Evidence map›Paper›PMID 38485230›Full record

ArticleJournal of the American Geriatrics Society2024

Longitudinal effects of ambivalent and guilt feelings on dementia family caregivers' depressive symptoms.

Andrés Losada-Baltar, Brent T Mausbach, Rosa Romero-Moreno, Lucía Jiménez-Gonzalo, Cristina Huertas-Domingo, José A Fernandes-Pires, Samara Barrera-Caballero, Laura Gallego-Alberto, Natalia Martín-María, Javier Olazarán and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. 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
4.2field-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

1 citing paper in PubMed, 11 citations in OpenAlex.

  1. 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

11 authors at 4 institutions in 2 countries.

Andrés Losada-BaltarDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0002-3134-7133
Brent T MausbachDepartment of Psychiatry, University of California San Diego, San Diego, California, USA.ORCID 0000-0003-2884-8743
Rosa Romero-MorenoDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0001-5454-3586
Lucía Jiménez-GonzaloDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0002-2305-3362
Cristina Huertas-DomingoDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0003-3599-7747
José A Fernandes-PiresDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0003-1360-0702
Samara Barrera-CaballeroDepartamento de Psicología, Universidad Rey Juan Carlos, Madrid, Spain.ORCID 0000-0002-0987-3188
Laura Gallego-AlbertoDepartamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-0094-834X
Natalia Martín-MaríaDepartamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0002-9256-4828
Javier OlazaránDepartamento de Neurología, Hospital Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0002-7320-128X
María Márquez-GonzálezDepartamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0001-6572-8949
Universidad Rey Juan Carlos · ESUniversidad Autónoma de Madrid · ESHospital General Universitario Gregorio Marañón · ESUniversity of California San Diego · US

Funding

Mobile, Web-based Behavioral Intervention for Improving Caregiver Well-beingR01AG061941 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MAUSBACH, BRENT T · 2018 to 2022
$2.6M
NIA NIH HHS R01 AG061941NIA NIH HHS R01AG061941
6 · The paper itself

Abstract

backgroundThe world prevalence of people with dementia is increasing. Most of the care received by people with dementia is provided by family caregivers, and this prolonged activity has a significant impact on caregivers' levels of depression. Stressors and frequency of leisure are known predictors of caregivers' depressive levels. The longitudinal impact of caregivers' ambivalent and guilt feelings is unknown.

methodsParticipants were 177 family caregivers of relatives with dementia who were assessed three times during a 2-year period. In addition to demographic variables, psychological symptoms of the dementias, and frequency of leisure activities, caregivers' ambivalent feelings, guilt, and depressive symptoms were measured. The longitudinal association of changes in these variables with changes in caregivers' depressive symptoms over time was assessed using mixed linear models.

resultsChanges over time in the assessed variables predicted 48.05% of variance of changes over time in depressive symptoms. Even when variables strongly associated with increased depressive symptoms were controlled (lower caregivers' age and educational level, higher reaction to BPSD, and lower leisure activities), increases in ambivalence and guilt contributed to an increase of 9.22% of the variance of changes depressive symptoms over a 2-year period. The effects of ambivalent feelings on depression are indirect, mediated by guilt feelings. Cessation of caregiving do not seem to alter these findings.

conclusionsCaregivers' ambivalent and guilt feelings are significant predictors of caregivers' mental health. Caregivers may significantly benefit from early detection of ambivalent and guilt feelings and preventive strategies targeting triggers associated with ambivalent and guilt symptoms.

Indexed as

CaregiversDementiaDepressionGuiltAdultAgedAged, 80 and overFemaleHumansLeisure ActivitiesLongitudinal StudiesMaleMiddle Agedcaregiversdementiadepressionguiltlongitudinal

Identifiers

PMID38485230
PMCPMC11090735
OpenAlexW4394765852

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.