Evidence map›Paper›PMID 36743783›Full record

ArticleCouple & family psychology2022

"We Moved Her Too Soon": Navigating Guilt Among Adult Child and Spousal Caregivers of Persons Living with Dementia Following a Move into Residential Long-Term Care.

Tamara L Statz, Colleen M Peterson, Robyn W Birkeland, Hayley R McCarron, Jessica M Finlay, Christina E Rosebush, Zachary G Baker, Joseph E Gaugler

Open access · hybridAbstract read
In one paragraph

Article in Couple & family psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  11. Variations in State Essential Caregiver Programs for Nursing Homes During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  19. Reimagining Family Involvement in Residential Long-Term Care.Journal of the American Medical Directors Association · 2022
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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

8 authors at 2 institutions in 2 countries.

Tamara L StatzDivision of Health Policy and Management, School of Public Health, University of Minnesota.
Colleen M PetersonDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota.
Robyn W BirkelandDivision of Health Policy and Management, School of Public Health, University of Minnesota.
Hayley R McCarronDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota.
Jessica M FinlaySocial Environment and Health, University of Michigan.
Christina E RosebushDivision of Environmental Health Sciences, School of Public Health, University of Minnesota.
Zachary G BakerDivision of Health Policy and Management, School of Public Health, University of Minnesota.
Joseph E GauglerDivision of Health Policy and Management, School of Public Health, University of Minnesota.
University of Minnesota · USInstitute for Social Research · NO

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Improving Outcomes for Family Caregivers and Older Adults with Complex Conditions: The Adult Day Service Plus ProgramR01AG049692 · NIA · JOHNS HOPKINS UNIVERSITY · PI GAUGLER, JOSEPH E., GITLIN, LAURA N. · 2016 to 2020
$4.9M
The Residential Care Transition ModuleR01AG048931 · NIA · UNIVERSITY OF MINNESOTA · PI GAUGLER, JOSEPH E. · 2016 to 2020
$3.1M
ENHANCE: Developing a Clinical Geography Tool to Intervene in Cognitive Decline through Neighborhood DesignF32AG064815 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FINLAY, JESSICA MARIE · 2019 to 2021
$128k
NCATS NIH HHS UL1 TR002240NIA NIH HHS F32 AG064815NIA NIH HHS R01 AG048931NIA NIH HHS R01 AG049692
6 · The paper itself

Abstract

Guilt is a complex and multifaceted emotion navigated by many family caregivers. Guilt is sometimes experienced following a transition into a residential long-term care facility, even when the move is necessary given high care needs related to Alzheimer's disease and related dementias. This mixed methods study identifies and compares areas of guilt most frequently experienced by spouse and adult child caregivers (N=83) of a family member with dementia following transition into residential long-term care. Nearly half of caregivers reported experiencing guilt from their care recipient, other family members, or facility staff. Quantitative analyses explored variables that predict heightened feelings of guilt, and qualitative thematic analyses provided rich insight into subjective experiences of guilt. Person-specific and situational characteristics influenced caregiver guilt, including level of involvement in care, frequency and quality of visits, and perceptions of the residential long-term care facility. We identify specific opportunities for tailored couple and family psychology interventions including communication strategies, decision-making approaches, focusing on positives, psychoeducation, self-forgiveness exercises, stress management and self-care activities, and validation. The present work informs how counseling interventions can provide practical support by highlighting specific clinical mechanisms that help to alleviate common facets of caregiver guilt following a transition into residential long-term care. Critically, we distinguish variation between spouses and adult children to design treatment plans that best support clients who are caring for a person living with dementia in residential long-term care.

Indexed as

adult childAlzheimer’s disease and Alzheimer’s disease related dementiascaregivingguiltspouse

Identifiers

PMID36743783
PMCPMC9897423
OpenAlexW3161927943

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.