Evidence map›Paper›PMID 36891464›Full record

ArticleNeurology. Clinical practice2023

Childhood Trauma and Parkinson Disease: Associations of Adverse Childhood Experiences, Disease Severity, and Quality of Life.

Indu Subramanian, Bradley McDaniels, Joshua Farahnik, Laurie K Mischley

Open access · greenAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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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

4 authors at 1 institution in 1 country.

Indu SubramanianDavid Geffen School of Medicine (IS), UCLA, Department of Neurology, Los Angeles, CA; SW PADRECC (IS), West Los Angeles, Veterans Administration, CA; Department of Rehabilitation and Health Services (BM), University of North Texas, Denton; Bastyr University Research Institute (JF, LKM); and Department of Radiology (LKM), University of Washington.ORCID https://orcid.org/0000-0001-9966-0655
Bradley McDanielsDavid Geffen School of Medicine (IS), UCLA, Department of Neurology, Los Angeles, CA; SW PADRECC (IS), West Los Angeles, Veterans Administration, CA; Department of Rehabilitation and Health Services (BM), University of North Texas, Denton; Bastyr University Research Institute (JF, LKM); and Department of Radiology (LKM), University of Washington.ORCID https://orcid.org/0000-0001-7834-1743
Joshua FarahnikDavid Geffen School of Medicine (IS), UCLA, Department of Neurology, Los Angeles, CA; SW PADRECC (IS), West Los Angeles, Veterans Administration, CA; Department of Rehabilitation and Health Services (BM), University of North Texas, Denton; Bastyr University Research Institute (JF, LKM); and Department of Radiology (LKM), University of Washington.
Laurie K MischleyDavid Geffen School of Medicine (IS), UCLA, Department of Neurology, Los Angeles, CA; SW PADRECC (IS), West Los Angeles, Veterans Administration, CA; Department of Rehabilitation and Health Services (BM), University of North Texas, Denton; Bastyr University Research Institute (JF, LKM); and Department of Radiology (LKM), University of Washington.ORCID https://orcid.org/0000-0003-1166-6978
University of North Texas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Childhood trauma has been shown to be associated with adverse health outcomes that can last a lifetime. The effects of trauma have not been evaluated in a Parkinson disease (PD) population. The goal of this study was to survey individuals with PD to evaluate whether the intensity of childhood trauma is associated with individual symptoms, overall disease severity, or quality of life. Methods: An Internet-based observational survey was designed to evaluate modifiable variables associated with PD progression. In this cross-sectional analysis, adverse childhood experiences (ACEs) were used as a measure of childhood trauma, patient-reported outcomes in PD for the primary measure of PD severity, and Patient-Reported Outcomes Measurement Information System (PROMIS) Global for quality of life (QoL). Results: Seven hundred twelve of 900 participants (79%) responded to the questions related to childhood trauma. Among respondents, QoL decreased as incidence of childhood trauma increased. Individuals with ACE scores 4 or higher reported greater symptom severity for 45% of the variables tested, including apathy, muscle pain, daytime sleepiness, restless leg syndrome, depression, fatigue, comprehension, and anxiety ( Discussion: These data suggest childhood trauma is associated with a mild increase in overall patient-reported PD severity, specifically mood and other nonmotor and motor symptoms. While the associations were statistically significant, the impact of trauma was less robust than previously described predictors of severity, such as diet, exercise, and social connection. Future research should attempt to include more diverse populations, attempt to improve the response rate of these sensitive questions, and, most importantly, determine whether the adverse outcomes associated with childhood trauma can be mitigated with lifestyle modification, psychosocial support, and intervention in adulthood.

Identifiers

PMID36891464
PMCPMC9987208
OpenAlexW4321367020

What OpenQuestion holds

Textmetadata
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.