Evidence map›Paper›PMID 40187377›Full record

ArticleJournal of pain and symptom management2025

A Qualitative Study of CMC Caregivers' Perspectives about their Emotional Well-Being.

Justin A Yu, Amy Porter, Jori Bogetz, Mikhaila Layshock, Lydia McLachlan, Sydney Weill, Joseph G Winger, Maya I Ragavan, Abby Rosenberg, Amy Houtrow and 2 more

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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.

Justin A YuDepartment of Pediatrics (PaRC), Palliative Research Center (J.A.Y), University of Pittsburgh; Division of Palliative and Supportive Care, University of Pittsburgh School of Medicine and UPMC Children's Hospital, Pittsburgh, PA, USA. Electronic address: yuja@upmc.edu.
Amy PorterDepartment of Pediatrics (A.P.), Division of Supportive and Palliative Care, Mass General for Children, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jori BogetzDepartment of Pediatrics (J.B.), Division of Bioethics and Palliative Care, University of Washington School of Medicine; Treuman Katz Center for Pediatric Bioethics and Palliative Care, Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, USA.
Mikhaila LayshockUniversity of Pittsburgh School of Medicine (M.L.), Pittsburgh, PA, USA.
Lydia McLachlanCase Western Medical School (L.M.), Cleveland, OH, USA.
Sydney WeillUniversity of Pittsburgh Medical Center (S.W.), Pittsburgh, PA, USA.
Joseph G WingerDepartment of Psychiatry and Behavioral Sciences (J.G.W.), Duke University School of Medicine, Durham, NC, USA.
Maya I RagavanDivision of General Academic Pediatrics (M.I.R.), University of Pittsburgh School of Medicine and UPMC Children's Hospital, Pittsburgh, PA, USA.
Abby RosenbergDepartment of Pediatrics (A.R.), Division of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute; Boston Children's Hospital; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Amy HoutrowDepartment of Physical Medicine & Rehabilitation (A.H.), University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Robert NollUniversity of Pittsburgh (R.N.), Emeritus, Pittsburgh, PA, USA.
Yael SchenkerDivision of General Internal Medicine (Y.S.), Palliative Research Center (PaRC), University of Pittsburgh; Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Refining and Pilot Testing a Meaning-Centered and Cognitive-Behavioral Intervention to Improve the Emotional Well-Being of Family Caregivers of Children with Medical ComplexityK23HD115947 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Justin Anthony Yu · 2025 to 2026
$323k
NCATS NIH HHS KL2 TR001856NICHD NIH HHS K23 HD115947
6 · The paper itself

Abstract

objectiveTo better understand the perspectives of family caregivers' of children with medical complexity (CMC) about their emotional well-being.

methodsWe conducted a qualitative study of family caregivers of CMC receiving medical care at an academic children's hospital in western Pennsylvania. Participants completed one-on-one, in-depth, semi-structured interviews examining their perspectives about their emotional well-being in the context of CMC caregiving. We used a constant-comparative and inductive approach to analyze deidentified transcripts and identify emergent themes.

resultsWe interviewed 19 participants (17 [90%] female; 14 [74%] White; mean age 43 years) from March to December 2022. Participant's children were 11 years old on average (range 2-20 years), utilized medical technology (19 [100%]), and lived with chronic conditions most commonly affecting the neurologic (19 [100%]), gastrointestinal (19 [100%]), and respiratory (16 [84%]) organ systems. Three emergent themes reflected how CMC caregivers' emotional well-being exists on a dynamic spectrum: 1) deep reward vs. sadness, 2) increased and decreased control of one's emotions, and 3) psychological strength vs. exhaustion and defeat. Participants reported experiencing these seemingly conflicting emotions either concurrently or oscillating between them.

conclusionFamily caregivers of CMC report both strongly positive and negative changes to their emotional well-being which are often dynamic and in tension. Our findings can be used to inform the development and implementation of future clinical and research efforts aiming to improve the emotional well-being of this critically important caregiver population.

Indexed as

CaregiversEmotionsAdolescentAdultChildChild, PreschoolChronic DiseaseFemaleHumansMaleMiddle AgedQualitative ResearchYoung AdultChildren with medical complexityEmotional well-beingFamily caregiversPediatric palliative care

Identifiers

PMID40187377
PMCPMC13325746

What OpenQuestion holds

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LicenceCC BY
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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.