Evidence map›Paper›PMID 35493974›Full record

ArticleProgress in palliative care2021

Hospice and palliative care clinicians' perceptions of posttraumatic stress disorder at end-of-life in military veterans.

Anica Pless Kaiser, Kelly O'Malley, Jennifer Moye, Anna G Etchin, Lynn Korsun, Rachel Weiskittle, Hannah Bashian, Katherine Kemp, Zachary S Sager

Open access · greenAbstract read
In one paragraph

Article in Progress in palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Posttraumatic Stress Disorder in Older Veterans admitted to VA Community Living Centers: Prevalence and Risk Correlates.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  5. Maximizing Veterans Health Affairs Community Hospice Collaborations: Review of Perceived Resource Needs to Support Veterans at End of Life.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2024
    Review
  6. Review
  7. Observational
  8. Article
  9. Article
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 4 institutions in 1 country.

Anica Pless KaiserVA National Center for PTSD, Boston, MA, USA.ORCID 0000-0002-4803-0191
Kelly O'MalleyVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0003-3790-7557
Jennifer MoyeVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0002-3434-347X
Anna G EtchinVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0001-9089-1748
Lynn KorsunVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0001-8694-0893
Rachel WeiskittleVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0002-2733-4364
Hannah BashianVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0002-8348-4228
Katherine KempNational Hospice and Palliative Care Organization, Alexandria, VA, USA.
Zachary S SagerVA Boston Healthcare System, Boston, MA, USA.ORCID 0000-0001-8209-9582
VA Boston Healthcare System · USHarvard University · USBoston University · USNational Hospice and Palliative Care Organization · US

Funding

Intramural VA VA999999RRD VA IK2 RX001832
6 · The paper itself

Abstract

At the end of life, individuals may re-engage with earlier life trauma as they reflect on life experiences and confront their mortality. As such, posttraumatic stress disorder (PTSD) symptoms at the end of life may worsen the quality of death experience. This is a concern for military veterans, who tend to have more trauma exposures and higher rates of PTSD, and particularly for veterans receiving care in rural areas where access to PTSD specialty services is limited. To better understand this issue, we conducted 10 focus groups with clinicians serving veterans in rural communities across five U.S. states. The aims of this project were to evaluate: (1) do hospice and palliative care providers/staff observe PTSD symptoms in veterans at the end of life? (2) if so, how are symptoms similar to and different from existing DSM-5 criteria for PTSD? We used qualitative content analysis with mixed deductive and inductive approaches to code 151 anonymized statements. Analyses found descriptions of PTSD symptoms aligned broadly with existing diagnostic nomenclature, but descriptions revealed specific presentations relevant to the end of life setting such as resistance to care, agitation, restlessness, and effects of delirium. In addition, some veterans expressed pride in service and openness to discussing military experiences. Further, clinicians noted that PTSD symptoms were relevant to family dynamics. Future research should further characterize these symptom differences through direct patient assessment and develop resources to improve quality of death experience for veterans with PTSD symptoms.

Indexed as

End-of-life careHospiceMilitaryPalliative carePTSDQualitativeTraumaVeterans

Identifiers

PMID35493974
PMCPMC9047186
OpenAlexW3207236125

What OpenQuestion holds

Textmetadata
LicenceTDM
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.