Evidence map›Paper›PMID 36617759›Full record

Observational studyNeuroRehabilitation2023

Perceived care partner burden at 1-year post-injury and associations with emotional awareness, functioning, and empathy after TBI: A TBI model systems study.

Daniel W Klyce, Kritzianel Merced, Alexander Erickson, Dawn M Neumann, Flora M Hammond, Angelle M Sander, Jennifer A Bogner, Tamara Bushnik, Joyce S Chung, Jacob A Finn

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in NeuroRehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Empathy and Psychological Outcomes in Informal Caregivers of Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Pooled it
  2. Article
  3. 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

10 authors at 9 institutions in 1 country.

Daniel W KlyceCentral Virginia VA Health Care System, Richmond, VA, USA.
Kritzianel MercedCentral Virginia VA Health Care System, Richmond, VA, USA.
Alexander EricksonCentral Virginia VA Health Care System, Richmond, VA, USA.
Dawn M NeumannIndiana University School of Medicine, Indianapolis, IN, USA.
Flora M HammondIndiana University School of Medicine, Indianapolis, IN, USA.
Angelle M SanderBaylor College of Medicine, Houston, TX, USA.
Jennifer A BognerThe Ohio State University, Columbus, OH, USA.
Tamara BushnikNew York University Langone Health, New York, NY, USA.
Joyce S ChungVA Palo Alto Health Care System, Palo Alto, CA, USA.
Jacob A FinnMinneapolis VA Health Care System, Minneapolis, MN, USA.
Rehabilitation Hospital of Indiana · USMemorial Hermann Institute for Rehabilitation and Research Foundation · USNYU Langone Health · USPalo Alto University · USThe Ohio State University · USUniversity of Minnesota · USVA Central California Health Care System · USVA Palo Alto Health Care System · USVirginia Commonwealth University · US

Funding

ACL HHS 90DPTB0001ACL HHS 90DPTB0002ACL HHS 90DPTB0010ACL HHS 90DPTB0016
6 · The paper itself

Abstract

backgroundPeople with traumatic brain injury (TBI) can lack awareness of their own emotions and often have problems with emotion dysregulation, affective disorders, and empathy deficits. These impairments are known to impact psychosocial behaviors and may contribute to the burden experienced by care partners of individuals with TBI.

objectiveTo examine the associations of emotional awareness, emotional functioning, and empathy among participants with TBI with care partner burden.

methodThis multisite, cross-sectional, observational study used data from 90 dyads (participants with TBI and their care partner) 1-year post-injury. Participants with TBI completed the Difficulty with Emotional Regulation Scale (DERS; Awareness, Clarity, Goals, Impulse, Nonacceptance, and Strategies subscales); PTSD Checklist-Civilian Version; NIH Toolbox Anger-Affect, Hostility and Aggression Subdomains; PHQ-9; GAD-7; and the Interpersonal Reactivity Index (empathic concern and perspective taking subscales). Care partners completed the Zarit Burden Inventory (ZBI) and provided demographic information.

resultsCare partners were predominately female (77%), and most were either a spouse/partner (55.2%) or parent (34.4%). In an unadjusted model that included assessments of emotional awareness, emotional functioning, and empathy of the participant with TBI, the DERS-Awareness and NIH-Hostility subscales accounted for a significant amount of variance associated with care partner burden. These findings persisted after adjusting for care partner age, relationship, education, and the functional status of the participant with TBI (β= 0.493 and β= 0.328, respectively).

conclusionThese findings suggest that high levels of hostility and low emotional self-awareness can significantly affect the burden felt by TBI care partners.

Indexed as

Brain Injuries, TraumaticEmpathyCaregiversCross-Sectional StudiesEmotionsFemaleHumansalexithymiacaregivingemotional awarenessTraumatic brain injury

Identifiers

PMID36617759
PMCPMC10325691
OpenAlexW4313644759

What OpenQuestion holds

Textmetadata
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.