Evidence map›Paper›PMID 26352911›Full record

ReviewPloS one2015

Understanding the Impact of Brain Disorders: Towards a 'Horizontal Epidemiology' of Psychosocial Difficulties and Their Determinants.

Alarcos Cieza, Marta Anczewska, Jose Luis Ayuso-Mateos, Mary Baker, Jerome Bickenbach, Somnath Chatterji, Sally Hartley, Matilde Leonardi, Tuuli Pitkänen, PARADISE Consortium

Open access · goldAbstract readReview
In one paragraph

Review in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Observational
  6. Review
  7. Article
  8. Validation of PARADISE 24 and Development of PARADISE-EDEN 36 in Patients with Dementia.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Comorbidity and concurrence of problems: Overlooked, not under-researched.Nordisk alkohol- & narkotikatidskrift : NAT · 2019
    Article
  16. Article
  17. Psychosocial difficulties in patients with episodic migraine: a cross-sectional study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Article
  18. Article
  19. Review
  20. 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 8 institutions in 8 countries.

Alarcos CiezaFaculty of Social and Human Sciences, School of Psychology, University of Southampton, Southampton, United Kingdom; Department of Medical Informatics, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany; Swiss Paraplegic Research, Nottwil, Switzerland.
Marta AnczewskaDepartment of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland.
Jose Luis Ayuso-MateosInstituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Department of Psychiatry, Universidad Autónoma de Madrid, Psychiatry Service, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP), Madrid, Spain.
Mary BakerEuropean Brain Council, Brussels, Belgium.
Jerome BickenbachSwiss Paraplegic Research, Nottwil, Switzerland.
Somnath ChatterjiMulti-Country Studies, Department of Measurement and Health Information Systems, World Health Organization, Geneva, Switzerland.
Sally HartleyFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom; Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia; The London School of Hygiene and Tropical Medicine, London, United Kingdom.
Matilde LeonardiNeurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy.
Tuuli PitkänenA-Clinic Foundation, Helsinki, Finland.
PARADISE Consortium
Centro de Investigación Biomédica en Red de Salud Mental · ESFondazione IRCCS Istituto Neurologico Carlo Besta · ITInstitute of Psychiatry and Neurology · PLLondon School of Hygiene & Tropical Medicine · GBRehabilitation Foundation · FISwiss Paraplegic Research · CHUniversity of Southampton · GBWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo test the hypothesis of 'horizontal epidemiology', i.e. that psychosocial difficulties (PSDs), such as sleep disturbances, emotional instability and difficulties in personal interactions, and their environmental determinants are experienced in common across neurological and psychiatric disorders, together called brain disorders. STUDY

designA multi-method study involving systematic literature reviews, content analysis of patient-reported outcomes and outcome instruments, clinical input and a qualitative study was carried out to generate a pool of PSD and environmental determinants relevant for nine different brain disorders, namely epilepsy, migraine, multiple sclerosis, Parkinson's disease, stroke, dementia, depression, schizophrenia and substance dependency. Information from these sources was harmonized and compiled, and after feedback from external experts, a data collection protocol including PSD and determinants common across these nine disorders was developed. This protocol was implemented as an interview in a cross-sectional study including a convenience sample of persons with one of the nine brain disorders. PSDs endorsed by at least 25% of patients with a brain disorder were considered associated with the disorder. PSD were considered common across disorders if associated to 5 out of the 9 brain disorders and if among the 5 both neurological and psychiatric conditions were represented.

settingThe data collection protocol with 64 PSDs and 20 determinants was used to collect data from a convenience sample of 722 persons in four specialized health care facilities in Europe.

results57 of the PSDs and 16 of the determinants included in the protocol were found to be experienced across brain disorders.

conclusionThis is the first evidence that supports the hypothesis of horizontal epidemiology in brain disorders. This result challenges the brain disorder-specific or vertical approach in which clinical and epidemiological research about psychosocial difficulties experienced in daily life is commonly carried in neurology and psychiatry and the way in which the corresponding health care delivery is practiced in many countries of the world.

Indexed as

Models, PsychologicalPatient AcuityAdultAffective SymptomsAgedAged, 80 and overAttitude to HealthBrain DiseasesCost of IllnessData CollectionEuropeFemaleFocus GroupsHumansInterpersonal RelationsInterview, Psychological

Identifiers

PMID26352911
PMCPMC4564202
OpenAlexW2105153872

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.