Evidence map›Paper›PMID 29029293›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2020

Multiple Chronic Conditions in Spousal Caregivers of Older Adults With Functional Disability: Associations With Caregiving Difficulties and Gains.

Courtney A Polenick, Amanda N Leggett, Noah J Webster, Benjamin H Han, Steven H Zarit, John D Piette

Abstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. "I Am Not Sure What Else I Could Do to Help Her More": Perceptions of Partner Support in Older Couples Living with Multiple Chronic Conditions.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  20. How Widowhood and Gender Shape the Impact of Maternal Favoritism on Adult Children's Psychological Well-Being.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
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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

6 authors.

Courtney A PolenickDepartment of Psychiatry, University of Michigan, Ann Arbor.
Amanda N LeggettDepartment of Psychiatry, University of Michigan, Ann Arbor.
Noah J WebsterInstitute for Social Research, University of Michigan, Ann Arbor.
Benjamin H HanDepartment of Medicine, New York University.
Steven H ZaritDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park.
John D PietteDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor.

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody, RAYMOND L YUNG · 2004 to 2026
$29.2M
Institutional Career DevelopmentKL2TR001446 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI PILLINGER, MICHAEL · 2015 to 2025
$6.7M
Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NCATS NIH HHS KL2 TR001446NCATS NIH HHS UL1 TR001445NIA NIH HHS P30 AG024824NIA NIH HHS U01 AG032947NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

objectivesMultiple chronic conditions (MCCs) are common and have harmful consequences in later life. Along with managing their own health, many aging adults care for an impaired partner. Spousal caregiving may be more stressful when caregivers have MCCs, particularly those involving complex management. Yet, little is known about combinations of conditions that are most consequential for caregiving outcomes.

methodUsing a U.S. sample of 359 spousal caregivers and care recipients from the 2011 National Aging Trends Study and National Study of Caregiving, we examined three categories of MCCs based on similarity of management strategies (concordant only, discordant only, and both concordant and discordant) and their associations with caregiving difficulties and gains. We also considered gender differences.

resultsRelative to caregivers without MCCs, caregivers with discordant MCCs reported fewer gains, whereas caregivers with both concordant and discordant MCCs reported greater emotional and physical difficulties. Wives with discordant MCCs only reported a trend for greater physical difficulties. Caregivers with concordant MCCs did not report more difficulties or gains. DISCUSSION: Spousal caregivers with MCCs involving discordant management strategies appear to be at risk for adverse care-related outcomes and may benefit from support in maintaining their own health as well as their caregiving responsibilities.

Indexed as

AgingDisease ManagementActivities of Daily LivingAgedAged, 80 and overCaregiversCross-Sectional StudiesFemaleHealth SurveysHumansIndependent LivingMaleMultiple Chronic ConditionsPersons with DisabilitiesSex FactorsSpousesCaregiverComorbidityDisabilityMarriageMultimorbidity

Identifiers

PMID29029293
PMCPMC6909432

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.