Evidence map›Paper›PMID 33812804›Full record

ArticleTransplantation and cellular therapy2021

Anxiety and Depression Symptoms in Caregivers Prior to Hematopoietic Stem Cell Transplantation (HCT).

Lauren P Waldman, Ashley M Nelson, Jamie M Jacobs, Tamryn F Gray, Madison Clay, Annemarie D Jagielo, Julia Rice, Lara Traeger, Areej El-Jawahri

Open access · greenAbstract read
In one paragraph

Article in Transplantation and cellular therapy, 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
3.8field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Lauren P WaldmanMassachusetts General Hospital, Boston, Massachusetts.
Ashley M NelsonMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: anelson11@mgh.harvard.edu.
Jamie M JacobsMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Tamryn F GrayHarvard Medical School, Boston, Massachusetts; Dana Farber Cancer Institute, Boston, Massachusetts.
Madison ClayMassachusetts General Hospital, Boston, Massachusetts.
Annemarie D JagieloMassachusetts General Hospital, Boston, Massachusetts.
Julia RiceMassachusetts General Hospital, Boston, Massachusetts.
Lara TraegerMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Areej El-JawahriMassachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Massachusetts General Hospital · USHarvard University · USDana-Farber Cancer Institute · US

Funding

Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Randomized Trial of Inpatient Palliative Care for Patients with Hematologic Malignancies Undergoing Hematopoietic Stem Cell TransplantationR01CA222014 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI EL-JAWAHRI, AREEJ · 2018 to 2022
$2.2M
NCI NIH HHS R01 CA222014NCI NIH HHS T32 CA092203
6 · The paper itself

Abstract

Family and friends caring for hematopoietic stem cell transplantation (HCT) recipients experience substantial disruptions in daily life as they prepare for transplant. These disruptions may increase their psychological distress, yet little research has described the extent of this distress. The goals of the present study were to characterize rates of anxiety and depression symptoms immediately prior to HCT and their relationship with modifiable caregiving domains. We conducted a secondary analysis of cross-sectional data of caregivers of patients undergoing HCT. Caregivers completed self-report measures to assess 8 domains of caregiving (Caregiver Oncology Quality of Life Questionnaire) and anxiety and depression symptoms (Hospital Anxiety and Depression Scale [HADS]) prior to transplant. Scores ≥8 on the HADS anxiety and depression subscales signified clinically significant symptoms. We used multivariable regression models adjusting for age, sex, caregiver relationship, and HCT type to examine the associations between caregiving domains and anxiety and depression symptoms. We enrolled 193 caregivers (median age = 60 years, 70.0% female, 52.3% allogeneic transplant). A majority of participants were providing care for a spouse (79.8%), followed by a child (7.8%) or parent (5.2%). On average, caregivers reported more anxiety (mean = 7.04, SD = 3.94) than depression symptoms (mean = 4.18, SD = 3.49), with 46.6% and 16.1% endorsing clinically significant anxiety and depression symptoms, respectively. Caregiver anxiety was associated with worse physical well-being, less leisure time, and poorer coping (Ps < .05). Caregiver depression symptoms were associated with worse physical well-being and less leisure time (Ps < .05). Caregivers of HCT recipients experience substantial psychological distress, particularly anxiety, prior to transplant. This distress is linked to modifiable caregiving domains. Study findings identify possible targets for psychosocial interventions aimed at managing caregiver anxiety and depression symptoms as well as highlight the need for intervention early during the course of transplant.

Indexed as

CaregiversHematopoietic Stem Cell TransplantationAnxietyChildCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedQuality of LifeAnxietyBone marrow transplantCaregiversDepressionHematopoietic stem cell transplant

Identifiers

PMID33812804
PMCPMC8217210
OpenAlexW3133689906

What OpenQuestion holds

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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.