Evidence map›Paper›PMID 33766187›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2021

The role of loneliness in the development of depressive symptoms among partnered dementia caregivers: Evidence from the English Longitudinal Study of Aging.

J P Saadi, E Carr, M Fleischmann, E Murray, J Head, A Steptoe, R A Hackett, B Xue, D Cadar

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

J P SaadiDepartment of Behavioural Science and Health, University College London, London, United Kingdom.ORCID 0000-0002-4047-031X
E CarrDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.ORCID 0000-0002-1146-4922
M FleischmannFaculty of Science, Methodology and Applied Biostatistics, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-9023-5150
E MurrayDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.ORCID 0000-0001-6297-6920
J HeadDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
A SteptoeDepartment of Behavioural Science and Health, University College London, London, United Kingdom.ORCID 0000-0001-7808-4943
R A HackettDepartment of Behavioural Science and Health, University College London, London, United Kingdom.
B XueDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.ORCID 0000-0003-0180-8776
D CadarDepartment of Behavioural Science and Health, University College London, London, United Kingdom.ORCID 0000-0003-1398-5841

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
Department of HealthNIA NIH HHS R01 AG017644
6 · The paper itself

Abstract

backgroundDepressive symptoms are highly prevalent among partnered dementia caregivers, but the mechanisms are unclear. This study examined the mediating role of loneliness in the association between dementia and other types of care on subsequent depressive symptoms.

methodsProspective data from partnered caregivers were drawn from the English Longitudinal Study of Aging. The sample consisted of 4,672 partnered adults aged 50-70 living in England and Wales, followed up between 2006-2007 and 2014-2015. Caregiving was assessed across waves 3 (2006-2007), 4 (2008-2009), and 5 (2010-2011), loneliness at wave 6 (2012-2013), and subsequent depressive symptoms at wave 7 (2014-15). Multivariable logistic regression models were used to assess the association between caregiving for dementia and depressive symptoms compared to caregiving for other illnesses (e.g., diabetes, coronary heart disease (CHD), cancer, and stroke). Binary mediation analysis was used to estimate the indirect effects of caregiving on depressive symptoms via loneliness.

resultsCare for a partner with dementia was associated with higher odds of depressive symptoms at follow-up compared to those not caring for a partner at all (odds ratio [OR] = 2.6, 95% confidence intervals [CI]: 1.4, 5.1). This association was partially mediated by loneliness (34%). Care for a partner with other conditions was also associated with higher odds of depressive symptoms compared to non-caregiving partners (OR = 1.7, 95% CI: 1.2, 2.5), but there was no evidence of an indirect pathway via loneliness.

conclusionLoneliness represents an important contributor to the relationship between dementia caregiving and subsequent depressive symptoms; therefore, interventions to reduce loneliness among partnered dementia caregivers should be considered.

Indexed as

CaregiversDementiaAdultAgingDepressionHumansLonelinessLongitudinal StudiesProspective StudiesDementia caredepressiondepressive symptomsloneliness

Identifiers

PMID33766187
PMCPMC8080187

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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.