Evidence map›Paper›PMID 37840129›Full record

ArticleBMC medicine2023

What is the impact of one's chronic illness on his or her spouse's future chronic illness: a community-based prospective cohort study.

Hoyoung An, Hee Won Yang, Dae Jong Oh, Eunji Lim, Jin Shin, Dong Gyu Moon, Seung Wan Suh, Seonjeong Byun, Tae Hui Kim, Kyung Phil Kwak and 13 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

23 authors at 16 institutions in 1 country.

Hoyoung AnDepartment of Neuropsychiatry, Keyo Hospital, Uiwang-Si, South Korea.
Hee Won YangDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Dae Jong OhWorkplace Mental Health Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Eunji LimDepartment of Psychiatry, Gyeongsang National University Changwon Hospital, Changwon, South Korea.
Jin ShinDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Dong Gyu MoonDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Seung Wan SuhSeoul Heal Mental Health Clinic, Seoul, South Korea.
Seonjeong ByunDepartment of Psychiatry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, South Korea.
Tae Hui KimDepartment of Psychiatry, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea.
Kyung Phil KwakDepartment of Psychiatry, Dongguk University Gyeongju Hospital, Gyeongju, South Korea.
Bong Jo KimDepartment of Psychiatry, Gyeongsang National University School of Medicine, Jinju, South Korea.
Shin Gyeom KimDepartment of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea.
Jeong Lan KimDepartment of Psychiatry, School of Medicine, Chungnam National University, Daejeon, South Korea.
Seok Woo MoonDepartment of Psychiatry, School of Medicine, Konkuk University, Konkuk University Chungju Hospital, Chungju, South Korea.
Joon Hyuk ParkDepartment of Neuropsychiatry, Jeju National University Hospital, Jeju, South Korea.
Seung-Ho RyuDepartment of Psychiatry, School of Medicine, Konkuk University, Konkuk University Medical Center, Seoul, South Korea.
Dong Woo LeeDepartment of Neuropsychiatry, Inje University Sanggye Paik Hospital, Seoul, South Korea.
Seok Bum LeeDepartment of Psychiatry, Dankook University Hospital, Cheonan, South Korea.
Jung Jae LeeDepartment of Psychiatry, Dankook University Hospital, Cheonan, South Korea.
Jin Hyeong JhooDepartment of Psychiatry, Kangwon National University, School of Medicine, Chuncheon, South Korea.
Jong Bin BaeDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Ji Won HanDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea.
Ki Woong KimDepartment of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, South Korea. kwkimmd@snu.ac.kr.
Seoul National University Bundang Hospital · KRDankook University Hospital · KRGyeongsang National University · KRChungnam National University · KRDongguk University WISEDr Youth Clinic · KRInje University Sanggye Paik Hospital · KRJeju National University Hospital · KRKangbuk Samsung Hospital · KRKangwon National University · KRKonkuk University · KRKonkuk University Medical Center · KRSeoul National University · KRSoonchunhyang University · KRThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KRWonju Severance Christian Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrating a joint approach to chronic disease management within the context of a couple has immense potential as a valuable strategy for both prevention and treatment. Although spousal concordance has been reported in specific chronic illnesses, the impact they cumulatively exert on a spouse in a longitudinal setting has not been investigated. We aimed to determine whether one's cumulative illness burden has a longitudinal impact on that of their spouse.

methodsData was acquired from a community-based prospective cohort that included Koreans aged 60 years and over, randomly sampled from 13 districts nationwide. Data from the baseline assessment (conducted from November 2010 to October 2012) up to the 8-year follow-up assessment was analyzed from October 2021 to November 2022. At the last assessment, partners of the index participants were invited, and we included 814 couples in the analysis after excluding 51 with incomplete variables. Chronic illness burden of the participants was measured by the Cumulative Illness Rating Scale (CIRS). Multivariable linear regression and causal mediation analysis were used to examine the longitudinal effects of index chronic illness burden at baseline and its change during follow-up on future index and spouse CIRS scores.

resultsIndex participants were divided based on baseline CIRS scores (CIRS < 6 points, n = 555, mean [SD] age 66.3 [4.79] years, 43% women; CIRS ≥ 6 points, n = 259, mean [SD] age 67.7 [4.76] years, 36% women). The baseline index CIRS scores and change in index CIRS scores during follow-up were associated with the spouse CIRS scores (β = 0.154 [SE: 0.039], p < 0.001 for baseline index CIRS; β = 0.126 [SE: 0.041], p = 0.002 for change in index CIRS) at the 8-year follow-up assessment. Subgroup analysis found similar results only in the high CIRS group. The baseline index CIRS scores and change in index CIRS scores during follow-up had both direct and indirect effects on the spouse CIRS scores at the 8-year follow-up assessment.

conclusionsThe severity and course of one's chronic illnesses had a significant effect on their spouse's future chronic illness particularly when it was severe. Management strategies for chronic diseases that are centered on couples may be more effective.

Indexed as

SpousesAgedChronic DiseaseFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexAgedChronic diseaseDisease managementGeriatricsSpouse

Identifiers

PMID37840129
PMCPMC10578032
OpenAlexW4387652025

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.