Evidence map›Paper›PMID 34430845›Full record

ArticleClinical parkinsonism & related disorders2021

A bidirectional relationship between anxiety, depression and gastrointestinal symptoms in Parkinson's disease.

Jacob D Jones, Brandon Dominguez, Joseph Bunch, Carmen Uribe, Yenny Valenzuela, Jonathan P Jacobs

Open access · goldAbstract read
In one paragraph

Article in Clinical parkinsonism & related disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The pathobiological basis of depression in Parkinson disease: challenges and outlooks.Journal of neural transmission (Vienna, Austria : 1996) · 2022
    Review
  11. Article
  12. 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

6 authors at 2 institutions in 1 country.

Jacob D JonesDepartment of Psychology, Center on Aging, California State University San Bernardino, San Bernardino, CA, USA.
Brandon DominguezDepartment of Psychology, Center on Aging, California State University San Bernardino, San Bernardino, CA, USA.
Joseph BunchDepartment of Psychology, Center on Aging, California State University San Bernardino, San Bernardino, CA, USA.
Carmen UribeDepartment of Psychology, Center on Aging, California State University San Bernardino, San Bernardino, CA, USA.
Yenny ValenzuelaDepartment of Psychology, Center on Aging, California State University San Bernardino, San Bernardino, CA, USA.
Jonathan P JacobsThe Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
California State University, San Bernardino · USUniversity of California, Los Angeles · US

Funding

CSU San Bernardino Minority Access to Research CareersT34GM083883 · NIGMS · CALIFORNIA STATE UNIV SAN BERNARDINO · PI MCDOUGALL, SANDERS · 2009 to 2019
$3.0M
U-RISE at CSUSBT34GM136467 · NIGMS · CALIFORNIA STATE UNIV SAN BERNARDINO · PI Leslie Renee Amodeo, Jacob D Jones · 2020 to 2026
$2.6M
Microbiome Composition and Function Contributes to Cognitive Impairment and Neuroinflammation in Parkinson’s DiseaseSC3NS124906 · NINDS · CALIFORNIA STATE UNIV SAN BERNARDINO · PI JONES, JACOB D · 2021 to 2024
$438k
CSRD VA IK2 CX001717NIGMS NIH HHS T34 GM083883NIGMS NIH HHS T34 GM136467NINDS NIH HHS SC3 NS124906
6 · The paper itself

Abstract

introductionAnxiety, depression and gastrointestinal (GI) symptoms are common non-motor symptoms in Parkinson's disease (PD). Past studies provide evidence of a disrupted microbiome-gut-brain axis in PD, which is associated with certain motor and non-motor symptoms in PD. Additionally, there is evidence of a bidirectional association between mental health and gut health among individuals with GI disorders. The current study examined the bidirectional association between GI symptoms and anxiety/depression among individuals newly diagnosed with PD.

methodsWe conducted a secondary data analysis of the Parkinson's Progression Markers Initiative. This included 487 individuals newly diagnosed with PD and followed for up to 5 years. Participants completed questionnaires of anxiety, depression and GI symptoms (Scales for Outcomes in Parkinson's Disease Autonomic; SCOPA-AUT) at each annual visit. Multilevel models examined the bidirectional-lagged relationship between GI symptoms and anxiety/depression.

resultsModels provided evidence for a bidirectional relationship between GI symptoms and anxiety/depression. Specifically, more severe GI symptoms predicted more severe anxious/depressive symptoms within the same year and at the following year. There was also evidence of the inverse directionality, meaning that more severe anxiety/depression predicted more severe GI symptoms concurrently and in the following year. DISCUSSION: Findings provide preliminary evidence for a cyclical relationship among gut health and mental health in PD. Future studies are needed to examine if the microbiome-gut-brain axis plays a mechanistic role.

Indexed as

AnxietyConstipationDepressionGastrointestinal microbiomeParkinson’s disease

Identifiers

PMID34430845
PMCPMC8368023
OpenAlexW3194818847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.