Evidence map›Paper›PMID 17029612›Full record

ArticleThe American journal of gastroenterology2006

Psychobiological subtypes of ulcerative colitis: pANCA status moderates the relationship between disease activity and psychological distress.

Robert G Maunder, Gordon R Greenberg, Jonathan J Hunter, William J Lancee, A Hillary Steinhart, Mark S Silverberg

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00553163 (Hypnotherapy for Prevention of Relapse in Ulcerative Colitis), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% of its field
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.

NCT00553163 naterminatednot on this mapstarted 2007, after this paper: background citation

Hypnotherapy for Prevention of Relapse in Ulcerative Colitis: a Randomised, Single-blind, Controlled Clinical Trial

TypeinterventionalSponsorQueen Mary University of LondonRan2007 to 2010Enrolled26ConditionsUlcerative ColitisArmsGut focussed hypnotherapy, Control educational sessions
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. The impact of ulcerative colitis is greater in unmarried and young patients.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2007
    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

6 authors at 2 institutions in 1 country.

Robert G MaunderDepartment of Psychiatry, Mount Sinai Hospital, Toronto, Canada.
Gordon R Greenberg
Jonathan J Hunter
William J Lancee
A Hillary Steinhart
Mark S Silverberg
Mount Sinai Hospital · CAUniversity of Toronto · CA

Funding

CIHR 43985
6 · The paper itself

Abstract

introductionStudies of psychological factors in ulcerative colitis (UC) have produced inconsistent findings. This study sought to determine whether perinuclear antineutrophil cytoplasmic antibody (pANCA) demarcates subtypes which differ with respect to psychobiological interactions.

methodsIn 148 outpatients with UC, the strength of the relationship between current UC disease activity and psychological distress was assessed. pANCA was determined by ELISA and immunofluorescence, disease activity was determined by symptoms, physical examination, and endoscopy using the St. Mark's index, and depressive symptoms and health anxiety were measured with self-report scales. Pearson correlations between disease activity and depressive symptoms and between disease activity and health anxiety were calculated.

resultsIn 74 pANCA negative subjects, the relationship between disease activity and measures of psychological distress was significant for disease activity-depression (partial correlation = 0.48, p < 0.001) and for disease activity-health anxiety (partial correlation = 0.64, p < 0.001), whereas in 74 pANCA positive subjects, no relationships were found (disease activity-depression: partial correlation = 0.18, p= 0.14; disease activity-health anxiety: partial correlation = 0.20, p= 0.09). The differences in the strength of correlation between pANCA positive and pANCA negative subjects were statistically significant for both disease activity-depression (z = 2.0, p= 0.02) and activity-health anxiety (z = 3.3, p < 0.001).

conclusionspANCA status demarcates psychobiologically distinct subtypes of UC, such that the absence of pANCA is associated with greater psychobiological interaction. These findings have implications for clinical care and understanding the pathophysiology of intestinal inflammation.

Indexed as

AdultAntibodies, Antineutrophil CytoplasmicAnxietyColitis, UlcerativeDepressionEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedAntibodies, Antineutrophil Cytoplasmic

Identifiers

PMID17029612
PMCPMC2923655
OpenAlexW1973918595

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Registered trials

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.