Evidence map›Paper›PMID 39780398›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Better Mental Health and Fewer Depressive Symptoms Are Associated With Greater Psychological Resilience After Hip Fracture.

Taylor McClennen, Hari Sharma, Douglas P Kiel, Richard H Fortinsky, Camelia P Guild, Denise Orwig, Jay Magaziner, Ellen F Binder, Sarah D Berry

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Taylor McClennenUniversity of Massachusetts, T.H. Chan School of Medicine, Worcester, Massachusetts, USA.ORCID 0009-0006-9456-2558
Hari SharmaUniversity of Massachusetts, T.H. Chan School of Medicine, Worcester, Massachusetts, USA.
Douglas P KielHebrew SeniorLife, Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Richard H FortinskyUniversity of Connecticut Center on Aging, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Camelia P GuildInstitute for Informatics, Data Science and Biostatistics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Denise OrwigUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Jay MagazinerUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Ellen F BinderWashington University in St. Louis, Division of General Medicine and Geriatrics, St. Louis, Missouri, USA.
Sarah D BerryHebrew SeniorLife, Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Combining Testosterone Therapy and Exercise to Improve Function Post Hip FractureR01AG051647 · NIA · WASHINGTON UNIVERSITY · PI BINDER, ELLEN F, FISHER, STEVEN R · 2017 to 2023
$15.9M
Mentoring Patient-Oriented Research to Prevent Injury in Older AdultsK24AG070106 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI Sarah Dyer Berry · 2021 to 2026
$735k
Testosterone Therapy After Hip Fracture in Elderly WomenR21AG023716 · NIA · WASHINGTON UNIVERSITY · PI BINDER, ELLEN F · 2004 to 2005
$421k
COMBINING TESTOSTERONE THERAPY AND EXERCISE TO IMPROVE FUNCTION POST HIP FRACTURER34AG040257 · NIA · WASHINGTON UNIVERSITY · PI BINDER, ELLEN F, MAGAZINER, JAY · 2013 to 2013
$182k
NIA NIH HHS K24 AG070106NIA NIH HHS P30 AG028747NIA NIH HHS # R01 AG051647NIA NIH HHS R01 AG051647NIA NIH HHS R21 AG023716NIA NIH HHS R34 AG040257
6 · The paper itself

Abstract

backgroundHigh psychological resilience is associated with improved functional outcomes for older adults recovering from hip fractures. The objective of this study was to identify factors associated with increased psychological resilience in older women after hip fracture.

methodsIn total, 129 women aged ≥65 years with recent surgically repaired hip fractures were enrolled in a trial of exercise and testosterone therapy. The Brief Resilience Scale (BRS) measured baseline resilience and was categorized as low (BRS < 4) or high (BRS ≥ 4). Sociodemographic (eg, education), medical, and neuropsychological factors (eg, cognition by Short Blessed Test, mental health by a Global Mental Health Score (PROMIS-GMH), and depressive symptoms by Geriatric Depression Score (GDS)) were considered as independent variables. Individual factors were evaluated for their association with resilience using bivariate regression, and those having a significance level of p ≤ .10 were entered into age-adjusted multivariate logistic regression models.

resultsA total of 57 women (44%) reported high resilience. Neither education nor cognition was significantly associated with resilience. Lower GDS and better PROMIS-GMH scores were associated with high resilience in adjusted models. For every one-point worsening in GDS, the adjusted odds ratio (AOR) for high versus low resilience was 0.76 (95% CI, 0.61,0.93). In a model with GDS, PROMIS-GMH, and age, positive mental health remained significantly associated with higher resilience (AOR 1.34, 95% CI, 1.14,1.58).

conclusionsIn older women after hip fracture, fewer depressive symptoms and better mental health were associated with higher psychological resilience. Addressing overall mental health when recovering from a hip fracture could contribute to increasing psychological resilience thereby maximizing recovery potential.

Indexed as

DepressionHip FracturesMental HealthResilience, PsychologicalAgedAged, 80 and overCross-Sectional StudiesFemaleHumansNeurocognitionRecoveryTraumatic injury

Identifiers

PMID39780398
PMCPMC12066004

What Socratic holds

Textmetadata
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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 Socratic graph.