of the care recipient and caregiver depression. We also assess the role of compassion as a moderator of the relation between perceived suffering and intrusive thoughts.

methodsHispanic and African American caregivers (N = 108) of persons with dementia were assessed three times within a one-year period. Using multilevel modeling, we assessed the mediating role of intrusive thoughts in the relation between perceived physical and psychological suffering and CG depression, and we tested moderated mediation to assess the role of caregiver compassion in the relation between perceived suffering and intrusive thoughts.

resultsThe effects of perceived physical suffering on depression were completely mediated through intrusive thoughts, and compassion moderated the relation between physical suffering and intrusive thoughts. Caregivers who had greater compassion reported more intrusive thoughts even when perceived physical suffering of the CR was low. For perceived psychological suffering, the effects of suffering on depression were partially mediated through intrusive thoughts. DISCUSSION: Understanding the role of intrusive thoughts and compassion in familial relationships provides new insights into mechanisms driving caregiver well-being and presents new opportunities for intervention.

Indexed as

EmpathyThinkingCaregiversCase-Control StudiesDementiaDepressionFemaleHumansMalePerceptionRisk FactorsStress, PsychologicalcompassiondepressionFamily caregivingintrusive thoughts

Identifiers

PMID27260874
PMCPMC5786267
OpenAlexW2411428422

What OpenQuestion holds

Textmetadata
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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.