Evidence map›Paper›PMID 28572626›Full record

Trial reportScientific reports2017

A randomised cross-over study assessing the "blue pyjama syndrome" in major depressive episode.

Hélèna Delmas, Jean-Marie Batail, Bruno Falissard, Gabriel Robert, Maxence Rangé, Stéphane Brousse, Jacques Soulabaille, Dominique Drapier, Florian Naudet

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04979299 (Assessment of Depression in the Elderly), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 25% 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.

NCT04979299 nacompletednot on this mapstarted 2021, after this paper: background citation

Assessment of Depression in the Elderly : a Bias Related to the Stigmatisation of Patients Presenting in Wheelchairs

TypeinterventionalSponsorHospital Center Guillaume RégnierRan2021 to 2023Enrolled100ConditionsDepression in Old AgeArmsWheelchair
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 2 institutions in 2 countries.

Hélèna DelmasAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Jean-Marie BatailAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Bruno FalissardCESP, Univ.Paris-Sud, Université Paris-Saclay, UVSQ, INSERM U1178, Paris, France.
Gabriel RobertAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Maxence RangéAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Stéphane BrousseAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Jacques SoulabailleAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Dominique DrapierAcademic Psychiatry Department, Centre Hospitalier Guillaume Régnier, Rennes, France.
Florian NaudetINSERM CIC-P 1414, Clinical Investigation Center, CHU Rennes, Rennes 1 University, Rennes, France. floriannaudet@gmail.com.ORCID 0000-0003-3760-3801
Centre Hospitalier Guillaume Régnier · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper introduces a "blue pyjama syndrome" (whereby wearing hospital pyjamas results in an exaggerated impression of severity). We performed a 5-day, prospective, randomized, cross-over study in a French mood disorder unit for inpatients. At Day 1 (D1) and Day 5 (D5), two 5-minute video interviews were recorded with patients in pyjamas or in day clothes (the sequence was randomly allocated). Psychiatrists unaware of the study objective assessed the videos and scored their clinical global impressions (CGI, with scores ranging from 1 to 7). Of 30 participants with major depressive episode selected for inclusion, 26 participants (69% women) provided useable data for an evaluation by 10 psychiatrists. Pyjamas significantly increased the psychiatrists' CGI ratings of disease severity by 0·65 [0·27; 1·02] points. The psychiatrists' global impressions also rated patients as significantly less severe at D5 in comparison with D1 by -0·66 [-1·03; -0·29] points. The "blue pyjama syndrome" is in the same order of magnitude as the difference observed after a week of hospitalisation. This potentially calls into question the reliability and validity of observer ratings of depression.

Indexed as

Observer VariationCross-Over StudiesFemaleHumansMajor Depressive DisorderMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesReproducibility of Results

Identifiers

PMID28572626
PMCPMC5453951
OpenAlexW2620064796

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.