Evidence map›Paper›PMID 35543307›Full record

ArticleInternational psychogeriatrics2023

Associations of perceived stress, depressive symptoms, and caregiving with inflammation: a longitudinal study.

Joanne Elayoubi, William E Haley, David L Roth, Mary Cushman, Orla C Sheehan, Virginia J Howard, Melissa deCardi Hladek, Gizem Hueluer

Open access · diamondAbstract read
In one paragraph

Article in International psychogeriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 42% 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, 10 citations in OpenAlex.

  1. Article
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  7. Longitudinal associations in dementia family caregivers of ambivalent feelings and disruptive behaviors with C-reactive protein, interleukin-6, and D-dimer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Joanne ElayoubiSchool of Aging Studies, University of South Florida, Tampa, FL, USA.ORCID 0000-0002-0591-9142
William E HaleySchool of Aging Studies, University of South Florida, Tampa, FL, USA.
David L RothCenter on Aging and Health, Division of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MD, USA.
Mary CushmanDepartment of Medicine & Pathology, University of Vermont, Burlington, VT, USA.
Orla C SheehanCenter on Aging and Health, Division of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MD, USA.
Virginia J HowardDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Melissa deCardi HladekSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Gizem HueluerSchool of Aging Studies, University of South Florida, Tampa, FL, USA.
Johns Hopkins University · USUniversity of South Florida · USUniversity of Alabama at Birmingham · USUniversity of Vermont · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Transitions to Family Caregiving and Its Impact on Health IndicatorsRF1AG050609 · NIA · JOHNS HOPKINS UNIVERSITY · PI ROTH, DAVID L · 2016 to 2016
$3.3M
NIA NIH HHS P30 AG021334NIA NIH HHS RF1 AG050609NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

objectivesHigher inflammation has been linked to poor physical and mental health outcomes, and mortality, but few studies have rigorously examined whether changes in perceived stress and depressive symptoms are associated with increased inflammation within family caregivers and non-caregivers in a longitudinal design.

designLongitudinal Study.

settingREasons for Geographic And Racial Differences in Stroke cohort study.

participantsParticipants included 239 individuals who were not caregivers at baseline but transitioned to providing substantial and sustained caregiving over time. They were initially matched to 241 non-caregiver comparisons on age, sex, race, education, marital status, self-rated health, and history of cardiovascular disease. Blood was drawn at baseline and approximately 9.3 years at follow-up for both groups. MEASUREMENTS: Perceived Stress Scale, Center for Epidemiological Studies-Depression, inflammatory biomarkers, including high-sensitivity C-reactive protein, D dimer, tumor necrosis factor alpha receptor 1, interleukin (IL)-2, IL-6, and IL-10 taken at baseline and follow-up.

resultsAlthough at follow-up, caregivers showed significantly greater worsening in perceived stress and depressive symptoms compared to non-caregivers, there were few significant associations between depressive symptoms or perceived stress on inflammation for either group. Inflammation, however, was associated with multiple demographic and health variables, including age, race, obesity, and use of medications for hypertension and diabetes for caregivers and non-caregivers.

conclusionsThese findings illustrate the complexity of studying the associations between stress, depressive symptoms, and inflammation in older adults, where these associations may depend on demographic, disease, and medication effects. Future studies should examine whether resilience factors may prevent increased inflammation in older caregivers.

Indexed as

DepressionStress, PsychologicalAgedCohort StudiesHumansInflammationLongitudinal Studiesbiomarkerschronic stressdepressive symptomsfamily caregivinginflammatory

Identifiers

PMID35543307
PMCPMC11804796
OpenAlexW4280519826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.