Evidence map›Paper›PMID 27692699›Full record

ArticleJournal of affective disorders2017

Empirically derived patterns of psychiatric symptoms in youth: A latent profile analysis.

Katharina Kircanski, Susan Zhang, Argyris Stringaris, Jillian Lee Wiggins, Kenneth E Towbin, Daniel S Pine, Ellen Leibenluft, Melissa A Brotman

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.8field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Systematic Review and Meta-analysis: Task-based fMRI Studies in Youths With Irritability.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
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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

8 authors at 2 institutions in 1 country.

Katharina KircanskiEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA. Electronic address: kircanskik@mail.nih.gov.
Susan ZhangEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Argyris StringarisEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Jillian Lee WigginsDepartment of Psychology, San Diego State University, University of California, San Diego, USA; Joint Doctoral Program in Clinical Psychology, San Diego State University, University of California, San Diego, USA.
Kenneth E TowbinEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Daniel S PineEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Ellen LeibenluftEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Melissa A BrotmanEmotion and Development Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
National Institute of Mental Health · USUniversity of California, San Diego · US

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
The Pathophysiology and Treatment Of Children With Severe Mood DysregulationZIAMH002786 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI LEIBENLUFT, ELLEN · 2009 to 2023
$34.0M
Mood, Brain, and Development UnitZIAMH002957 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI STRINGARIS, ARGYRIOS · 2017 to 2022
$14.8M
The Phenomenology And Neurophysiology Of Juvenile Bipolar DisorderZIAMH002778 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI LEIBENLUFT, ELLEN · 2009 to 2017
$10.8M
Intramural NIH HHS ZIA MH002778Intramural NIH HHS ZIA MH002781Intramural NIH HHS ZIA MH002786
6 · The paper itself

Abstract

backgroundBy conceptualizing domains of behavior transdiagnostically, the National Institute of Mental Health Research Domain Criteria (NIMH RDoC) initiative facilitates new ways of studying psychiatric symptoms. In this study, latent profile analysis (LPA) was used to empirically derive classes or patterns of psychiatric symptoms in youth that transect traditional nosologic boundaries.

methodsData were drawn from 509 children and adolescents (ages 7-18 years; mean age =12.9 years; 54% male) who were evaluated in the NIMH Emotion and Development Branch and were heterogeneous with respect to presenting diagnoses and symptoms. Youth and/or their parents completed measures of several core symptom dimensions: irritability, anxiety, depression, and attention deficit hyperactivity disorder (ADHD). LPA was used to parse response patterns into distinct classes, based on the levels of, and interrelations among, scores on the different measures.

resultsFive classes emerged: low levels of symptomatology (52% of sample); anxiety and mild depressive symptoms (17%); parent-reported irritability and ADHD (16%); irritability and mixed comorbid symptoms (10%); and high levels of irritability, anxiety, depression, and ADHD (5%). Importantly, these latent classes cut across informants and the clinical conditions for which youth were initially evaluated. Further, the classes characterized by irritability exhibited the poorest overall functioning. LIMITATIONS: These data were cross-sectional. Examination of external validators, including neurobiological correlates and symptom course, is warranted.

conclusionsResults inform our understanding of the structure of psychiatric symptoms in youth and suggest new ways to operationalize psychopathology and examine it in relation to neurobiology.

Indexed as

AdolescentAnxietyAttention Deficit Disorder with HyperactivityChildChild BehaviorComorbidityCross-Sectional StudiesDepressionFemaleHumansIrritable MoodMaleMental DisordersParentsPsychopathologyChildrenComorbidityLatent profile analysisSymptomsTransdiagnostic

Identifiers

PMID27692699
PMCPMC5360533
OpenAlexW2523413594

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.