Evidence map›Paper›PMID 23433314›Full record

ArticleEuropean journal of neurology2013

Psychosocial risk factors, pre-motor symptoms and first-time hospitalization with Parkinson's disease: a prospective cohort study.

A J Clark, B Ritz, E Prescott, N H Rod

Open access · greenAbstract read
In one paragraph

Article in European journal of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Occupational stress and risk for Parkinson's disease: A nationwide cohort study.Movement disorders : official journal of the Movement Disorder Society · 2018
    Article
  9. Article
  10. Non-motor features of Parkinson disease.Nature reviews. Neuroscience · 2017
    Review
  11. Article
  12. Adjustment disorder and risk of Parkinson's disease.European journal of neurology · 2016
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Sex differences in Parkinson's disease.Frontiers in neuroendocrinology · 2014
    Review
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

4 authors at 3 institutions in 2 countries.

A J ClarkDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark. alcl@sund.ku.dk
B Ritz
E Prescott
N H Rod
University of Copenhagen · DKBispebjerg Hospital · DKUCLA Health · US

Funding

Registry Study of Parkinsons Disease in DenmarkR01ES013717 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2006 to 2010
$4.5M
NIEHS NIH HHS R01 ES013717NIEHS NIH HHS R01-ES013717
6 · The paper itself

Abstract

background and purposeExperimental studies support a link between stress and development of parkinsonian symptoms, but prospective population studies are lacking. The aim of the current study is to determine the effects of several psychosocial factors on the risk of Parkinson's disease (PD), as well as to identify potential pre-motor symptoms for PD in a large prospective cohort study.

methodsIn 1991-1993, a total of 9955 women and men free of PD from the Copenhagen City Heart Study were asked about major life events, economic hardship, social network, impaired sleep and vital exhaustion. The participants were followed for first-time hospitalization with PD in nationwide registers until 2011.

resultsVital exhaustion was associated with a higher risk of PD hospitalization in an exposure-dependent manner (P(trend) = 0.001), with high vs. low vital exhaustion being associated with a hazard ratio of 2.50 [95% confidence interval (CI): 1.28-4.89]. A slightly higher risk of PD hospitalization (hazard ratio = 1.49; 95% CI: 0.87-2.56) was suggested in participants with impaired sleep at baseline. No more than weak associations were observed for economic hardship, major life events or inadequate social network in the current study.

conclusionsOverall, the hypothesis that psychosocial risk factors affect the risk of PD is not supported. The results, however, suggest that vital exhaustion may be a pre-motor marker of the neurodegenerative process eventually leading to motor symptoms and clinical PD. Vital exhaustion may be useful for screening aimed at early detection and when considering disease-modifying therapies in people at high risk of clinical PD.

Indexed as

Social EnvironmentAdultAgedAged, 80 and overAge FactorsCohort StudiesDenmarkEducational StatusFatigueFemaleFollow-Up StudiesHospitalizationHumansLife Change EventsMaleMiddle Agedburnoutfamily relationslife change eventsParkinson's diseaseprospective studiespsychological stresssleep disorderssocial support

Identifiers

PMID23433314
PMCPMC3664243
OpenAlexW1972099323

What OpenQuestion holds

Textmetadata
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.