Evidence map›Paper›PMID 27391407›Full record

ArticleBMC psychiatry2016

Exposure to environmental factors increases connectivity between symptom domains in the psychopathology network.

Sinan Guloksuz, Martine van Nierop, Maarten Bak, Ron de Graaf, Margreet Ten Have, Saskia van Dorsselaer, Nicole Gunther, Roselind Lieb, Ruud van Winkel, Hans-Ulrich Wittchen and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 7% 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, 33 citations in OpenAlex.

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  8. The network structure of schizotypy in the general population.European archives of psychiatry and clinical neuroscience · 2021
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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

11 authors at 6 institutions in 6 countries.

Sinan GuloksuzDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands.
Martine van NieropDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands.
Maarten BakDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands.
Ron de GraafNetherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
Margreet Ten HaveNetherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
Saskia van DorsselaerNetherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
Nicole GuntherDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands.
Roselind LiebDepartment of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.
Ruud van WinkelDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands.
Hans-Ulrich WittchenInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
Jim van OsDepartment of Psychiatry and Psychology, Maastricht University Medical Centre, P.O. BOX 616, 6200 MD, Maastricht, The Netherlands. vanosj@gmail.com.
Maastricht University Medical Centre · NLTrimbos Institute · NLKing's College London · GBMax Planck Institute of Psychiatry · DEUniversity of Basel · CHYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated to what degree environmental exposure (childhood trauma, urbanicity, cannabis use, and discrimination) impacts symptom connectivity using both continuous and categorical measures of psychopathology.

methodsOutcomes were continuous symptom dimensions of self-reported psychopathology using the Self-report Symptom Checklist-90-R in 3021 participants from The Early Developmental Stages of the Psychopathology (EDSP) study and binary DSM-III-R categories of mental disorders and a binary measure of psychotic symptoms in 7076 participants from The Netherlands Mental Health Survey and Incidence Study (NEMESIS-1). For each symptom dimension in the EDSP and mental disorder in the NEMESIS-1 as the dependent variable, regression analyses were carried out including each of the remaining symptom dimensions/mental disorders and its interaction with cumulative environmental risk load (the sum score of environmental exposures) as independent variables.

resultsAll symptom dimensions in the EDSP and related diagnostic categories in the NEMESIS-1 were strongly associated with each other, and environmental exposures increased the degree of symptom connectivity in the networks in both cohorts.

conclusionsOur findings showing strong connectivity across symptom dimensions and related binary diagnostic constructs in two independent population cohorts provide further evidence for the conceptualization of psychopathology as a contextually sensitive network of mutually interacting symptoms.

Indexed as

Social EnvironmentAdolescentAdultDiagnostic and Statistical Manual of Mental DisordersFemaleHealth SurveysHumansIncidenceMaleMental DisordersNetherlandsRisk FactorsSubstance-Related DisordersSymptom AssessmentYoung AdultDepressionEnvironmentEpidemiologyPsychopathologyPsychosis

Identifiers

PMID27391407
PMCPMC4939022
OpenAlexW2466534880

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.