Evidence map›Paper›PMID 31928783›Full record

ArticlePsychosomatics

Baseline Resilience and Posttraumatic Symptoms in Dyads of Neurocritical Patients and Their Informal Caregivers: A Prospective Dyadic Analysis.

Emma E Meyers, Kelly M Shaffer, Melissa Gates, Ann Lin, Jonathan Rosand, Ana-Maria Vranceanu

Open access · greenAbstract read
In one paragraph

Article in Psychosomatics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  3. Emotional distress in neuro-ICU survivor-caregiver dyads: The recovering together randomized clinical trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
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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

6 authors at 3 institutions in 1 country.

Emma E MeyersHenry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA; Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA; Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA.
Kelly M ShafferCenter for Behavioral Health and Technology, University of Virginia School of Medicine, Charlottesville, VA.
Melissa GatesIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA.
Ann LinIntegrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA.
Jonathan RosandHenry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA; Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Ana-Maria VranceanuHenry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA; Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA. Electronic address: avranceanu@mgh.harvard.edu.
Massachusetts General Hospital · USHarvard University · USUniversity of Virginia · US

Funding

Resilient Together; Developing a resiliency skills program for dyads of patients with young onset dementia and their family caregiversR21NR017979 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI VRANCEANU, ANA-MARIA · 2018 to 2019
$673k
NINR NIH HHS R21 NR017979
6 · The paper itself

Abstract

backgroundAdmission to a neuroscience intensive care unit (Neuro-ICU) is sudden and often traumatic for both patients and their informal caregivers. No prior studies have assessed prospectively risk and resiliency factors for chronic posttraumatic symptoms, as well as the potential interdependence between patients' and caregivers' symptoms over time.

objectiveTo analyze the impact of baseline resiliency factors on symptoms of posttraumatic stress (PTS) longitudinally in dyads of patients admitted to the Neuro-ICU and their primary family caregivers.

methodsWe recruited dyads (M = 108) of patients admitted to the Neuro-ICU (total N = 102) and their family caregivers (total N = 103). Dyads completed self-report assessments of PTS and resiliency factors (mindfulness and coping) at baseline in the Neuro-ICU. PTS was measured again at 3- and 6-month follow-up.

resultsClinically significant PTS symptoms were high at baseline in both patients (20%) and caregivers (16%) and remained high through 6 months (25% in patients; 14% in caregivers). Actor-partner interdependence modeling demonstrated that severity of PTS symptoms was predictive of PTS symptoms at subsequent time points (P < 0.001). High baseline mindfulness and coping predicted less severe PTS symptoms in patients and caregivers (P < 0.001) at all time points. Own degree of PTS symptoms at 3 months predicted worse PTS symptoms in one's partner at 6 months, for both patients and caregivers (P = 0.02).

conclusionsFindings highlight the need to prioritize assessment and treatment of PTS in Neuro-ICU patients and their informal caregivers through a dyadic approach.

Indexed as

Intensive Care UnitsNeurosciencesResilience, PsychologicalAdaptation, PsychologicalCancer Care FacilitiesCaregiversCohort StudiesComorbidityFamily RelationsHealth Care CostsHumansMindfulnessNeoplasmsProspective StudiesPsychiatric RehabilitationQuality of Lifeactor-partner interdependence modelcopinginformal caregivermindfulnessneuroscience ICUposttraumatic stress

Identifiers

PMID31928783
PMCPMC7035969
OpenAlexW2992212849

What OpenQuestion holds

Textmetadata
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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.