Evidence map›Paper›PMID 28855888›Full record

ArticleFrontiers in neurology2017

The Experience of Essential Tremor Caregivers: Burden and Its Correlates.

Sarah Morgan, Sarah Kellner, Jesus Gutierrez, Kathleen Collins, Brittany Rohl, Fanny Migliore, Stephanie Cosentino, Edward D Huey, Elan D Louis, Joan K Monin

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Prospective Home-use Study on Non-invasive Neuromodulation Therapy for Essential Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Trial
  4. Association Between Tremor Severity and Caregiving Intensity in Essential Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Developing a Staging Scheme for Essential Tremor: A Discussion of Organizing Principles.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Psychological Burden of Hepatic Encephalopathy on Patients and Caregivers.Clinical and translational gastroenterology · 2020
    Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 2 institutions in 1 country.

Sarah MorganDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Sarah KellnerDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Jesus GutierrezDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Kathleen CollinsDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Brittany RohlDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Fanny MiglioreDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Stephanie CosentinoDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, United States.
Edward D HueyDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, United States.
Elan D LouisDepartment of Neurology, Division of Movement Disorders, Yale School of Medicine, Yale University, New Haven, CT, United States.
Joan K MoninDepartment of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, United States.
Yale University · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEssential tremor (ET) is associated with physical and cognitive impairments, as well as embarrassment, avoidance of social settings, and related difficulties that negatively impact the lives of patients. In similar disease contexts, burden on friends and relatives acting as caregivers has been noted and has well-documented implications. There has been no study examining caregiver burden related to ET.

methodsData were gathered from 55 ET participants enrolled in a clinical study and their caregivers. The Zarit Burden Interview was used to assess caregiver burden. To assess clinical features that may be associated with burden, we collected several variables including the Montreal Cognitive Assessment, self-reported tremor disability, a videotaped neurological examination, questionnaires assessing ET participants' suffering, caregivers' perceptions of that suffering, and both caregiver and ET participant depressive symptoms. Spearman's correlations were performed between caregiver burden and clinical features, and we created a multivariate linear regression model predicting caregiver burden.

resultsMany ET caregivers provide little to no care and experience little to no burden. However, some caregivers (11%) provide over 25 h of care/week, and 13% experience high levels of burden. Caregivers most commonly provided assistance with writing and cooking. Increased burden was associated with the ET participants' decreased cognition, more caregiving tasks, more hours/week of caregiving activities, a longer duration of care, more ET participant falls/year, more medications taken by the ET participant, and more depressive symptoms in both the ET participant and the caregiver (all

conclusionWhile not all relatives and friends of ET patients provide extensive care or experience high burden, there is a group reporting high levels of caregiver burden that requires the attention and counseling of clinicians. This burden is associated with primarily non-tremor symptoms of ET and with caregivers' perception that their partners are suffering.

Indexed as

caregiver burdenclinicalcognitionessential tremorsuffering

Identifiers

PMID28855888
PMCPMC5557742
OpenAlexW2745070524

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.