Evidence map›Paper›PMID 34785645›Full record

ArticleNature communications2021

Associations between patterns in comorbid diagnostic trajectories of individuals with schizophrenia and etiological factors.

Morten Dybdahl Krebs, Gonçalo Espregueira Themudo, Michael Eriksen Benros, Ole Mors, Anders D Børglum, David Hougaard, Preben Bo Mortensen, Merete Nordentoft, Michael J Gandal, Chun Chieh Fan and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Real-world comprehensive care of people living with schizophrenia: recommendations across different settings and clinical stages.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  3. Article
  4. Characterisation of serious mental illness trajectories through transdiagnostic clinical features.The British journal of psychiatry : the journal of mental science · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
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  10. Article
  11. Polygenic risk scores enhance prediction of body mass index increase in individuals with a first episode of psychosis.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
  12. Article
  13. 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

14 authors at 8 institutions in 2 countries.

Morten Dybdahl KrebsInstitute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.
Gonçalo Espregueira ThemudoInstitute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.ORCID 0000-0002-5019-9439
Michael Eriksen BenrosCopenhagen Research Centre for Mental Health, Mental Health Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0003-4939-9465
Ole MorsiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Anders D BørglumiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.ORCID 0000-0001-8627-7219
David HougaardiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.ORCID 0000-0001-5928-3517
Preben Bo MortenseniPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Merete NordentoftiPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark.
Michael J GandalDepartment of Neurology, University of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0001-5800-5128
Chun Chieh FanInstitute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.ORCID 0000-0001-9437-2128
Daniel H GeschwindDepartment of Neurology, University of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-2896-3450
Andrew J SchorkInstitute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.ORCID 0000-0003-4164-9335
Thomas Werge *Institute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark. thomas.werge@regionh.dk.ORCID 0000-0003-1829-0766
Wesley K Thompson *Institute of Biological Psychiatry, Mental Health Centre Sct Hans, Mental Health Services Capital Region of Denmark, Copenhagen, Denmark.
Mental Health Services · DKAarhus University · DKUniversity of California, Los Angeles · USUniversity of Copenhagen · DKAarhus University Hospital · DKCopenhagen University Hospital · DKStatens Serum Institut · DKTranslational Genomics Research Institute · US

Funding

Road Map to Precision Psychiatry: Comprehensive Investigation of Chromosomal Anomalies (PsychMap)R01MH124789 · NIMH · REGION HOVEDSTADEN · PI Thomas Mears Werge · 2021 to 2026
$2.5M
Medical Research Council MR/V004905/1Medical Research Council MR/W014416/1NIMH NIH HHS R01 MH124789
6 · The paper itself

Abstract

Schizophrenia is a heterogeneous disorder, exhibiting variability in presentation and outcomes that complicate treatment and recovery. To explore this heterogeneity, we leverage the comprehensive Danish health registries to conduct a prospective, longitudinal study from birth of 5432 individuals who would ultimately be diagnosed with schizophrenia, building individual trajectories that represent sequences of comorbid diagnoses, and describing patterns in the individual-level variability. We show that psychiatric comorbidity is prevalent among individuals with schizophrenia (82%) and multi-morbidity occur more frequently in specific, time-ordered pairs. Three latent factors capture 79% of variation in longitudinal comorbidity and broadly relate to the number of co-occurring diagnoses, the presence of child versus adult comorbidities and substance abuse. Clustering of the factor scores revealed five stable clusters of individuals, associated with specific risk factors and outcomes. The presentation and course of schizophrenia may be associated with heterogeneity in etiological factors including family history of mental disorders.

Indexed as

AdolescentAdultChildComorbidityFemaleHumansLongitudinal StudiesMaleMorbidityMultivariate AnalysisNervous SystemProspective StudiesRegistriesRisk FactorsSchizophreniaSequence Analysis

Identifiers

PMID34785645
PMCPMC8595374
OpenAlexW3214326089

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.