Evidence map›Paper›PMID 32660693›Full record

ArticleeLife2020

Risk of psychiatric disorders among the surviving twins after a co-twin loss.

Huan Song, Henrik Larsson, Fang Fang, Catarina Almqvist, Nancy L Pedersen, Patrik Ke Magnusson, Unnur A Valdimarsdóttir

Open access · goldAbstract readTwin Study
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Mortality among twin individuals exposed to loss of a co-twin.International journal of epidemiology · 2023
    Article
  3. Article
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 6 institutions in 4 countries.

Huan SongWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0003-3845-8079
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Fang FangInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Catarina AlmqvistDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Nancy L PedersenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Patrik Ke MagnussonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Unnur A ValdimarsdóttirCenter of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland.ORCID 0000-0001-5382-946X
Karolinska Institutet · SEHarvard University · USKarolinska University Hospital · SEÖrebro University · SEUniversity of Iceland · ISUniversity of Southern California · US

Funding

European Research Council Consolidator Grant 726413Icelandic Centre for Research 163362-051Karolinska Institutet Senior Researcher Award andStrategic Research Area in EpidemiologyNational Science Foundation of China 81971262Swedish Research Council 2017-00641Swedish Research Council 340-2013-5867
6 · The paper itself

Abstract

Losing a co-twin by death is a severely stressful event yet with unknown impact on the surviving twin's risk of psychiatric disorders. We identified all Swedish-born twins who lost a co-twin by death between 1973 and 2013 (n = 4,528), their 4939 non-twin full siblings, together with 22,640 age- and sex-matched non-bereaved twins. Compared to the non-bereaved twins, exposed twins were at increased risk of receiving a first diagnosis of psychiatric disorders (hazard ratio = 1.65, 95% confidence interval1.48-1.83), particularly during the first month after loss. Similarly, compared to non-twin full siblings, the relative risks were significantly increased after loss of monozygotic co-twin (2.45-fold), and loss of a dizygotic co-twin (1.29-fold), with higher HR observed with greater age gaps between twins and non-twin siblings. As dizygotic twins share equal genetic relatedness to the deceased twin as their full siblings, this pattern suggests that beyond the contribution of genetic factors, shared early life experiences and attachment contribute to the risk of psychiatric disorders among surviving twins after co-twin loss.

Indexed as

AdolescentAdultAgedAged, 80 and overChildCohort StudiesFemaleHumansIncidenceMaleMental DisordersMiddle AgedRisk FactorsSwedenTwins, DizygoticTwins, Monozygoticcohortepidemiologyfamily designglobal healthhumanloss of co-twinpsychiatric disorderrelative risk

Identifiers

PMID32660693
PMCPMC7360364
OpenAlexW3042375506

What OpenQuestion holds

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LicenceCC BY
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.