Evidence map›Paper›PMID 26644294›Full record

ArticleParkinsonism & related disorders2016

Depression and clinical progression in spinocerebellar ataxias.

Raymond Y Lo, Karla P Figueroa, Stefan M Pulst, Susan Perlman, George Wilmot, Christopher Gomez, Jeremy Schmahmann, Henry Paulson, Vikram G Shakkottai, Sarah Ying and 9 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Parkinsonism & related disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01060371 (Clinical Research Consortium for the Study of Cerebellar Ataxias), which is not on this map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT01060371 recruitingnot on this map

Clinical Research Consortium for the Study of Cerebellar Ataxias (CRC-SCA) for the Natural History Study of and Genetic Modifiers in Spinocerebellar Ataxias (SCA)

TypeobservationalSponsorLauren MooreRan2010 to 2030Enrolled1,400ConditionsSpinocerebellar Ataxia Type 1, Spinocerebellar Ataxia Type 2, Spinocerebellar Ataxia Type 3, Spinocerebellar Ataxia Type 6ArmsGenetic Testing, Blood Collection, Magnetic Resonance Imaging (MRI) Scan, Assessments and Questionnaires, Cerebrospinal Fluid Collection
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Cerebellar Transcranial Direct Current Stimulation in Spinocerebellar Ataxia Type 3: a Randomized, Double-Blind, Sham-Controlled Trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Suicidal Ideation in Spinocerebellar Ataxia.The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  8. Changes in Gait After Training for Individuals With Cerebellar Ataxia.Archives of rehabilitation research and clinical translation · 2025
    Article
  9. Practice Recommendations for Genetic Testing of Ataxias.Annals of clinical and translational neurology · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Consensus Paper: Cerebellum and Reward.Cerebellum (London, England) · 2024
    Review
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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

19 authors at 13 institutions in 2 countries.

Raymond Y LoDepartment of Neurology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
Karla P FigueroaDepartment of Neurology, University of Utah, Salt Lake City, UT, USA.
Stefan M PulstDepartment of Neurology, University of Utah, Salt Lake City, UT, USA.
Susan PerlmanDepartment of Neurology, University of California, Los Angeles, CA, USA.
George WilmotDepartment of Neurology, Emory University, Atlanta, GA, USA.
Christopher GomezDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Jeremy SchmahmannDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Henry PaulsonDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Vikram G ShakkottaiDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Sarah YingDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Theresa ZesiewiczDepartment of Neurology, University of South Florida, Tampa, FL, USA.
Khalaf BusharaDepartment of Neurology, University of Minnesota, Minneapolis, MN, USA.
Michael GeschwindDepartment of Neurology, University of California, San Francisco, CA, USA.
Guangbin XiaDepartment of Neurology and McKnight Brain Institute, University of Florida, Gainesville, FL, USA.
Jui-Tsen YuDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Lue-En LeeDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Tetsuo AshizawaDepartment of Neurology and McKnight Brain Institute, University of Florida, Gainesville, FL, USA.
S H SubramonyDepartment of Neurology and McKnight Brain Institute, University of Florida, Gainesville, FL, USA.
Sheng-Han KuoDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA. Electronic address: sk3295@columbia.edu.
Columbia University · USUniversity of Florida · USUniversity of Michigan–Ann Arbor · USUniversity of Utah · USBuddhist Tzu Chi General Hospital · TWEmory University · USJohns Hopkins University · USMassachusetts General Hospital · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Chicago · USUniversity of Minnesota · USUniversity of South Florida · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Identifying symptomatic and neuroprotective strategies for cerebellar ataxiaR01NS085054 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI SHAKKOTTAI, VIKRAM GOVINDARAJU · 2013 to 2023
$4.3M
Spinocerebellar Ataxia Type 2 Gene and Gene ProductR37NS033123 · NINDS · UNIVERSITY OF UTAH · PI PULST, STEFAN M. · 2014 to 2020
$3.6M
Clinical Research Consortium for Spinocerebellar AtaxiasRC1NS068897 · NINDS · UNIVERSITY OF FLORIDA · PI ASHIZAWA, TETSUO · 2009 to 2010
$1.0M
The role of glucocerebrosidase and chaperone_mediated autophagy in Parkinsons disK08NS083738 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2013 to 2017
$940k
NIEHS NIH HHS ES009089NIEHS NIH HHS P30 ES009089NINDS NIH HHS K08 NS083738NINDS NIH HHS NINDS K08 NS083738NINDS NIH HHS R01 NS085054NINDS NIH HHS R37 NS033123NINDS NIH HHS RC1 NS068897NINDS NIH HHS RC1NS068897PHS HHS R37NSNS033123
6 · The paper itself

Abstract

backgroundDepression is a common comorbidity in spinocerebellar ataxias (SCAs) but its association with ataxia progression is not well understood.

objectivesTo study the prevalence and influence of depressive symptoms in SCAs.

methodsWe studied 300 participants with SCA 1, 2, 3 and 6 from the Clinical Research Consortium for Spinocerebellar Ataxias (CRC-SCA) and repeatedly measured depressive symptoms by the 9-item Patient Health Questionnaire (PHQ-9) along with other clinical features including ataxia, functional status, and quality of life every 6 months for 2 years. We employed regression models to study the effects of depressive symptoms on clinical progression indexed by Scale for Assessment and Rating of Ataxia (SARA), Unified Huntington's Disease Rating Scale Part IV (UHDRS-IV) and EQ5D after adjusting for age, sex and pathological CAG repeats.

resultsComorbid depression is common in SCAs (26%). Although the baseline prevalence of depression was similar among different SCA types, suicidal ideation was more frequently reported in SCA3 (65%). Depressive symptoms were associated with SARA scores but did not significantly progress over time within 2 years or deteriorate by increased numbers of pathological CAG repeats. The effects of depression on ataxia progression varied across different SCA types. Nevertheless, depression had consistently negative and significant impact on functional status and quality of life in all SCAs, even after accounting for ataxia progression.

conclusionsDepressive symptoms are not simply the consequence of motor disability in SCAs. Comorbid depression per se contributes to different health outcomes and deserves more attention when caring patients with SCAs.

Indexed as

Suicidal IdeationAdultAgedComorbidityDepressionDisease ProgressionFemaleHumansMachado-Joseph DiseaseMaleMiddle AgedPrevalenceSeverity of Illness IndexSpinocerebellar AtaxiasCerebellumDepressionNeurodegenerationSpinocerebellar ataxiasSuicide

Identifiers

PMID26644294
PMCPMC4695274
OpenAlexW2199675496

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.