Evidence map›Paper›PMID 31586242›Full record

SynthesisEuropean archives of psychiatry and clinical neuroscience2020

The vicious circle of social exclusion and psychopathology: a systematic review of experimental ostracism research in psychiatric disorders.

Matthias A Reinhard, Julia Dewald-Kaufmann, Torsten Wüstenberg, Richard Musil, Barbara B Barton, Andrea Jobst, Frank Padberg

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of psychiatry and clinical neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

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  12. Transdiagnostic prevention in youth mental health, Part I: rationale, shared risk factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

7 authors at 2 institutions in 1 country.

Matthias A ReinhardDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany. matthias.reinhard@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-8374-5467
Julia Dewald-KaufmannDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany.
Torsten WüstenbergDepartment of Psychiatry and Psychotherapy Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Richard MusilDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany.
Barbara B BartonDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany.
Andrea JobstDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany.
Frank PadbergDepartment of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstr. 7, 80336, Munich, Germany.
LMU Klinikum · DECharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social exclusion (ostracism) is a major psychosocial factor contributing to the development and persistence of psychiatric disorders and is also related to their social stigma. However, its specific role in different disorders is not evident, and comprehensive social psychology research on ostracism has rather focused on healthy individuals and less on psychiatric patients. Here, we systematically review experimental studies investigating psychological and physiological reactions to ostracism in different responses of psychiatric disorders. Moreover, we propose a theoretical model of the interplay between psychiatric symptoms and ostracism. A systematic MEDLINE and PsycINFO search was conducted including 52 relevant studies in various disorders (some of which evaluated more than one disorder): borderline personality disorder (21 studies); major depressive disorder (11 studies); anxiety (7 studies); autism spectrum disorder (6 studies); schizophrenia (6 studies); substance use disorders (4 studies); and eating disorders (2 studies). Psychological and physiological effects of ostracism were assessed with various experimental paradigms: e.g., virtual real-time interactions (Cyberball), social feedback and imagined scenarios. We critically review the main results of these studies and propose the overall concept of a vicious cycle where psychiatric symptoms increase the chance of being ostracized, and ostracism consolidates or even aggravates psychopathology. However, the specificity and stability of reactions to ostracism, their neurobiological underpinnings, determinants, and moderators (e.g., attachment style, childhood trauma, and rejection sensitivity) remain elusive.

Indexed as

Mental DisordersSocial IsolationHumansInterpersonal rejectionOstracismPsychiatric disorderSocial exclusionSocial rejectionSystematic review

Identifiers

PMID31586242
OpenAlexW2978747888

What OpenQuestion holds

Textmetadata
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.