Evidence map›Paper›PMID 37924053›Full record

ArticleBMC psychiatry2023

Symptoms and prevalence of common mental disorders in a heterogenous outpatient sample: an investigation of clinical characteristics and latent subgroups.

Martin Brattmyr, Martin Schevik Lindberg, Jakob Lundqvist, Stian Solem, Odin Hjemdal, Frederick Anyan, Audun Havnen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Martin BrattmyrDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway. martin.brattmyr@ntnu.no.
Martin Schevik LindbergDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Jakob LundqvistDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Stian SolemDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Odin HjemdalDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Frederick AnyanDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Audun HavnenDepartment of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, NO-7491, Norway.
Norwegian University of Science and Technology · NOTrondheim Kommune · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcome measures (PROM) provide clinicians with information about patients' perceptions of distress. When linked with treatment and diagnostic registers, new information on common mental health disorders (CMHD) and service use, may be obtained, which might be useful clinically and for policy decision-making. This study reports the prevalence of CMHD and their association with PROM severity. Further, subgroups of self-reported symptoms of depression and anxiety were examined, and their association with clinician-assessed mental disorders, functional impairment, and service use.

methodsIn a cohort study of 2473 (63% female) outpatients, CMHD was examined with pre-treatment scores of self-reported depression and anxiety, and the number of assessments and psychotherapy appointments one year after treatment start. Factor mixture modelling (FMM) of anxiety and depression was used to examine latent subgroups.

resultsOverall, 22% of patients with a CMHD had an additional comorbid mood/anxiety disorder, making the prevalence lower than expected. This comorbid group reported higher symptoms of anxiety and depression compared to patients with non-comorbid disorders. FMM revealed three classes: "anxiety and somatic depression" (33%), "mixed depression and anxiety" (40%), and "cognitive depression" (27%). The anxiety and somatic depression class was associated with older age, being single and on sick leave, higher probability of depressive-, anxiety-, and comorbid disorders, having more appointments and higher functional impairment. Although the cognitive depression class had less somatic distress than the mixed depression and anxiety class, they reported more functional impairment and had higher service use.

conclusionThe results show that higher levels of somatic symptoms of depression could both indicate higher and lower levels of functional impairment and service use. A group of patients with high somatic depression and anxiety was identified, with severe impairment and high service needs. By gaining insights into CMHD factors' relation with clinical covariates, self-reported risk factors of depression and anxiety could be identified for groups with different levels of aggravating life circumstances, with corresponding service needs. These could be important symptom targets in different groups of patients.

Indexed as

Mental DisordersAnxietyAnxiety DisordersCohort StudiesComorbidityDepressionFemaleHumansMalePrevalenceCommon mental disordersComorbidityFactor mixture modelsLatent class analysisPatient-reported outcome measures

Identifiers

PMID37924053
PMCPMC10623879
OpenAlexW4388294842

What OpenQuestion holds

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LicenceCC BY
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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.