Evidence map›Paper›PMID 26745437›Full record

SynthesisJournal of affective disorders2016

Heterogeneity in long-term trajectories of depressive symptoms: Patterns, predictors and outcomes.

Katherine L Musliner, Trine Munk-Olsen, William W Eaton, Peter P Zandi

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of affective disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 162 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 8 pooled it
14.3field-weighted citation impact, top 1% 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

162 citing papers in PubMed, 8 syntheses or guidelines pooled it, 332 citations in OpenAlex.

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  5. Social inequalities in antidepressant treatment outcomes: a systematic review.Social psychiatry and psychiatric epidemiology · 2020
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  7. Longitudinal trends in HbADiabetes/metabolism research and reviews · 2018
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102 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

4 authors at 2 institutions in 2 countries.

Katherine L MuslinerNational Centre for Register-Based Research, University of Aarhus, Aarhus, Denmark; Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, MD, USA. Electronic address: klm@econ.au.dk.
Trine Munk-OlsenNational Centre for Register-Based Research, University of Aarhus, Aarhus, Denmark.
William W EatonJohns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, MD, USA.
Peter P ZandiJohns Hopkins Bloomberg School of Public Health, Department of Mental Health, Baltimore, MD, USA.
Johns Hopkins University · USAarhus University · DK

Funding

PSYCHIATRIC EPIDEMIOLOGY TRAINING PROGRAMT32MH014592 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HEATHER E VOLK, Peter P. Zandi · 1985 to 2026
$8.5M
NIMH NIH HHS 2T32MH014592-36NIMH NIH HHS T32 MH014592
6 · The paper itself

Abstract

backgroundEvidence suggests that long-term trajectories of depressive symptoms vary greatly throughout the population, with some individuals experiencing few or no symptoms, some experiencing transient symptoms and others experiencing chronic depression. The goal of this paper is to review studies that examined heterogeneity in long-term trajectories of depressive symptoms and summarize the current knowledge regarding (a) the number and patterns of trajectories and (b) antecedents and outcomes associated with different trajectory patterns.

methodsWe conducted a systematic review of literature in the Medline and PsychINFO databases. Articles were included if they (a) modeled trajectories of depressive symptoms, (b) used a group-based trajectory modeling approach, (c) followed participants for 5+ years and (d) had a sample size of at least 200.

resultsWe identified 25 studies from 24 separate cohorts. Most of the studies identified either 3 or 4 distinct trajectory classes. Trajectories varied in terms of severity (low, medium, high) and stability (stable, increasing, decreasing). In most studies, the majority of participants had consistently few or no depressive symptoms, but a notable minority (usually <10%) reported persistent symptoms. Predictors of trajectories with greater symptom burden included female gender, lower income/education and non-white race. Other predictors were specific to different populations (e.g. mothers, older adults). High symptom burden trajectories were associated with poor psychiatric and social outcomes. LIMITATIONS: Comparisons between studies were qualitative.

conclusionsTrajectories of depression symptoms in the general population are heterogeneous, with most individuals showing minimal symptoms but a notable minority experiencing chronic high symptom burden.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsChildDepressionFemaleHumansLongitudinal StudiesMaleMiddle AgedMothersQualitative ResearchSex FactorsYoung AdultDepressive symptomsGroup-based trajectory modelingGrowth mixture modelingLatent class growth analysisReviewTrajectories

Identifiers

PMID26745437
PMCPMC4761648
OpenAlexW2202555055

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.