Evidence map›Paper›PMID 34274735›Full record

ArticleMultiple sclerosis and related disorders2021

The importance of assessing life stress exposure in multiple sclerosis: A case report.

Carri S Polick, Scott R Polick, Sarah A Stoddard, Tiffany J Braley, George M Slavich

Open access · greenAbstract readCase ReportsLetter
In one paragraph

Article in Multiple sclerosis and related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

5 authors at 3 institutions in 1 country.

Carri S PolickSchool of Nursing, University of Michigan, 400 North Ingalls Street, Ann Arbor, MI 48109, USA. Electronic address: carris@umich.edu.
Scott R PolickDepartment of Psychiatry, St. Joseph Mercy Hospital, Ann Arbor, MI, USA.
Sarah A StoddardDepartment of Systems, Populations and Leadership, School of Nursing, University of Michigan Ann Arbor, MI, USA.
Tiffany J BraleyDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
George M SlavichCousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA.
University of Michigan–Ann Arbor · USTrinity Health Ann Arbor Hospital · USUniversity of California, Los Angeles · US

Funding

Complexity: Innovations in Promoting Health through Team ScienceT32NR016914 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARJORIE E MCCULLAGH · 2017 to 2026
$3.5M
Neural, Inflammatory, and Genomic Mechanisms Underlying Risk for Depression in AdolescenceK08MH103443 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SLAVICH, GEORGE MICHAEL · 2015 to 2018
$772k
NIMH NIH HHS K08 MH103443NINR NIH HHS T32 NR016914
6 · The paper itself

Abstract

This case report describes associations between childhood adversity, adult stress exposure, and Multiple Sclerosis (MS) to highlight the intersection between mental health and neurological illness in persons with MS (PwMS). We focus on a high-adversity, high-resource patient who self-referred to mental health services for depression and suicidal ideation, without ever being screened for past or current stress exposure. MS and common comorbid symptoms (e.g., fatigue, depression, suicidality) may be affected by adversity and compounded by pandemic-related stressors, including socio-political and economic sequelae. This case illustrates the potential benefit of screening for lifetime stressors as a mechanism to improve case conceptualizations, enable referrals to mental health specialists to promote coping and resiliency, reduce future MS morbidity, and illuminate stress as an important research focus that deserves further exploration in PwMS.

Indexed as

Multiple SclerosisAdaptation, PsychologicalAdultHumansMental HealthStress, PsychologicalSuicidal IdeationAdverse Childhood Experiences (ACEs)Childhood traumaMultiple SclerosisScreeningSTRAIN

Identifiers

PMID34274735
PMCPMC8490311
OpenAlexW3181456416

What OpenQuestion holds

Textmetadata
LicenceTDM
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.