Evidence map›Paper›PMID 33815173›Full record

ArticleFrontiers in psychiatry2021

The Mental Health Ecosystem: Extending Symptom Networks With Risk and Protective Factors.

Gabriela Lunansky, Claudia D van Borkulo, Jonas M B Haslbeck, Max A van der Linden, Cristian J Garay, Martín J Etchevers, Denny Borsboom

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
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  7. Network analysis: An overview for mental health research.International journal of methods in psychiatric research · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Elevated emotion network connectivity is associated with fluctuations in depression.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Article
  15. Article
  16. Article
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  18. 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.

Gabriela LunanskyDepartment of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.
Claudia D van BorkuloDepartment of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.
Jonas M B HaslbeckDepartment of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.
Max A van der LindenDepartment of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.
Cristian J GarayFaculty of Psychology, University of Buenos Aires, Buenos Aires, Argentina.
Martín J EtcheversFaculty of Psychology, University of Buenos Aires, Buenos Aires, Argentina.
Denny BorsboomDepartment of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inspired by modeling approaches from the ecosystems literature, in this paper, we expand the network approach to psychopathology with risk and protective factors to arrive at an integrated analysis of resilience. We take a complexity approach to investigate the multifactorial nature of resilience and present a system in which a network of interacting psychiatric symptoms is targeted by risk and protective factors. These risk and protective factors influence symptom development patterns and thereby increase or decrease the probability that the symptom network is pulled toward a healthy or disorder state. In this way, risk and protective factors influence the resilience of the network. We take a step forward in formalizing the proposed system by implementing it in a statistical model and translating different influences from risk and protective factors to specific targets on the node and edge parameters of the symptom network. To analyze the behavior of the system under different targets, we present two novel network resilience metrics: Expected Symptom Activity (ESA, which indicates how many symptoms are active or inactive) and Symptom Activity Stability (SAS, which indicates how stable the symptom activity patterns are). These metrics follow standard practices in the resilience literature, combined with ideas from ecology and physics, and characterize resilience in terms of the stability of the system's healthy state. By discussing the advantages and limitations of our proposed system and metrics, we provide concrete suggestions for the further development of a comprehensive modeling approach to study the complex relationship between risk and protective factors and resilience.

Indexed as

biopsychosocialcomplexitydynamical systemspsychopathologyresilience

Identifiers

PMID33815173
PMCPMC8012560

What OpenQuestion holds

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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.