Evidence map›Paper›PMID 35379699›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2022

Association of adverse childhood experiences with the development of multiple sclerosis.

Karine Eid, Øivind Torkildsen, Jan Aarseth, Mari Aalstad, Alok Bhan, Elisabeth G Celius, Marianna Cortese, Anne Kjersti Daltveit, Trygve Holmøy, Kjell-Morten Myhr and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2022. 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
3.6field-weighted citation impact, top 7% 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, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Intimate partner violence and multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
    Article
  9. Review
  10. Article
  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

16 authors at 8 institutions in 2 countries.

Karine EidDepartment of Neurology, Haukeland University Hospital, Bergen, Norway karine.eid@uib.no.ORCID 0000-0002-5158-7636
Øivind TorkildsenNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Jan AarsethNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Mari AalstadDepartment of Neurology, Innlandet Hospital Trust, Lillehammer, Norway.
Alok BhanDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Elisabeth G CeliusDepartment of Neurology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-9127-6488
Marianna CorteseDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.ORCID 0000-0002-3665-2006
Anne Kjersti DaltveitDepartment of Health Registry Research and Development, Norwegian Institute of Public Health, Bergen, Norway.
Trygve HolmøyDepartment of Neurology, Akershus University Hospital, Lorenskog, Norway.
Kjell-Morten MyhrNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Trond RiiseNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Stephan SchülerDepartment of Neurology, Nord-Trøndelag Hospital Trust, Namsos, Norway.
Cecilie F TorkildsenDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Stig WergelandNeuro-SysMed, Department of Neurology, Haukeland University Hospital, Bergen, Norway.
Nils Erik GilhusDepartment of Neurology, Haukeland University Hospital, Bergen, Norway.
Marte-Helene BjørkDepartment of Neurology, Haukeland University Hospital, Bergen, Norway.
Haukeland University Hospital · NOStavanger University Hospital · NOHarvard University · USInnlandet Hospital Trust · NONamsos Hospital · NONorwegian Institute of Public Health · NOOslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study whether exposure to childhood emotional, sexual or physical abuse is associated with subsequent multiple sclerosis (MS) development.

methodsA nationwide, prospective cohort study based on participants in the Norwegian Mother, Father and Child cohort study. Enrolment took place 1999-2008, with follow-up until 31 December 2018. Childhood abuse before age 18 years was obtained from self-completed questionnaires. We identified MS diagnoses through data-linkage with national health registries and hospital records. The Cox model was used to estimate HRs for MS with 95% CIs, adjusting for confounders and mediators.

resultsIn this prospective cohort study, 14 477 women were exposed to childhood abuse and 63 520 were unexposed. 300 women developed MS during the follow-up period. 71 of these (24%) reported a history of childhood abuse, compared with 14 406 of 77 697 (19%) women that did not develop MS. Sexual abuse (HR 1.65, 95% CI 1.13 to 2.39) and emotional abuse (HR 1.40, 95% CI 1.03 to 1.90) in childhood were both associated with an increased risk of developing MS. The HR of MS after exposure to physical abuse was 1.31 (95% CI 0.83 to 2.06). The risk of MS was further increased if exposed to two (HR 1.66, 95% CI 1.04 to 2.67) or all three abuse categories (HR 1.93, 95% CI 1.02 to 3.67).

interpretationChildhood sexual and emotional abuse were associated with an increased risk of developing MS. The risk was higher when exposed to several abuse categories, indicating a dose-response relationship. Further studies are needed to identify underlying mechanisms.

Indexed as

Adverse Childhood ExperiencesChild AbuseMultiple SclerosisAdolescentChildCohort StudiesFemaleHumansMaleProspective StudiesRisk Factorsmultiple sclerosistrauma, psychol seque

Identifiers

PMID35379699
PMCPMC9148981
OpenAlexW4225620780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.