Evidence map›Paper›PMID 26300270›Full record

ArticleBiological psychiatry2016

Trajectory and Predictors of Depression and Anxiety Disorders in Mothers With the FMR1 Premutation.

Jane E Roberts, Bridgette L Tonnsen, Lindsay M McCary, Amy L Ford, Robert N Golden, Donald B Bailey

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. The Impact of Fragile X Syndrome on Caregivers: A Systematic Review.Journal of intellectual disability research : JIDR · 2026
    Pooled it
  2. Article
  3. Chronic pain, fatigue, and emotional distress in femaleFrontiers in molecular neuroscience · 2026
    Article
  4. Article
  5. Cognitive-behavioral phenotypes inFrontiers in molecular neuroscience · 2026
    Article
  6. Article
  7. Article
  8. Depression Symptom Trajectories in Mothers With the FMR1 Premutation Vary by CGG Repeat Length: A Longitudinal Study of 73 Women Spanning 20-75 Years of Age.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2025
    Article
  9. Article
  10. Reduced Respiratory Sinus Arrhythmia in Infants with theInternational journal of molecular sciences · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Health Effects of Sleep Quality in Premutation Carrier Mothers of Individuals With Fragile X Syndrome.American journal on intellectual and developmental disabilities · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Jane E RobertsDepartment of Psychology, University of South Carolina, Columbia, South Carolina. Electronic address: Jane.Roberts@sc.edu.
Bridgette L TonnsenDepartment of Psychology, Purdue University, West Lafayette, Indiana.
Lindsay M McCaryWaisman Center, University of Wisconsin-Madison, Madison, Wisconsin.
Amy L FordDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Robert N GoldenSchool of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Donald B BaileyRTI International, Research Triangle Park, North Carolina.
University of Wisconsin–Madison · USPurdue University West Lafayette · USRTI International · USUniversity of North Carolina at Chapel Hill · USUniversity of South Carolina · US

Funding

UNC MRDD Research CenterP30HD003110 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HATTON, DEBORAH · 1985 to 2012
$28.7M
Supplement to The Emergence and Stability of Autism in Fragile X SyndromeR01MH090194 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI ROBERTS, JANE E · 2011 to 2020
$5.4M
Predicting Autism through Behavioral and Biomarkers of Attention in InfantsF31MH095318 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI KELLEHER, BRIDGETTE LYNNE · 2011 to 2014
$97k
NICHD NIH HHS P30 HD003110NIMH NIH HHS F31 MH095318NIMH NIH HHS R01 MH090194
6 · The paper itself

Abstract

backgroundAlthough the FMR1 premutation is associated with elevated prevalence of psychiatric disorders, the longitudinal course of symptoms has not been established. The present study followed a sample of women with the FMR1 premutation to characterize the incidence, stability, and predictors of mood and anxiety disorders across a 3-year period.

methodsParticipants included 83 women with the FMR1 premutation (mean age = 38.35) who completed the Structured Clinical Interview for DSM-IV Axis I Disorders at two time points, 3 years apart. Additional information was obtained regarding demographic, child, and biomedical (e.g., medication, menopause, CGG repeats) factors.

resultsWe found increased prevalence of major depressive disorder (MDD) and anxiety disorders over time, with adverse outcomes predicted by complex interactions among biological, behavioral, and environmental risk factors. Lifetime MDD increased from 46% to 54% and lifetime anxiety disorders increased from 28% to 35%. Midrange CGG repeats, elevated child problem behaviors, and divorced marital status conveyed elevated risk for psychiatric diagnoses. Primary ovarian insufficiency was highly prevalent (41%) but did not account for elevated rates of psychiatric diagnoses. Medication use was highly reported (41%), particularly in women with MDD or anxiety, with selective serotonin reuptake inhibitors reported as the most commonly used medication across diagnostic groups.

conclusionsThe elevated prevalence of depression and anxiety in women with the FMR1 premutation is a clear and pressing concern given the frequent occurrence of the FMR1 premutation in the general community and the adverse outcomes-at both individual and systems levels-associated with psychiatric disorders in this population.

Indexed as

AdultAnxiety DisordersFemaleFollow-Up StudiesFragile X Messenger Ribonucleoprotein 1HumansInterview, PsychologicalLogistic ModelsLongitudinal StudiesMajor Depressive DisorderMiddle AgedMothersPrevalenceRisk FactorsFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1AnxietyDepressionFMR1 premutationFragile XLongitudinal

Identifiers

PMID26300270
PMCPMC4733592
OpenAlexW1444401798

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.