Evidence map›Paper›PMID 30061438›Full record

ArticleBMJ open2018

Association of resilience with health-related quality of life and depression in multiple myeloma and its precursors: results of a German cross-sectional study.

Imad Maatouk, Susanne He, Natalia Becker, Manuela Hummel, Stefan Hemmer, Michaela Hillengass, Hartmut Goldschmidt, Mechthild Hartmann, Dieter Schellberg, Wolfgang Herzog and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06987708 (Evaluating the Impact of a 12-month Multi-Modal Lifestyle Management Intervention on Disease Relevant Biomarkers Associated With Monoclonal Gammopathy of Unknown Significance), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT06987708 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the Impact of a 12-month Multi-Modal Lifestyle Management Intervention on Disease Relevant Biomarkers Associated With Monoclonal Gammopathy of Unknown Significance (MGUS) and Smoldering Myeloma (SM): A Prospective Intervention Pilot Study

TypeinterventionalSponsorHackensack Meridian HealthRan2026 to 2028Enrolled67ConditionsMonoclonal Gammopathy of Uncertain Significance, Smoldering MyelomaArmsThe Multimodal Lifestyle Intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Psychological toxicity in classical hematology.European journal of haematology · 2023
    Review
  6. A Focus on Relapsed Multiple Myeloma.Journal of the advanced practitioner in oncology · 2022
    Article
  7. Impact of Patient Resilience on Outcomes of Open Brostrom-Gould Lateral Ligament Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Article
  8. Article
  9. 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

11 authors at 2 institutions in 1 country.

Imad MaatoukDepartment of General Internal Medicine and Psychosomatics, Medical University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-8030-1182
Susanne HeDepartment of Hematology, Oncology and Rheumatology, Medical University Hospital Heidelberg, Heidelberg, Germany.
Natalia BeckerDepartment of Biostatistics, German Cancer Research Center, Heidelberg, Germany.
Manuela HummelDepartment of Biostatistics, German Cancer Research Center, Heidelberg, Germany.
Stefan HemmerDepartment of Orthopedics and Traumatology, University Hospital Heidelberg, Heidelberg, Germany.
Michaela HillengassDepartment of Hematology, Oncology and Rheumatology, Medical University Hospital Heidelberg, Heidelberg, Germany.
Hartmut GoldschmidtDepartment of Hematology, Oncology and Rheumatology, Medical University Hospital Heidelberg, Heidelberg, Germany.
Mechthild HartmannDepartment of General Internal Medicine and Psychosomatics, Medical University Hospital Heidelberg, Heidelberg, Germany.
Dieter SchellbergDepartment of General Internal Medicine and Psychosomatics, Medical University Hospital Heidelberg, Heidelberg, Germany.
Wolfgang HerzogDepartment of General Internal Medicine and Psychosomatics, Medical University Hospital Heidelberg, Heidelberg, Germany.
Jens HillengassDepartment of Hematology, Oncology and Rheumatology, Medical University Hospital Heidelberg, Heidelberg, Germany.
Heidelberg University · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the relation between resilience, health-related quality of life (HRQOL) and depression in multiple myeloma (MM) and its premalignant stages. MM is one of the most frequent haematological disorders. It is regularly preceded by asymptomatic stages of the disease namely monoclonal gammopathy of undetermined significance (MGUS) and smouldering multiple myeloma (SMM). Survivors have to cope with mental and physical impairment in terms of HRQOL and depression. The concept of resilience refers to a person's ability to adapt to adversity.

designCross-sectional study.

settingMM outpatient department at a University Hospital in Germany (tertiary care).

participants292 consecutive patients from our MM outpatient department. OUTCOME MEASURES: HRQOL, depression and psychological resilience were assessed with validated questionnaires.

resultsRegression analyses were performed to determine associations between resilience, HRQOL and depression. 98 patients (33.6%) had a new diagnosis of active MM, 106 patients (36.3%) were already treated for MM and 88 patients had the diagnosis of a precursor (MGUS or SMM; 30.1%) of MM. Multivariate linear regression analyses revealed a strong positive impact of resilience on physical (b 7.20; 95% CI 4.43 to 9.98; p<0.001) and mental (b 12.12; 95% CI 9.36 to 14.87; p<0.001) HRQOL. Ordered logistic regression analysis showed that the odds for higher depression severity were lowered for individuals with a high level of resilience in comparison to the individuals with a low level of resilience (OR 0.11; 95% CI 0.06 to 0.19; p<0.001).

conclusionsResilience may be a protective factor in the disease trajectory of MM and its precursors. As a next step, future research should focus on longitudinal assessments at various time points to elucidate the role of resilience in one of the most frequent haematological malignancies.

Indexed as

Cancer SurvivorsQuality of LifeResilience, PsychologicalAdultAgedAged, 80 and overCross-Sectional StudiesDepressionFemaleGermanyHumansMaleMiddle AgedMonoclonal Gammopathy of Undetermined SignificanceMultiple MyelomaSurveys and Questionnairesdepressionmonoclonal gammopathy of undetermined significancemultiple myelomaquality of liferesilience, psychological

Identifiers

PMID30061438
PMCPMC6067407
OpenAlexW2885741225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.