Evidence map›Paper›PMID 27629797›Full record

Trial reportPsychiatric services (Washington, D.C.)2017

Psychosocial Features of Clinically Relevant Patient Subgroups With Serious Mental Illness and Comorbid Diabetes.

Douglas Gunzler, Martha Sajatovic, Richard McCormick, Adam Perzynski, Charles Thomas, Stephanie Kanuch, Kristin A Cassidy, Edna Fuentes-Casiano, Neal Dawson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Association of Depression and Anxiety with Social Network Types: Results from a Community Cohort Study.International journal of environmental research and public health · 2021
    Article
  3. 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

9 authors.

Douglas GunzlerDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Martha SajatovicDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Richard McCormickDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Adam PerzynskiDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Charles ThomasDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Stephanie KanuchDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Kristin A CassidyDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Edna Fuentes-CasianoDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).
Neal DawsonDr. Gunzler, Dr. McCormick, Dr. Perzynski, Mr. Thomas, Ms. Kanuch, and Dr. Dawson are with the Center for Health Care Research and Policy, Case Western Reserve University School of Medicine, Cleveland. Dr. Gunzler, Ms. Kanuch, and Dr. Dawson are also with MetroHealth Medical Center, Cleveland. Dr. Sajatovic, Ms. Cassidy, and Ms. Fuentes-Casiano are with the Department of Psychiatry, Case Western Reserve University. Send correspondence to Dr. Sajatovic (e-mail: martha.sajatovic@uhhospitals.org ).

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Improving Outcomes for Individuals with Serious Mental Illness and DiabetesR01MH085665 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI DAWSON, NEAL V, SAJATOVIC, MARTHA X · 2011 to 2015
$2.9M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NCRR NIH HHS UL1 RR024989NIMH NIH HHS R01 MH085665
6 · The paper itself

Abstract

objectiveCare for people with serious mental illness and diabetes is complicated by clinical heterogeneity. This cross-sectional analysis of 200 individuals with comorbid serious mental illness and diabetes explored differentiation between patient subgroups that were characterized on the basis of selected dimensions within a biopsychosocial framework.

methodsRelationships between self-efficacy, treatment expectation, social support, and depression were first assessed via bivariate Spearman correlations among 200 individuals participating in a randomized controlled trial who had diabetes along with major depression, bipolar disorder, or schizophrenia. Next, latent profile analyses were conducted to determine underlying subgroups on the basis of these variables. The resultant groups were compared on diabetes control, function, and symptoms.

resultsTwo subgroups emerged. One had more severe psychiatric symptoms, low scores on other psychosocial variables, and worse diabetes control. The other had low levels of psychiatric symptoms, better scores on other variables, and better diabetes control.

conclusionsSymptom presentation and internal and external resources appeared to be related to diabetes control for people with comorbid diabetes and serious mental illness. Care approaches need to go beyond standard education and consider biopsychosocial variables.

Indexed as

Self EfficacySocial SupportAdultAgedBipolar DisorderComorbidityCross-Sectional StudiesDiabetes MellitusFemaleHumansMajor Depressive DisorderMaleMiddle AgedSchizophreniaDepressionHeterogeneityLatent profile analysisResearch/psychiatricSchizophreniaSocial support networks

Identifiers

PMID27629797
PMCPMC5205564

What OpenQuestion holds

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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.