Evidence map›Paper›PMID 19422761›Full record

ReviewThe Journal of clinical psychiatry2009

A review of fragile X premutation disorders: expanding the psychiatric perspective.

James A Bourgeois, Sarah M Coffey, Susan M Rivera, David Hessl, Louise W Gane, Flora Tassone, Claudia Greco, Brenda Finucane, Lawrence Nelson, Elizabeth Berry-Kravis and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in The Journal of clinical psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
14.6field-weighted citation impact, top 1% 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.

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

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Chronic pain, fatigue, and emotional distress in femaleFrontiers in molecular neuroscience · 2026
    Article
  4. Article
  5. Premutation Females with preFXTAS.International journal of molecular sciences · 2025
    Article
  6. Article
  7. Social Communication Delay in an Unbiased Sample of Preschoolers With theJournal of speech, language, and hearing research : JSLHR · 2024
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. The Phenotypic Profile Associated With theFrontiers in psychiatry · 2021
    Article
  14. Article
  15. Women with Fragile X-associated Tremor/Ataxia Syndrome.Movement disorders clinical practice · 2020
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

52 more citing papers are in PubMed but not listed here.

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

13 authors at 9 institutions in 3 countries.

James A BourgeoisDepartment of Psychiatry and Behavioral Sciences, University of California Davis Medical Center, Sacramento, CA 95817, USA. james.bourgeois@ucdmc.ucdavis.edu
Sarah M Coffey
Susan M Rivera
David Hessl
Louise W Gane
Flora Tassone
Claudia Greco
Brenda Finucane
Lawrence Nelson
Elizabeth Berry-Kravis
Jim Grigsby
Paul J Hagerman
Randi J Hagerman
University of California, Davis · USInstitute of Molecular Medicine · INElwyn · USInstitute of Behavioral Sciences · JPNational Institutes of Health · USRush University · USSociety for Developmental and Behavioral Pediatrics · USUniversity of California Davis Medical Center · USUniversity of Colorado Denver · US

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Restoring FMRP Phenotypes Frpm Temporal Regional and Splice- Isoforms VarationsP30HD002274 · NICHD · UNIVERSITY OF WASHINGTON · PI GURALNICK, MICHAEL J · 1985 to 2013
$33.6M
GENOTYPE/PHENOTYPE RELATIONSHIPS IN FRAGILE X FAMILIESR01HD036071 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI PAUL J HAGERMAN, RANDI J. HAGERMAN · 1998 to 2026
$13.8M
Preconception Health and Reproductive Natural HistoryZIAHD000633 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI NELSON, LAWRENCE M · 2009 to 2016
$7.1M
Characterization and Treatment of CNS Abnormalities in Premutation Carriers (4 ofRL1AG032115 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HAGERMAN, RANDI J. · 2007 to 2011
$5.8M
Trajectories and Markers of Neurodegeneration in Fragile X Premutation CarriersR01MH078041 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HESSL, DAVID R, RIVERA, SUSAN M · 2007 to 2017
$5.4M
Development of targeted therapeutic agents for the treatment of FXTAS (2 of 6)RL1AG032119 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HAGERMAN, PAUL J · 2007 to 2011
$4.1M
Neuro Therapeutics Research Institute (1 of 6)UL1DE019583 · NIDCR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HAGERMAN, PAUL J · 2008 to 2011
$3.0M
Fragile X Spectrum as Model for Neurogenetic Mechanisms of Cognitive DysfunctionRL1NS062412 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SIMON, TONY J · 2007 to 2011
$2.7M
Action tremor &dementia in male carriers of fragile XR01NS044299 · NINDS · UNIVERSITY OF COLORADO DENVER · PI GRIGSBY, JAMES P · 2003 to 2007
$2.7M
Visual Processing and Later Cognitive Effects in Infants with fragile X SyndromeR01HD056031 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI RIVERA, SUSAN M · 2007 to 2011
$1.2M
Neuro Therapeutics Research InstituteUL1RR024922 · NCRR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HAGERMAN, PAUL J · 2007 to 2007
$807k
Intramural NIH HHSNCRR NIH HHS UL1 RR024922NCRR NIH HHS UL1 RR024992NIA NIH HHS RL1 AG032115NIA NIH HHS RL1 AG032119NICHD NIH HHS HD02274NICHD NIH HHS HD036071NICHD NIH HHS HD056031NICHD NIH HHS P30 HD002274NICHD NIH HHS R01 HD036071NICHD NIH HHS R01 HD056031NIDCR NIH HHS DE019583NIMH NIH HHS K23 MH077554NIMH NIH HHS MH078041NIMH NIH HHS MH77554NIMH NIH HHS R01 MH078041NINDS NIH HHS NS044299NINDS NIH HHS R01 NS044299NINDS NIH HHS RL1 NS062412PHS HHS U10/CCU925123
6 · The paper itself

Abstract

contextFragile X premutation conditions are associated with a significant degree of psychopathology and thus are of interest to the psychiatrist. Remarkable advances at the molecular level have enhanced our understanding of fragile X premutation disorders.

objectiveThe authors review the genetic, molecular, neuroimaging, and clinical (systemic, neurologic, and psychiatric) manifestations of the premutation carrier state (55-200 CGG repeats) of the fragile X mental retardation 1 (FMR1) gene. DATA SOURCES: The search for the psychiatric clinical manifestations of fragile X-associated conditions was accomplished by PubMed for clinical papers published between 1970 and 2008 with the following search terms: Fragile X syndrome, depression, psychosis, anxiety, and dementia. STUDY SELECTION: Articles addressing psychiatric symptoms in premutation carriers based on review of the abstracts were reviewed. As the majority of the literature on this topic is based on case reports and small case series, these were included in the database.

resultsReported clinical manifestations of psychiatric illness in premutation carriers include an apparently significant rate of cognitive, mood, anxiety, and other psychiatric disorders. Fragile X premutation-associated conditions are part of the clinical differential diagnosis of several psychiatric syndromes, particularly in pedigrees with known fragile X syndrome cases.

conclusionsFragile X-associated psychiatric manifestations serve as a useful model for a molecular genesis of neuropsychiatric illness. Because of the multigenerational expression of fragile X-associated neuropsychiatric illness, there is a prominent role for genetic testing and genetic counseling of patients and their relatives. Genetic testing is confirmatory of the FMR1 premutation and is an essential component of the clinical evaluation. Psychopharmacologic and psychotherapeutic treatment of fragile X-associated psychiatric illnesses may improve patient function and assist in adaptation to the burden of a genetic neuropsychiatric illness.

Indexed as

Genetic Carrier ScreeningAdultAnxiety DisordersAtaxiaAtrophyBrainChildComorbidityDementiaDiagnosis, DifferentialFemaleFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeGenetic CounselingGenetic TestingHumansFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID19422761
PMCPMC2705685
OpenAlexW2005956966

What OpenQuestion holds

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LicenceTDM
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 OpenQuestion graph.