Evidence map›Paper›PMID 38271054›Full record

ArticleJournal of psychopathology and clinical science2024

Depressive symptoms as a heterogeneous and constantly evolving dynamical system: Idiographic depressive symptom networks of rapid symptom changes among persons with major depressive disorder.

Matthew D Nemesure, Amanda C Collins, George D Price, Tess Z Griffin, Arvind Pillai, Subigya Nepal, Michael V Heinz, Damien Lekkas, Andrew T Campbell, Nicholas C Jacobson

Abstract read
In one paragraph

Article in Journal of psychopathology and clinical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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.

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

32 citing papers in PubMed.

  1. Relations among daily symptoms of depression.British journal of psychology (London, England : 1953) · 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

10 authors.

Matthew D NemesureCenter for Technology and Behavioral Health, Geisel School of Medicine.ORCID 0000-0002-2369-600X
Amanda C CollinsCenter for Technology and Behavioral Health, Geisel School of Medicine.
George D PriceCenter for Technology and Behavioral Health, Geisel School of Medicine.
Tess Z GriffinCenter for Technology and Behavioral Health, Geisel School of Medicine.
Arvind PillaiDepartment of Computer Science, Dartmouth College.
Subigya NepalDepartment of Computer Science, Dartmouth College.
Michael V HeinzCenter for Technology and Behavioral Health, Geisel School of Medicine.
Damien LekkasCenter for Technology and Behavioral Health, Geisel School of Medicine.
Andrew T CampbellCenter for Technology and Behavioral Health, Geisel School of Medicine.
Nicholas C JacobsonCenter for Technology and Behavioral Health, Geisel School of Medicine.

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Training in the Science of Co-Occurring DisordersT32DA037202 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2014 to 2026
$4.7M
Personalized Deep Learning Models of Rapid Changes in Major Depressive Disorder Symptoms using Passive Sensor Data from Smartphones and Wearable DevicesR01MH123482 · NIMH · DARTMOUTH COLLEGE · PI JACOBSON, NICHOLAS CHARLES · 2020 to 2024
$2.6M
Training Program for Quantitative Population Sciences in CancerT32CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2020 to 2024
$1.5M
NCI NIH HHS T32 CA134286NIDA NIH HHS P30 DA029926NIDA NIH HHS T32 DA037202NIGMS NIH HHSNIMH NIH HHS R01 MH123482
6 · The paper itself

Abstract

Major depressive disorder (MDD) is conceptualized by individual symptoms occurring most of the day for at least two weeks. Despite this operationalization, MDD is highly variable with persons showing greater variation within and across days. Moreover, MDD is highly heterogeneous, varying considerably across people in both function and form. Recent efforts have examined MDD heterogeneity byinvestigating how symptoms influence one another over time across individuals in a system; however, these efforts have assumed that symptom dynamics are static and do not dynamically change over time. Nevertheless, it is possible that individual MDD system dynamics change continuously across time. Participants (N = 105) completed ratings of MDD symptoms three times a day for 90 days, and we conducted time varying vector autoregressive models to investigate the idiographic symptom networks. We then illustrated this finding with a case series of five persons with MDD. Supporting prior research, results indicate there is high heterogeneity across persons as individual network composition is unique from person to person. In addition, for most persons, individual symptom networks change dramatically across the 90 days, as evidenced by 86% of individuals experiencing at least one change in their most influential symptom and the median number of shifts being 3 over the 90 days. Additionally, most individuals had at least one symptom that acted as both the most and least influential symptom at any given point over the 90-day period. Our findings offer further insight into short-term symptom dynamics, suggesting that MDD is heterogeneous both across and within persons over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

Major Depressive DisorderDepressionHumansResearch Design

Identifiers

PMID38271054
PMCPMC11002496

What OpenQuestion holds

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Registered trials

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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.