Evidence map›Paper›PMID 33644827›Full record

ArticleInternational journal of bipolar disorders2021

Melanopsin-mediated pupillary responses in bipolar disorder-a cross-sectional pupillometric investigation.

Helle Østergaard Madsen, Shakoor Ba-Ali, Steffen Heegaard, Ida Hageman, Ulla Knorr, Henrik Lund-Andersen, Klaus Martiny, Lars Vedel Kessing

Open access · goldAbstract read
In one paragraph

Article in International journal of bipolar disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pathophysiological Models of Hypersomnolence Associated With Depression.Biological psychiatry global open science · 2025
    Review
  3. Article
  4. Observational
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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

8 authors at 3 institutions in 1 country.

Helle Østergaard MadsenCopenhagen Affective Disorder Research Center (CADIC), Mental Health Center Copenhagen, Rigshospitalet, Edel Sauntes Allé 10, 2100, Copenhagen Ø, Denmark. helle.oestergaard.madsen@regionh.dk.ORCID http://orcid.org/0000-0003-2000-8264
Shakoor Ba-AliDepartment of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Steffen HeegaardDepartment of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Ida HagemanMental Health Services, Capital Region of Denmark, Copenhagen, Denmark.
Ulla KnorrCopenhagen Affective Disorder Research Center (CADIC), Mental Health Center Copenhagen, Rigshospitalet, Edel Sauntes Allé 10, 2100, Copenhagen Ø, Denmark.
Henrik Lund-AndersenDepartment of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Klaus MartinyCopenhagen Affective Disorder Research Center (CADIC), Mental Health Center Copenhagen, Rigshospitalet, Edel Sauntes Allé 10, 2100, Copenhagen Ø, Denmark.
Lars Vedel KessingCopenhagen Affective Disorder Research Center (CADIC), Mental Health Center Copenhagen, Rigshospitalet, Edel Sauntes Allé 10, 2100, Copenhagen Ø, Denmark.
Rigshospitalet · DKCopenhagen University Hospital · DKMental Health Services · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisible light, predominantly in the blue range, affects mood and circadian rhythm partly by activation of the melanopsin-containing intrinsically photosensitive retinal ganglion cells (ipRGCs). The light-induced responses of these ganglion cells can be evaluated by pupillometry. The study aimed to assess the blue light induced pupil constriction in patients with bipolar disorder (BD).

methodsWe investigated the pupillary responses to blue light by chromatic pupillometry in 31 patients with newly diagnosed bipolar disorder, 22 of their unaffected relatives and 35 healthy controls. Mood state was evaluated by interview-based ratings of depressive symptoms (Hamilton Depression Rating Scale) and (hypo-)manic symptoms (Young Mania Rating Scale).

resultsThe ipRGC-mediated pupillary responses did not differ across the three groups, but subgroup analyses showed that patients in remission had reduced ipRGC-mediated responses compared with controls (9%, p = 0.04). Longer illness duration was associated with more pronounced ipRGC-responses (7% increase/10-year illness duration, p = 0.02).

conclusionsThe ipRGC-mediated pupil response to blue light was reduced in euthymic patients compared with controls and increased with longer disease duration. Longitudinal studies are needed to corroborate these potential associations with illness state and/or progression.

Indexed as

Bipolar disorderCircadian rhythmMelanopsinMood disordersPupillary reflexPupillometryRetina

Identifiers

PMID33644827
PMCPMC7917036
OpenAlexW3133584924

What OpenQuestion holds

Textmetadata
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.