Evidence map›Paper›PMID 30911803›Full record

ArticleIntensive care medicine2019

Healthcare provider compassion is associated with lower PTSD symptoms among patients with life-threatening medical emergencies: a prospective cohort study.

Jeena Moss, Michael B Roberts, Lisa Shea, Christopher W Jones, Hope Kilgannon, Donald E Edmondson, Stephen Trzeciak, Brian W Roberts

Registry-linked trialAbstract read
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In one paragraph

Article in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04690452 (Evaluation of the Efficacy and Mechanisms of Change of Compassion Cultivation Training in Medical Students), which is not on this map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
–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.

NCT04690452 nacompletednot on this mapstarted 2020, after this paper: background citation

Evaluation of the Efficacy and Mechanisms of Change of Compassion Cultivation Training in Medical Students

TypeinterventionalSponsorUniversidad Complutense de MadridRan2020 to 2021Enrolled40ConditionsStress, Depression, Anxiety, Burn OutArmsCompassion Cultivation Training
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
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  8. Article
  9. Article
  10. Patient Experience of Clinician Compassion Is Associated With Healthcare System Distrust Among Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  11. Exploring Compassionate Care in Virtual Rehabilitation: Qualitative Study.JMIR rehabilitation and assistive technologies · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  17. Review
  18. Article
  19. Item development for a patient-reported measure of compassionate healthcare in action.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  20. Compassion Fatigue in Emergency Medicine: Current Perspectives.Open access emergency medicine : OAEM · 2024
    Review
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

8 authors.

Jeena MossDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, One Cooper Plaza, K152, Camden, NJ, 08103, USA.
Michael B RobertsInstitutional Research and Outcomes Assessment, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Lisa SheaDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, One Cooper Plaza, K152, Camden, NJ, 08103, USA.
Christopher W JonesDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, One Cooper Plaza, K152, Camden, NJ, 08103, USA.
Hope KilgannonDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, One Cooper Plaza, K152, Camden, NJ, 08103, USA.
Donald E EdmondsonDepartment of Medicine, Columbia University Medical Center, New York, NY, USA.
Stephen TrzeciakDepartment of Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ, USA.
Brian W RobertsDepartment of Emergency Medicine, Cooper University Health Care, Cooper Medical School of Rowan University, One Cooper Plaza, K152, Camden, NJ, 08103, USA. roberts-brian-w@cooperhealth.edu.ORCID 0000-0002-7690-997X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe tested the hypothesis that, during a life-threatening medical emergency, patient perception of healthcare provider (HCP) compassion is associated with the subsequent development of post-traumatic stress disorder (PTSD) symptoms.

methodsProspective cohort study in the emergency department (ED) of an urban academic medical center. We included adult patients presenting with a life-threatening medical emergency, defined as respiratory or cardiovascular instability requiring a potentially life-sustaining intervention in the ED. We measured patient perception of HCP compassion in the ED using the Consultation and Relational Empathy (CARE) measure, a validated 40-point scale. Blinded to clinical outcomes (including the CARE measure), we assessed PTSD symptoms 1 month post-discharge using the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders-5.

resultsOf the 99/113 (88%) patients who completed follow-up, 25% (95% CI 17-35%) had PTSD symptoms at 1 month. In a multivariable model adjusting for potential confounders (e.g. severity of illness score in ED, need for intensive care unit admission, ED overcrowding, and family member emotional support in the ED), patient perception of greater HCP compassion in the ED was independently associated with lower PTSD symptoms at 1 month [odds ratio 0.93 (95% CI 0.89-0.98)]. A one-point increase in the CARE measure was associated with a 7% decrease in the odds of developing PTSD symptoms.

conclusionsPTSD symptoms are common among ED patients with life-threatening medical emergencies. Patient perception of greater HCP compassion during the emergency is independently associated with lower risk of developing PTSD symptoms.

Indexed as

EmpathyAcademic Medical CentersAdultAgedCohort StudiesDiagnostic and Statistical Manual of Mental DisordersEmergency Service, HospitalFemaleHealth PersonnelHumansMaleMiddle AgedOdds RatioProspective StudiesPsychometricsRisk FactorsCompassionEmpathyPost-traumatic stress disorderPTSD

Identifiers

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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.