Evidence map›Paper›PMID 39927711›Full record

ArticleBiopsychosocial science and medicine2025

Preliminary Evidence of Higher Production of LPS-induced Proinflammatory Cytokines in Retired Versus Employed Dementia Caregivers.

Jensine Paoletti-Hatcher, Daniel L Argueta, Bryan T Denny, Jaye L Derrick, Charles E Green, Vincent D Lai, Luis D Medina, Paul E Schulz, Jennifer M Stinson, E Lydia Wu-Chung and 2 more

Abstract read
In one paragraph

Article in Biopsychosocial science and medicine, 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. Challenge-based ex vivo immune profiling reveals stimulus-dependent peripheral immune reprogramming in Alzheimer's disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    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

12 authors.

Jensine Paoletti-HatcherORCID 0000-0003-2160-8405
Daniel L Argueta
Bryan T Denny
Jaye L Derrick
Charles E Green
Vincent D Lai
Luis D Medina
Paul E Schulz
Jennifer M Stinson
E Lydia Wu-Chung
Cobi J Heijnen
Christopher P Fagundes

Funding

Individual differences in dementia spousal caregiver burden: A biobehavioral approach revisionR01AG062690 · NIA · RICE UNIVERSITY · PI FAGUNDES, CHRISTOPHER PAUL · 2019 to 2023
$4.3M
Project Heart: Biobehavioral Effects on Cardiovascular Risk for Bereaved SpousesR01HL127260 · NHLBI · RICE UNIVERSITY · PI FAGUNDES, CHRISTOPHER PAUL · 2015 to 2019
$4.1M
Social and Biological Influences of Sleep in ADRD Spousal CaregiversRF1AG075946 · NIA · RICE UNIVERSITY · PI FAGUNDES, CHRISTOPHER PAUL · 2023 to 2025
$2.6M
Mechanisms underlying delayed neurocognitive dysfunction in long-covidR01AG080137 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI PAUL E SCHULZ · 2023 to 2026
$2.5M
Biobehavioral mechanisms of smartphone-based cognitive emotion regulation training for unpaid primary caregivers of persons with Alzheimer's DiseaseR01AG074229 · NIA · RICE UNIVERSITY · PI Bryan Thomas Denny · 2022 to 2026
$2.5M
The Engaging Communities of Hispanics for Aging Research (ECHAR) NetworkR24AG065170 · NIA · UNIVERSITY OF HOUSTON · PI MEDINA, LUIS D · 2020 to 2022
$2.5M
Acculturation, Social Context, Loneliness, and the Development of Alcohol Problems in Latinx IndividualsR01AA030889 · NIAAA · UNIVERSITY OF HOUSTON · PI JAYE L DERRICK, Clayton Neighbors · 2023 to 2026
$2.4M
A Precision Engagement Approach with Hispanics/Latinos for Alzheimer’s Disease Research: ECHAR-PEUH2AG083264 · NIA · UNIVERSITY OF HOUSTON · PI MEDINA, LUIS D · 2023 to 2024
$914k
Neural mechanisms of enhancing emotion regulation in bereaved spousesR21AG061597 · NIA · RICE UNIVERSITY · PI DENNY, BRYAN THOMAS, FAGUNDES, CHRISTOPHER PAUL · 2020 to 2021
$445k
Employment Status, Psychosocial Functioning, and Chronic Inflammation Among Dementia Spousal CaregiversF32AG079624 · NIA · RICE UNIVERSITY · PI PAOLETTI, JENSINE · 2022 to 2024
$151k
From stress to dementia risk: An examination of psychological, immunological, and neurobiological mechanisms underlying increased risk for Alzheimer’s disease and related dementias in widow(er)sF31AG074648 · NIA · RICE UNIVERSITY · PI WU-CHUNG, E. LYDIA · 2022 to 2024
$116k
NHLBI NIH HHS R01 HL127260NIAAA NIH HHS R01 AA030889NIA NIH HHS F31 AG074648NIA NIH HHS F32 AG079624NIA NIH HHS R01 AG062690NIA NIH HHS R01 AG074229NIA NIH HHS R01 AG080137NIA NIH HHS R21 AG061597NIA NIH HHS R24 AG065170NIA NIH HHS RF1 AG075946NIA NIH HHS UH2 AG083264
6 · The paper itself

Abstract

objectiveNearly half of all informal (unpaid) family caregivers for patients with Alzheimer disease or related dementias (ADRD) are employed. We test competing hypotheses on the role of employment for ADRD spousal caregivers, as some evidence suggests that stress from work and caregiving will have an additive effect. Other evidence suggests that psychological resources generated at work may buffer stress at home. Psychological stress is associated with immune dysregulation; we examined the role of employment status on proinflammatory cytokine production.

methodsWe tested competing hypotheses cross-sectionally in a sample of 113 ADRD spousal caregivers, including 26 employed caregivers (working full-time or part-time) and 87 retired caregivers. We examined the effect of employment status on a composite of monocyte-stimulated interleukin-6, tumor necrosis factor-α, and interleukin-1 beta in unadjusted models and in models adjusting for covariates.

resultsEmployed ADRD spousal caregivers had lower composite proinflammatory cytokine production than retired ADRD spousal caregivers. In exploratory follow-up analyses, neither caregiver depressive symptoms, anticipatory grief, nor negative affect explained the impact of employment status on proinflammatory cytokine production.

conclusionsEmployed ADRD caregivers had lower proinflammatory cytokine production than retired ADRD caregivers. There may be many reasons for this finding; employed ADRD caregivers have another domain to fulfill their psychological needs, may benefit financially, and may exhibit better coping than their retired counterparts. Future investigations should examine psychological mechanisms for protecting caregivers' health through positive work experiences to employ such experiences in retired caregivers.

Indexed as

CaregiversCytokinesDementiaEmploymentRetirementAgedAlzheimer DiseaseCross-Sectional StudiesFemaleHumansInterleukin-6LipopolysaccharidesMaleMiddle AgedStress, PsychologicalTumor Necrosis Factor-alphaCytokinesInterleukin-6LipopolysaccharidesTumor Necrosis Factor-alphainflammationpositive experiencesstress bufferwork-family enrichment

Identifiers

PMID39927711
PMCPMC12240707

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.