Evidence map›Paper›PMID 23603934›Full record

ArticleSocial psychiatry and psychiatric epidemiology2013

Stressful life events severity in patients with first and recurrent depressive episodes.

M Roca, M Gili, J Garcia-Campayo, S Armengol, N Bauza, M García-Toro

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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  11. Gender, Life Events, and Depression: An Exploratory Study.Indian journal of psychological medicine
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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 4 institutions in 1 country.

M RocaInstitut Universitari d'Investigació en Ciències de la Salut (IUNICS), University of Balearic Islands, Carretera de Valldemossa km 7.5, 07071, Palma de Mallorca, Spain, mroca@uib.es.
M Gili
J Garcia-Campayo
S Armengol
N Bauza
M García-Toro
Red de Investigación en Actividades Preventivas y Promoción de la Salud · ESResearch Institute of Health Sciences · ESAlmirall (Spain) · ESHospital Universitario Miguel Servet · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStressful life events are associated with depression and their role in first onset and recurrences is a promising but controversial perspective of research. The objective is to analyze the role of number of previous episodes and life events exposure in a large sample of primary care depressive patients taking into account life events severity.

method10,257 patients with DSM-IV criteria for a current single or recurrent major depressive episode were recruited by 2,056 general practitioners in a cross-sectional epidemiological study. Patients answered the Montgomery-Asberg Depression Rating Scale, the Patient Health Questionnaire and the Social Readjustment Rating Scale (SRRS). Stressful life events were categorized into three levels of severity (severe, moderate and mild). All relevant confounding variables were analyzed: age, gender, depression severity, somatic symptoms severity and length of episode.

resultsWe found a significant positive correlation with number of episodes and depression severity. There was no significant correlation of SRRS scores with age, gender and length of episode. ANOVA exploring life events severity with regard to number of episodes showed statistically differences in SRRS total score, moderate life events and mild life events (F = 15.14, p < 0.001) but not for severe life events.

conclusionsPrevention and treatment strategies for recurrent depression need to manage life stressful events during mild and long-term periods and not just in the initial recurrences of the disease.

Indexed as

Life Change EventsAnalysis of VarianceCross-Sectional StudiesDepressionDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMajor Depressive DisorderMaleMiddle AgedPrimary Health CarePsychiatric Status Rating ScalesRecurrenceRisk FactorsRural PopulationSeverity of Illness Index

Identifiers

PMID23603934
OpenAlexW2037181882

What OpenQuestion 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 OpenQuestion graph.