Evidence map›Paper›PMID 20950474›Full record

ArticleBMC medical research methodology2010

Exploratory factor analysis of self-reported symptoms in a large, population-based military cohort.

Molly L Kelton, Cynthia A LeardMann, Besa Smith, Edward J Boyko, Tomoko I Hooper, Gary D Gackstetter, Paul D Bliese, Charles W Hoge, Tyler C Smith, Millennium Cohort Study Team

Open access · goldAbstract read
In one paragraph

Article in BMC medical research methodology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Symptom profiles following combat injury and long-term quality of life: a latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  2. Underreporting of Symptomatic Adverse Events in Phase I Clinical Trials.Journal of the National Cancer Institute · 2021
    Observational
  3. Article
  4. Article
  5. 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

10 authors at 5 institutions in 1 country.

Molly L KeltonDepartment of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA, USA.
Cynthia A LeardMann
Besa Smith
Edward J Boyko
Tomoko I Hooper
Gary D Gackstetter
Paul D Bliese
Charles W Hoge
Tyler C Smith
Millennium Cohort Study Team
Naval Health Research Center · USWalter Reed Army Institute of Research · USAnalytical Services · USUniformed Services University of the Health Sciences · USUniversity of Puget Sound · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUS military engagements have consistently raised concern over the array of health outcomes experienced by service members postdeployment. Exploratory factor analysis has been used in studies of 1991 Gulf War-related illnesses, and may increase understanding of symptoms and health outcomes associated with current military conflicts in Iraq and Afghanistan. The objective of this study was to use exploratory factor analysis to describe the correlations among numerous physical and psychological symptoms in terms of a smaller number of unobserved variables or factors.

methodsThe Millennium Cohort Study collects extensive self-reported health data from a large, population-based military cohort, providing a unique opportunity to investigate the interrelationships of numerous physical and psychological symptoms among US military personnel. This study used data from the Millennium Cohort Study, a large, population-based military cohort. Exploratory factor analysis was used to examine the covariance structure of symptoms reported by approximately 50,000 cohort members during 2004-2006. Analyses incorporated 89 symptoms, including responses to several validated instruments embedded in the questionnaire. Techniques accommodated the categorical and sometimes incomplete nature of the survey data.

resultsA 14-factor model accounted for 60 percent of the total variance in symptoms data and included factors related to several physical, psychological, and behavioral constructs. A notable finding was that many factors appeared to load in accordance with symptom co-location within the survey instrument, highlighting the difficulty in disassociating the effects of question content, location, and response format on factor structure.

conclusionsThis study demonstrates the potential strengths and weaknesses of exploratory factor analysis to heighten understanding of the complex associations among symptoms. Further research is needed to investigate the relationship between factor analytic results and survey structure, as well as to assess the relationship between factor scores and key exposure variables.

Indexed as

Factor Analysis, StatisticalHealth StatusSelf ReportCohort StudiesFemaleHumansMaleMental DisordersMilitary PersonnelMultivariate AnalysisSurveys and QuestionnairesUnited States

Identifiers

PMID20950474
PMCPMC2967557
OpenAlexW2003591830

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.