Evidence map›Paper›PMID 39136354›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2024

Self-Compassion and Emotion Dysregulation Mediate the Effect of Stress Appraisals on Elder Abuse and Neglect Behaviors in Dementia Family Caregiving.

Carolyn E Z Pickering, Nicole Weiss, Mustafa Yildiz, Tami Sullivan

Abstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2024. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Observational
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

4 authors.

Carolyn E Z PickeringDepartment of Research, UTHealth Houston Cizik School of Nursing, Houston, Texas,USA.ORCID 0000-0003-3885-4119
Nicole WeissDepartment of Psychology, College of Health Science, University of Rhode Island, Kingston, Rhode Island, USA.
Mustafa YildizDepartment of Research, UTHealth Houston Cizik School of Nursing, Houston, Texas,USA.
Tami SullivanDivision of Prevention and Community Research, Department of Psychiatry, School of Medicine, Yale University, New Haven, Connecticut,USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Daily Dynamics and Long-Term Trajectories of Elder Abuse and Neglect in the Family CaregivingR01AG060083 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PICKERING, CAROLYN E ZIMINSKI · 2018 to 2021
$1.7M
NCATS NIH HHS UL1 TR001863NIA NIH HHS R01 AG060083NIA NIH HHS R01AG060083
6 · The paper itself

Abstract

objectivesThe purpose of this paper is to evaluate the mechanistic process by which family caregivers' situational stress appraisals of behavioral symptoms of dementia (BSD) increase the likelihood of a caregiver engaging in abusive and neglectful behaviors toward their care recipient with dementia. We test the hypotheses that (1) the effect of daily BSD stress appraisals on elder abuse and neglect (EAN) is mediated by the caregivers' emotion dysregulation (2) and the mediation path is moderated by self-compassion.

methodsThis study employed a multitime series design in which participants (N = 453) completed traditional longitudinal surveys at enrollment followed by 21 sequential days of diary surveys (n = 9,513). The hypothesized moderated mediation path was evaluated through a multilevel structural equation model.

resultsHypotheses were supported. At the within-person level, daily BSD stress appraisal has a significant direct effect on daily EAN. At the between-person level, the path was no longer significant implying a full mediation of emotion dysregulation. The main effect of self-compassion and the interaction term (emotion dysregulation × self-compassion) were also statistically significant indicating the path between emotion dysregulation and EAN is moderated by self-compassion. DISCUSSION: This study significantly advances the field by empirically showing a mechanistic pathway for a theoretical explanation of EAN. These findings represent a breakthrough for the field and identify modifiable intervention targets for future behavioral interventions to prevent EAN. Emotion (dys)regulation and self-compassion are modifiable traits and skills that can be learned, with robust evidence bases of efficacious interventions that can be adapted for context to dementia family caregiving.

Indexed as

CaregiversDementiaElder AbuseEmotional RegulationEmpathyStress, PsychologicalAdultAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMiddle AgedBehavioral symptoms of dementiaCoping strategiesElder mistreatmentEmotion regulationFamily caregivers

Identifiers

PMID39136354
PMCPMC11439994

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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.