Evidence map›Paper›PMID 32187134›Full record

ArticleMenopause (New York, N.Y.)2020

Executive function after risk-reducing salpingo-oophorectomy in BRCA1 and BRCA2 mutation carriers: does current mood and early life adversity matter?

Sheila Shanmugan, Mary D Sammel, James Loughead, Kosha Ruparel, Ruben C Gur, Thomas E Brown, Jessica Faust, Susan Domchek, C Neill Epperson

Open access · greenAbstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.6field-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

13 citing papers in PubMed, 49 citations in OpenAlex.

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  3. Reproducible sex differences in personalised functional network topography in youth.The British journal of psychiatry : the journal of mental science · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sheila ShanmuganDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Mary D SammelPennsylvania PROMOTES Research on Sex and Gender in Health, University of Pennsylvania, Philadelphia, PA.
James LougheadDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Kosha RuparelDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Ruben C GurDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Thomas E BrownDepartment of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Jessica FaustDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Susan DomchekBasser Center for BRCA, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
C Neill EppersonDepartment of Psychiatry, Anschutz Medical Campus, University of Colorado, Aurora, CO.
University of Pennsylvania · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Southern California · US

Funding

Prepubertal Stress, Windows of Risk & Sex Bias for Affective DisturbanceP50MH099910 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI KIM, DEBORAH · 2012 to 2017
$6.5M
Multi-Modal Imaging of Psychostimulant Effects on Executive Function Post-RRSOR01CA215587 · NCI · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL, LOUGHEAD, JAMES W · 2017 to 2021
$2.6M
Training in Sex and Gender Differences Research to Improve Women's HealthK12HD085848 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI OQUENDO, MARIA A · 2015 to 2019
$2.2M
Educating Physician Scientists in Psychiatry (EPSP): Firing up the next generation of translational and clinical neuroscientistsR25MH119043 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Mariella De Biasi, MATTHEW S KAYSER · 2019 to 2026
$1.6M
Neuroendocrine Contribution to Behavior & Cognition in the Female LifespanK24DA030301 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2010 to 2014
$954k
Reversing Impact of Childhood Adversity on MDD & Cognitive Decline in MenopauseR01AG048839 · NIA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2014 to 2015
$630k
Effects of tryptophan depletion and adverse childhood experiences on neural markers of executive function in menopausal womenF30AG055256 · NIA · UNIVERSITY OF PENNSYLVANIA · PI SHANMUGAN, SHEILA · 2016 to 2017
$89k
NCI NIH HHS R01 CA215587NIA NIH HHS F30 AG055256NIA NIH HHS R01 AG048839NICHD NIH HHS K12 HD085848NIDA NIH HHS K24 DA030301NIMH NIH HHS P50 MH099910NIMH NIH HHS R25 MH119043
6 · The paper itself

Abstract

objectiveDespite the fact that negative mood and executive dysfunction are common after risk-reducing salpingo-oophorectomy (RRSO), occurring in up to a third of women, little is known about risk factors predicting these negative outcomes. Adverse childhood experiences (ACE) predict poorer health in adulthood and may be a risk factor for negative outcomes after RRSO. Given the complex relationship between early life stress, affective disorders, and cognitive dysfunction, we hypothesized that ACE would be associated with poorer executive function and that mood symptoms would partially mediate this relationship.

methodsWomen who had undergone RRSO were included in the study (N = 552; age 30-73 y). We measured executive function (continuous performance task, letter n-back task, and Brown Attention Deficit Disorder Scale Score), exposure to early life stress (ACE questionnaire), and mood symptoms (Hospital Anxiety and Depression Scale). Generalized estimating equations were used to evaluate the association between ACE and executive dysfunction and the role of mood symptoms as a mediator in this relationship.

resultsACE was associated with greater severity of subjective executive dysfunction (adjusted mean difference [aMD] = 7.1, P = 0.0005) and worse performance on both cognitive tasks (continuous performance task: aMD = -0.1, P = 0.03; n-back: aMD = -0.17, P = 0.007). Mood symptoms partially mediated ACE associations with sustained attention (21.3% mediated; 95% CI: 9.3%-100%) and subjective report of executive dysfunction (62.8% mediated; 95% CI: 42.3%-100%).

conclusionsThe relationship between childhood adversity and executive dysfunction is partially mediated by mood symptoms. These data indicate that assessing history of childhood adversity and current anxiety and depression symptoms may play a role in treating women who report cognitive complaints after RRSO. : Video Summary:http://links.lww.com/MENO/A571.

Indexed as

Adverse Childhood ExperiencesOvarian NeoplasmsAdultAgedAnxietyBRCA1 ProteinBRCA2 ProteinChildExecutive FunctionFemaleHumansMiddle AgedMutationOvariectomySalpingo-oophorectomyBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, human

Identifiers

PMID32187134
PMCPMC7473450
OpenAlexW3011525283

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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.