Evidence map›Paper›PMID 27816322›Full record

ArticleJournal of affective disorders2017

An in-depth look into PTSD-depression comorbidity: A longitudinal study of chronically-exposed Detroit residents.

Danny Horesh, Sarah R Lowe, Sandro Galea, Allison E Aiello, Monica Uddin, Karestan C Koenen

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 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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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

6 authors at 6 institutions in 2 countries.

Danny HoreshDepartment of Psychology, Bar-Ilan University & Depratment of Psychiatry, NYU School of Medicine. Electronic address: danny.horesh@biu.ac.il.
Sarah R LoweDepartment of Psychology, Montclair State University.
Sandro GaleaBoston University School of Public Health.
Allison E AielloGillings School of Global Public Health, University of North Carolina at Chapel Hill. Electronic address: aaiello@email.unc.edu.
Monica UddinDepartment of Psychology, University of Illinois at Urbana-Champaign. Electronic address: muddin@illinois.edu.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health. Electronic address: kkoenen@hsph.harvard.edu.
Bar-Ilan University · ILBoston University · USHarvard University · USMontclair State University · USUniversity of Illinois Urbana-Champaign · USUniversity of North Carolina at Chapel Hill · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Ecologic Stressors, PTSD, and Drug Use in DetroitR01DA022720 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AIELLO, ALLISON E · 2007 to 2011
$4.7M
Candidate Epigenetic Biomarkers For PTSD: Insights From DetroitRC1MH088283 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AIELLO, ALLISON E · 2009 to 2010
$995k
NICHD NIH HHS P2C HD050924NIDA NIH HHS R01 DA022720NIMH NIH HHS RC1 MH088283
6 · The paper itself

Abstract

backgroundAlthough PTSD-major depressive disorder (MDD) co-morbidity is well-established, the vast majority of studies have examined comorbidity at the level of PTSD total severity, rather than at the level of specific PTSD symptom clusters. This study aimed to examine the long-term associations between MDD and PTSD symptom clusters (intrusion, avoidance, hyperarousal), and the moderating role of gender in these associations.

methods942 residents of urban Detroit neighborhoods were interviewed at 3 waves, 1 year apart. At each wave, they were assessed for PTSD, depression, trauma exposure, and stressful life events.

resultsAt all waves, hyperarousal was the PTSD cluster most strongly correlated with MDD. For the full sample, a reciprocal relationship was found between MDD and all three PTSD clusters across time. Interestingly, the relative strength of associations between MDD and specific PTSD clusters changed over time. Women showed the same bidirectional MDD-PTSD pattern as in the entire sample, while men sometimes showed non-significant associations between early MDD and subsequent PTSD clusters. LIMITATIONS: First, our analyses are based on DSM-IV criteria, as this was the existing edition at the time of this study. Second, although this is a longitudinal study, inferences regarding temporal precedence of one disorder over another must be made with caution.

conclusionsEarly identification of either PTSD or MDD following trauma may be crucial in order to prevent the development of the other disorder over time. The PTSD cluster of hyper-arousal may require special therapeutic attention. Also, professionals are encouraged to develop more gender-specific interventions post-trauma.

Indexed as

Severity of Illness IndexAdultComorbidityDepressionDepressive DisorderFemaleHumansLife Change EventsLongitudinal StudiesMajor Depressive DisorderMaleMichiganMiddle AgedStress Disorders, Post-TraumaticComorbidityDepressionLongitudinal studyNeighborhoodsPTSD

Identifiers

PMID27816322
PMCPMC6684032
OpenAlexW2535440188

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.