Evidence map›Paper›PMID 39313699›Full record

ArticleNeurocritical care2025

Lower Perceived Social Support During Hospitalization by Close Family Members may have Significant Associations with Psychological Distress 1 Month After Cardiac Arrest.

Mina Yuan, Isabella M Tincher, Danielle A Rojas, Bhanvi Sachdeva, Sabine Abukhadra, Christine E DeForge, Kristin Flanary, Bernard P Chang, Sachin Agarwal

Abstract read
In one paragraph

Article in Neurocritical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Psychological and behavioral dimensions in cardiac arrest survivors and their families: A state-of-the-art review.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    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

9 authors.

Mina YuanColumbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Isabella M TincherDepartment of Neurology, Division of Critical Care and Hospitalist Neurology, Columbia University Irving Medical Center/New York Presbyterian Hospital, Milstein Hospital, 177 Fort Washington Avenue, 8GS-300, New York, NY, 10032, USA.
Danielle A RojasDepartment of Neurology, Division of Critical Care and Hospitalist Neurology, Columbia University Irving Medical Center/New York Presbyterian Hospital, Milstein Hospital, 177 Fort Washington Avenue, 8GS-300, New York, NY, 10032, USA.
Bhanvi SachdevaColumbia University Mailman School of Public Health, New York, NY, USA.
Sabine AbukhadraWake Forest University School of Medicine, Winston-Salem, NC, USA.
Christine E DeForgeColumbia University School of Nursing, New York, NY, USA.
Kristin FlanaryCardiac Arrest Family Member Stakeholder and Advocate, Glaucomflecken LLC, Eugene, OR, USA.
Bernard P ChangDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Sachin AgarwalDepartment of Neurology, Division of Critical Care and Hospitalist Neurology, Columbia University Irving Medical Center/New York Presbyterian Hospital, Milstein Hospital, 177 Fort Washington Avenue, 8GS-300, New York, NY, 10032, USA. sa2512@columbia.edu.ORCID 0000-0003-0559-9326

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
NRSA Training CoreTL1TR001875 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N, TAYLOR, JACQUELYN Y · 2016 to 2025
$8.9M
SHORT-TERM TRAINING: STUDENTS IN PROFESSIONAL SCHOOLST35HL007616 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI RUDOLPH L LEIBEL, Markus Y Mapara · 1985 to 2026
$4.4M
The Identification of Modifiable Emergency Department and Sleep Factors Contributing to Psychological and Cardiovascular Risk in CliniciansR01HL146911 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHANG, BERNARD P., SHECHTER, ARI · 2020 to 2024
$4.3M
Psychological symptoms in healthcare workers following the COVID-19 pandemic and relationship to long-term cardiovascular riskR01HL157341 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jeffrey Lee Birk, Bernard P. Chang · 2022 to 2026
$3.8M
Testing a rapid outpatient management strategy on PTSD, cardiovascular and rehospitalization risk in TIA and minor stroke survivors evaluated in the Emergency DepartmentR01HL141811 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHANG, BERNARD P. · 2018 to 2022
$3.5M
Characterize psychological and behavioral dimensions of cardiac arrest survivorship, and their association with 1-year mortality, cardiovascular disease risk, and health-related quality of lifeR01HL153311 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AGARWAL, SACHIN · 2021 to 2024
$3.1M
Characterize psychological and behavioral dimensions of cardiac arrest survivorship, and their association with 1-year mortality, cardiovascular disease risk and health-related quality of lifeR56HL153311 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AGARWAL, SACHIN · 2020 to 2020
$796k
NCATS NIH HHS TL1 TR001875NCATS NIH HHS UL1 TR001873NHLBI Division of Intramural Research 5T35HL007616NHLBI Division of Intramural Research HL153311NHLBI NIH HHS R01 HL141811NHLBI NIH HHS R01 HL146911NHLBI NIH HHS R01 HL153311NHLBI NIH HHS R01 HL157341NHLBI NIH HHS T35 HL007616
6 · The paper itself

Abstract

backgroundThe perception of having poor social support is associated with worse symptoms of psychological distress in close family members of critically ill patients, yet this has never been tested after cardiac arrest.

methodsClose family members of consecutive patients with cardiac arrest hospitalized at an academic tertiary care center participated in a prospective study. The validated Multidimensional Scale of Perceived Social Support (MSPSS) cued to index hospitalization was administered before discharge. Multivariate linear regressions estimated the associations between the total MSPSS score and total scores on the Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder 2-item (GAD-2), and the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), assessed 1 month after cardiac arrest.

resultsIn 102 participants (mean age 52 ± 15 years, 70% female, 21% Black, 33% Hispanic) with complete data, the prevalence of depression, generalized anxiety, and probable posttraumatic stress disorder at a median duration of 28.5 days (interquartile range 10-63 days) from cardiac arrest was 61%, 34%, and 13%, respectively. A lower MSPSS score was significantly associated with higher PHQ-8 scores (β =  - 0.11 [95% confidence interval - 0.04 to - 0.18]; p < 0.01), even after adjusting for family members' age, sex, prior psychiatric condition, and witnessing of cardiopulmonary resuscitation and patient's discharge disposition (β =  - 0.11 [95% confidence interval - 0.02 to - 0.15]; p < 0.01). Similarly, significant inverse associations of total MSPSS scores were seen with 1-month GAD-2 and PCL-5 scores.

conclusionsPoor social support during hospitalization, as perceived by close family members of cardiac arrest survivors, is associated with worse depressive symptoms at 1 month. Temporal changes in social networks and psychological distress warrant further investigation.

Indexed as

Anxiety DisordersDepressionFamilyHeart ArrestHospitalizationPsychological DistressSocial SupportStress Disorders, Post-TraumaticAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesAnxietyCardiac arrestCaregiverDepressionPosttraumatic stress disorderSocial support

Identifiers

PMID39313699
PMCPMC12210419

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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.