Evidence map›Paper›PMID 38199616›Full record

ArticleBMJ (Clinical research ed.)2024

Undisclosed financial conflicts of interest in DSM-5-TR: cross sectional analysis.

Lauren C Davis, Alexa T Diianni, Sydney R Drumheller, Noha N Elansary, Gianna N D'Ambrozio, Farahdeba Herrawi, Brian J Piper, Lisa Cosgrove

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ (Clinical research ed.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07372066 (Effectiveness of Cognitive Stimulation Therapy Group for Residential Home Residents With Dementia and Mild Cognitive Impairment-- A Randomized Controlled Trial), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07372066 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Cognitive Stimulation Therapy Group for Residential Home Residents With Dementia and Mild Cognitive Impairment-- A Randomized Controlled Trial

TypeinterventionalSponsorCity University of Hong KongRan2026 to 2026Enrolled110ConditionsCognitive FunctionsArmsCognitive Stimulation Therapy group, Calligraphy group
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Doctors' Conflict-of-Interest; What it Looks Like and What to do About it.International journal of social determinants of health and health services · 2026
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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

8 authors.

Lauren C DavisGeisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
Alexa T DiianniGeisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
Sydney R DrumhellerGeisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
Noha N ElansaryGeisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
Gianna N D'AmbrozioUniversity of Massachusetts-Boston, Department of Counseling and School Psychology, Boston, MA, USA.
Farahdeba HerrawiUniversity of Massachusetts-Boston, Department of Counseling and School Psychology, Boston, MA, USA.
Brian J PiperGeisinger Commonwealth School of Medicine, Department of Medical Education, Scranton, PA, USA.
Lisa CosgroveUniversity of Massachusetts-Boston, Department of Counseling and School Psychology, Boston, MA, USA.ORCID 0000-0003-3101-5726

Funding

MODE OF ACTION OF ENVIRONMENTAL TOXICANTST32ES007060 · NIEHS · OREGON STATE UNIVERSITY · PI Jamie DeWitt, Siva Kumar Kolluri · 1985 to 2026
$11.6M
NIDA NIH HHS L30 DA027582NIEHS NIH HHS T32 ES007060
6 · The paper itself

Abstract

objectiveTo assess the extent and types of financial ties to industry of panel and task force members of the American Psychiatric Association's

designCross sectional analysis.

settingOpen Payments database, USA.

participants92 physicians based in the US who served as members of either a panel (n=86) or task force (n=6) on the DSM-5-TR with information recorded in the Centers for Medicare and Medicaid Services Open Payments database during 2016-19. This period was chosen to include the year that development of the DSM-5-TR began and the three years preceding, a time consistent with previous research on conflicts of interest and consistent with the American Psychiatric Association's disclosure requirements for the fifth revision (DSM-5) of the manual.

main outcome measuresType and amount of compensation the panel and task force members of DSM-5-TR received during 2016-19.

resultsAfter duplicate names had been removed, 168 individuals were identified who served as either panel or task force members of the DSM-5-TR. 92 met the inclusion criteria of being a physician who was based in the US and therefore could be included in Open Payments. Of these 92 individuals, 55 (60%) received payments from industry. Collectively, these panel members received a total of $14.2m (£11.2m; €13m). One third (33.3%) of the task force members had payments reported in Open Payments.

conclusionsConflicts of interest among panel members of DSM-5-TR were prevalent. Because of the enormous influence of diagnostic and treatment guidelines, the standards for participation on a guideline development panel should be high. A rebuttable presumption should exist for the

Indexed as

Conflict of InterestMedicareAdvisory CommitteesAgedCross-Sectional StudiesDiagnostic and Statistical Manual of Mental DisordersHumansUnited States

Identifiers

PMID38199616
PMCPMC10777894

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.