Evidence map›Paper›PMID 29300741›Full record

ArticlePloS one2018

Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia.

Paul Gellert, Andreas Häusler, Ralf Suhr, Maryam Gholami, Michael Rapp, Adelheid Kuhlmey, Johanna Nordheim

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In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

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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

7 authors.

Paul GellertInstitute of Medical Sociology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0001-7492-7210
Andreas HäuslerDepartment of Social and Preventive Medicine, University of Potsdam, Potsdam, Germany.
Ralf SuhrCentre for Quality in Care, Berlin, Germany.
Maryam GholamiDepartment of Family Medicine and Public Health, University of California San Diego, San Diego, United States of America.
Michael RappDepartment of Social and Preventive Medicine, University of Potsdam, Potsdam, Germany.
Adelheid KuhlmeyInstitute of Medical Sociology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Johanna NordheimInstitute of Medical Sociology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo test whether the negative relationship between perceived stress and quality of life (Hypothesis 1) can be buffered by perceived social support in patients with dementia as well as in caregivers individually (Hypothesis 2: actor effects) and across partners (Hypothesis 3: partner effects and actor-partner effects).

methodA total of 108 couples (N = 216 individuals) comprised of one individual with early-stage dementia and one caregiving partner were assessed at baseline and one month apart. Moderation effects were investigated by applying linear mixed models and actor-partner interdependence models.

resultsAlthough the stress-quality of life association was more pronounced in caregivers (β = -.63, p<.001) compared to patients (β = -.31, p<.001), this association was equally moderated by social support in patients (β = .14, p<.05) and in the caregivers (β = .13, p<.05). From one partner to his or her counterpart, the partner buffering and actor-partner-buffering effect were not present.

conclusionThe stress-buffering effect has been replicated in individuals with dementia and caregivers but not across partners. Interventions to improve quality of life through perceived social support should not only focus on caregivers, but should incorporate both partners.

Indexed as

Adaptation, PsychologicalFamily CharacteristicsSocial SupportStress, PsychologicalAgedAged, 80 and overDementiaFemaleHumansMaleQuality of Life

Identifiers

PMID29300741
PMCPMC5754077

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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.