Evidence map›Paper›PMID 39632151›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2025

Dyadic Comparison of Pain and Stress in Alzheimer's Disease and Caregivers.

Alison R Anderson, Juliana Souza-Talarico, Ishika Mahajan, Todd B Monroe, Alai Tan, Amy R Mackos, Jodi L Ford, Kathy D Wright, Tanya Gure, Karen M Rose and 1 more

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 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. Caregiver- and Care Recipient-Related Factors Linked to Pain in Family Caregivers of Persons Living with Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  2. 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.

Alison R AndersonUniversity of Iowa College of Nursing, Iowa City, IA, USA. Electronic address: alison-r-anderson@uiowa.edu.
Juliana Souza-TalaricoUniversity of Iowa College of Nursing, Iowa City, IA, USA.
Ishika MahajanThe Ohio State University, Columbus, OH, USA.
Todd B MonroeCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Alai TanCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Amy R MackosCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Jodi L FordCollege of Nursing, Stress Science Lab, The Ohio State University, Columbus, OH, USA.
Kathy D WrightCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Tanya GureWexner Medical Center, The Ohio State University, Columbus, OH, USA.
Karen M RoseCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Karen O MossCollege of Nursing, The Ohio State University, Columbus, OH, USA.

Funding

The OSU Center for Clinical and Translational Science: Advancing Today's Discoveries to Improve HealthUL1TR002733 · NCATS · OHIO STATE UNIVERSITY · PI RINGEL, MATTHEW D · 2018 to 2022
$28.9M
Pain Sensitivity and Unpleasantness in People with Alzheimer's Disease and CancerR01AG061325 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COWAN, RONALD L, MONROE, TODD BRYANT · 2019 to 2023
$4.7M
Sex Differences in Pain Reports and Brain Activation in Older Adults with Alzheimers DiseaseR01AG059861 · NIA · OHIO STATE UNIVERSITY · PI MONROE, TODD BRYANT · 2018 to 2022
$3.6M
Training in the Science of Health DevelopmentT32NR014225 · NINR · OHIO STATE UNIVERSITY · PI MARY E HAPP, Rita H Pickler · 2013 to 2026
$2.6M
Addressing the double jeopardy of stress and hypertension among African American female caregivers of persons living with Alzheimer's disease and related dementiasR21AG077069 · NIA · OHIO STATE UNIVERSITY · PI WRIGHT, KATHY DENISE · 2022 to 2023
$433k
NCATS NIH HHS UL1 TR002733NIA NIH HHS R01 AG059861NIA NIH HHS R01 AG061325NIA NIH HHS R21 AG077069NINR NIH HHS T32 NR014225
6 · The paper itself

Abstract

backgroundMillions of people live with dementia worldwide, relying heavily on family caregivers. Pain is common in both people living with Alzheimer's disease (PLWAD) and their caregivers, contributing to stress and burden. To our knowledge, this is the first study to examine the relationship between pain, stress, hair cortisol, and mental health in PLWAD and their caregivers and how these factors are linked to caregiver burden.

methodsThis exploratory pilot study included five PLWAD-caregiver dyads. Participants completed questionnaires on pain, mental health, and demographics. Hair samples were collected for cortisol analysis. Pearson correlation coefficients (r) were used to assess relationships between various factors of PLWAD and their caregivers.

resultsContrary to expectations, pain and mental health measures for PLWAD displayed a trend toward negative correlation with their hair cortisol levels. Conversely, caregiver pain and mental health measures had a trend toward positive correlation with their hair cortisol levels. There was also a trend that higher pain in PLWAD was associated with higher caregiver burden.

conclusionThis exploratory pilot study showed associational trends suggesting a complex relationship between pain, mental health, and stress in PLWAD-caregiver dyads. This preliminary work will inform future studies that can help advance targeted, tailored interventions.

Indexed as

Alzheimer DiseaseCaregiversPainStress, PsychologicalAgedAged, 80 and overFemaleHumansHydrocortisoneMaleMiddle AgedPain MeasurementPilot ProjectsSurveys and QuestionnairesHydrocortisoneAlzheimer diseaseCaregiver burdenPainPhysiological stressSubjective stress

Identifiers

PMID39632151
PMCPMC11957937

What OpenQuestion holds

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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.