Evidence map›Paper›PMID 32151848›Full record

ArticlePsychiatry research2020

Identify depressive phenotypes by applying RDOC domains to the PHQ-9.

Douglas Gunzler, Ashwini R Sehgal, Kelley Kauffman, Christine Horvat Davey, Jacqueline Dolata, Maria Figueroa, Anne Huml, Julie Pencak, Martha Sajatovic

Abstract read
In one paragraph

Article in Psychiatry research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

9 authors.

Douglas GunzlerCenter for Health Care Research & Policy, The MetroHealth System, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109, United States. Electronic address: dgunzler@metrohealth.org.
Ashwini R SehgalCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Kelley KauffmanCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Christine Horvat DaveyCase Western Reserve University, Cleveland, OH, United States.
Jacqueline DolataCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Maria FigueroaCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Anne HumlCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Julie PencakCenter for Reducing Health Disparities, The MetroHealth System, Case Western Reserve University, Cleveland, OH, United States.
Martha SajatovicDepartment of Psychiatry and of Neurology, Case Western Reserve University School of Medicine, Neurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States.

Funding

Using Lay Health Advisors to Help African American Patients Address the Social Context of HypertensionU54MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 2017 to 2021
$7.1M
Using Latent Variables And Directly Observed Treatment To Improve The Diagnosis And Management of Depression Among Hemodialysis PatientsR01DK112905 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI GUNZLER, DOUGLAS D, SEHGAL, ASHWINI · 2018 to 2022
$2.1M
NIDDK NIH HHS R01 DK112905NIMHD NIH HHS U54 MD002265
6 · The paper itself

Abstract

Major depression consists of multiple phenotypic traits. Our objective was to characterize depressive phenotypes in the patient health questionnaire (PHQ)-9 using the Research Domain Criteria (RDoC) research framework. Cross-sectional data were examined from the 2013-2014 (N = 5397) and 2015-2016 (N = 5164) National Health and Nutrition Examination Survey, a large, nationally representative U.S. sample. Using both factor analysis and qualitative analysis in mapping scale items along RDoC domains, a four factor model was found to be theoretically appropriate and had an excellent model fit for the PHQ-9. The factor structure consisted of phenotypes describing Negative Valence Systems and Externalizing (anhedonia and depression), Negative Valence Systems and Internalizing (depression, guilt and self-harm), Arousal and Regulatory Systems (sleep, fatigue and appetite) and Cognitive and Sensorimotor Systems (concentration and psychomotor). High correlation between these phenotypes did indicate screening and monitoring for depression study population using a single depression score is likely useful in most circumstances. In multiple indicator multiple cause analysis, differences in the means of the phenotypic traits were found by age, race/ethnicity, sex, and number of comorbidities. Future research should explore whether phenotype expression derived from readily available self-rated depression scales can help to inform more personalized care.

Indexed as

Factor analysisMajor depressionMultiple indicator multiple cause modelingNational health and nutrition examination surveyPatient health questionnaire-9Research domain criteria

Identifiers

PMID32151848
PMCPMC7434666

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Registered trials

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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.