Evidence map›Paper›PMID 31133468›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2019

Neurodegenerative Disease Caregivers' 5-HTTLPR Genotype Moderates the Effect of Patients' Empathic Accuracy Deficits on Caregivers' Well-Being.

Jenna L Wells, Casey L Brown, Alice Y Hua, Peter D Soyster, Kuan-Hua Chen, Deepika R Dokuru, Giovanni Coppola, Claudia M Haase, Robert W Levenson

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. 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
  2. Article
  3. Diminished preparatory physiological responses in people with dementia: associations with caregiver health and relationship quality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  4. Empathic Accuracy and Shared Depressive Symptoms in Close Relationships.Clinical psychological science : a journal of the Association for Psychological Science · 2023
    Article
  5. Article
  6. Article
  7. Poor Disgust Suppression Is Associated with Increased Anxiety in Caregivers of People with Neurodegenerative Disease.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    Article
  8. Emotional and Cognitive Empathy in Caregivers of Persons with Neurodegenerative Disease: Relationships with Caregiver Mental Health.Clinical psychological science : a journal of the Association for Psychological Science · 2021
    Article
  9. White Matter Integrity Underlying Depressive Symptoms in Dementia Caregivers.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020
    Article
  10. Empathic Accuracy in Clinical Populations.Frontiers in psychiatry · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Jenna L WellsDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA.
Casey L BrownDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA.
Alice Y HuaDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA.
Peter D SoysterDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA.
Kuan-Hua ChenDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA.
Deepika R DokuruDepartment of Neurology (DRD, GC), University of California, Los Angeles.
Giovanni CoppolaDepartment of Neurology (DRD, GC), University of California, Los Angeles.
Claudia M HaaseDepartment of Psychology (CMH), Northwestern University, Evanston, IL.
Robert W LevensonDepartment of Psychology (JLW, CLB, AYH, PDS, K-HC, RWL), University of California, Berkeley, CA. Electronic address: boblev@berkeley.edu.
University of California, Berkeley · USUniversity of California, Los Angeles · USNorthwestern University · US

Funding

TDP-43 Loss-of-Function: Biology to BiomarkersP01AG019724 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Jennifer Merrilees · 2002 to 2026
$67.2M
PREDOCTORAL TRAINING CONSORTIUM IN AFFECTIVE SCIENCET32MH020006 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI GROSS, JAMES J, JOHNSON, SHERI L · 1998 to 2018
$5.9M
Predicting Risk for Adverse Outcomes in Dementia CaregiversR01AG062639 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI Casey Leigh Brown, Robert Wayne Levenson · 2019 to 2026
$4.8M
Developing and Evaluating In-Home Supportive Technology for Dementia CaregiversR44AG059458 · NIA · PEOPLE POWER COMPANY · PI WANG, GENE · 2018 to 2020
$4.7M
Commercializing In-Home Supportive Technolgy for Dementia CaregiversSB1AG059458 · NIA · PEOPLE POWER COMPANY · PI WANG, GENE · 2021 to 2022
$3.2M
Burden, Depression, and Health in Dementia Caregivers: The Role of EmotionR01AG041762 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI LEVENSON, ROBERT WAYNE · 2012 to 2016
$2.8M
Burden, Depression, and Health in Dementia Caregivers: The Role of EmotionR56AG041762 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI LEVENSON, ROBERT WAYNE · 2018 to 2018
$725k
NIA NIH HHS P01 AG019724NIA NIH HHS R01 AG041762NIA NIH HHS R01 AG062639NIA NIH HHS R44 AG059458NIA NIH HHS R56 AG041762NIA NIH HHS SB1 AG059458NIMH NIH HHS T32 MH020006
6 · The paper itself

Abstract

objectiveTo test the hypothesis that a functional polymorphism of the serotonin transporter gene (serotonin-transporter-linked polymorphic region [5-HTTLPR]), which is thought to be associated with differential environmental sensitivity, moderates the association between low levels of empathic accuracy (i.e., ability to recognize emotions in others) in patients with neurodegenerative disease and caregivers' well-being.

methodsParticipants were 54 patients with neurodegenerative disease and their caregivers. Patients' empathic accuracy was measured using a dynamic tracking task in which they continuously rated the emotions of a character in a film; accuracy was determined by comparing patient ratings with those made by an expert panel. Caregivers provided a saliva sample for genotyping. Caregivers' well-being was measured as a latent construct indicated by validated measures of depression, anxiety, and negative affect.

resultsLower levels of patients' empathic accuracy were associated with lower levels of caregivers' well-being. Importantly, caregivers' 5-HTTLPR genotype moderated this association such that lower empathic accuracy in patients predicted lower well-being for caregivers with the short/short genotype (standardized β = 0.66), but not for caregivers with the short/long (standardized β = 0.05) or long/long genotypes (standardized β = -0.21).

conclusionConsistent with previous findings that the short/short variant of 5-HTTLPR is associated with greater sensitivity to environmental influences, caregivers with the short/short variant manifest lower well-being when caring for a patient with low levels of empathic accuracy than caregivers with the other variants. This finding contributes to the authors' understanding of biological factors associated with individual differences in caregiver vulnerability and resilience.

Indexed as

EmpathyAgedAnxietyCaregiversDepressionFemaleGenotypeHumansLongitudinal StudiesMaleMiddle AgedNeurodegenerative DiseasesPolymorphism, GeneticSerotonin Plasma Membrane Transport ProteinsSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human5-HTTLPRanxietyCaregiverdepressionempathic accuracygene-environment interaction

Identifiers

PMID31133468
PMCPMC6739173
OpenAlexW2943438349

What OpenQuestion holds

Textmetadata
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Registered trials

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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.