Evidence map›Paper›PMID 28199068›Full record

ArticleThe Journal of clinical psychiatry2017

The Relationship Between Stressful Life Events and Axis I Diagnoses Among Adolescent Offspring of Probands With Bipolar and Non-Bipolar Psychiatric Disorders and Healthy Controls: The Pittsburgh Bipolar Offspring Study (BIOS).

Lisa A Pan, Tina R Goldstein, Brian T Rooks, Mary Hickey, Jie Yu Fan, John Merranko, Kelly Monk, Rasim S Diler, Dara J Sakolsky, Danella Hafeman and 6 more

Abstract read
In one paragraph

Article in The Journal of clinical psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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  5. Observational
  6. Article
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  8. Review
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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

16 authors.

Lisa A Pan100 N Bellefield Ave, Rm 320, Pittsburgh, PA 15213. thomasla@upmc.edu.
Tina R GoldsteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Brian T RooksDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Mary HickeyDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jie Yu FanDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
John MerrankoDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kelly MonkDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Rasim S DilerDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dara J SakolskyDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Danella HafemanDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Satish IyengarDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Benjamin GoldsteinSunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.
David J KupferDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
David A AxelsonNationwide Children's Hospital/The Ohio State University College of Medicine, Columbus, Ohio, USA.
David A BrentDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Boris BirmaherDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Children of Bipolar Parents: A High Risk Follow Up Study (also known as Bipolar Offspring Study - BIOS)R01MH060952 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIRMAHER, BORIS, PHILLIPS, MARY LOUISE · 2001 to 2020
$20.4M
NIMH NIH HHS R01 MH060952
6 · The paper itself

Abstract

backgroundPrevious studies have explored the role of stressful life events in the development of mood disorders. We examined the frequency and nature of stressful life events as measured by the Stressful Life Events Schedule (SLES) among 3 groups of adolescent offspring of probands with bipolar (BD), with non-BD psychiatric disorders, and healthy controls. Furthermore, we examined the relationship between stressful life events and the presence of DSM-IV Axis I disorders in these offspring. Stressful life events were characterized as dependent, independent, or uncertain (neither dependent nor independent) and positive, negative, or neutral (neither positive nor negative).

methodsOffspring of probands with BD aged 13-18 years (n = 269), demographically matched offspring of probands with non-BD Axis I disorders (n = 88), and offspring of healthy controls (n = 81) from the Pittsburgh Bipolar Offspring Study were assessed from 2002 to 2007 with standardized instruments at intake. Probands completed the SLES for their offspring for life events within the prior year. Life events were evaluated with regard to current Axis I diagnoses in offspring after adjusting for confounds.

resultsAfter adjusting for demographic and clinical between-group differences (in probands and offspring), offspring of probands with BD had greater independent (χ² = 11.96, P < .04) and neutral (χ² = 17.99, P < .003) life events compared with offspring of healthy controls and greater number of more severe stressful life events than offspring of healthy controls, but not offspring of probands with non-BD. Offspring of BD probands with comorbid substance use disorder reported more independent stressful life events compared to those without comorbid substance use disorder (P = .024). Greater frequency and severity of stressful life events were associated with current Axis I disorder in offspring of both probands with BD and probands with other Axis I disorders regardless of dependency or valence. Greater frequency and severity of stressful life events were associated with greater current Axis I disorder in all offspring.

conclusionsOffspring of probands with BD have greater exposure to independent and neutral life events than offspring of healthy controls. Greater frequency and severity of stressful life events were associated with Axis I disorder in offspring of both BD and non-BD affected probands.

Indexed as

Life Change EventsAdolescentBipolar DisorderChild of Impaired ParentsComorbidityFemaleHealth SurveysHumansMaleMental DisordersReference ValuesRiskSubstance-Related Disorders

Identifiers

PMID28199068
PMCPMC5927547

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.