Evidence map›Paper›PMID 37119781›Full record

ReviewGeneral hospital psychiatry

Approaching differential diagnosis and decisional capacity assessment in the context of COVID-19 conspiracy beliefs: A narrative review and clinical discussion.

Ryan Serdenes, Francesca Arana, Jamie Karasin, Nicholas Kontos, Meghan Musselman

Open access · hybridAbstract readReview
In one paragraph

Review in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Overvalued Ideas: Conceptual Analysis and Literature Review.Behavioral sciences (Basel, Switzerland) · 2026
    Review
  3. Review
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 2 institutions in 1 country.

Ryan SerdenesDepartment of Psychiatry, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States of America. Electronic address: rserdenes@gmail.com.
Francesca AranaDepartment of Psychiatry, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States of America.
Jamie KarasinDepartment of Psychiatry, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States of America.
Nicholas KontosDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States of America.
Meghan MusselmanDepartment of Psychiatry, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States of America.
Temple University · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCOVID-19 conspiracy theories have become widespread since the onset of the pandemic and compound the existing challenges of decisional capacity assessment. This paper aims to review the literature pertaining to decisional capacity assessment in the context of COVID-19 conspiracy beliefs and synthesize a practical approach with an emphasis on differential diagnosis and clinical pearls for the practicing physician.

methodsWe reviewed papers on decisional capacity assessment and differential diagnosis in the context of COVID-19 conspiracy beliefs. A literature search was conducted using the US National Library of Medicine's PubMed.gov resource and Google Scholar.

resultsThe resulting article content was utilized to synthesize a practical approach to decisional capacity assessment in the context of COVID-19 conspiracy beliefs. Specifically, aspects related to the history, taxonomy, evaluation, and management are reviewed.

conclusionsAppreciating the nuanced differences between delusions, overvalued ideas, and obsessions while with integrating the non-cognitive domains of capacity into the assessment are crucial to navigating the wide differential diagnosis of COVID-19 conspiracy beliefs. It is important to attempt to clarify and optimize patient decision-making abilities by addressing circumstances, attitudes, and cognitive styles specific to patients with seemingly irrational beliefs about COVID-19.

Indexed as

COVID-19PhysiciansCOVID-19 TestingDiagnosis, DifferentialHumansPandemicsPersonalityUnited StatesConspiracy theoriesConsultation-liaison psychiatryCOVID-19Decisional capacity assessmentDelusionsOvervalued ideas

Identifiers

PMID37119781
PMCPMC10121076
OpenAlexW4366607222

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.