Evidence map›Paper›PMID 38914643›Full record

ArticleCommunications medicine2024

Natural language processing analysis of the theories of people with multiple sclerosis about causes of their disease.

Christina Haag, Nina Steinemann, Vladeta Ajdacic-Gross, Jonas Tom Thaddäus Schlomberg, Benjamin Victor Ineichen, Mina Stanikić, Holger Dressel, Paola Daniore, Patrick Roth, Sabin Ammann and 7 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Machine learning in healthcare citizen science: A scoping review.International journal of medical informatics · 2025
    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

17 authors.

Christina HaagEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-9662-5245
Nina SteinemannEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Vladeta Ajdacic-GrossEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Jonas Tom Thaddäus SchlombergInstitute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland.
Benjamin Victor IneichenCenter for Reproducible Science, University of Zurich, Zurich, Switzerland.
Mina StanikićEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Holger DresselEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Paola DanioreInstitute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-3319-1125
Patrick RothDepartment of Neurology & Brain Tumor Center, University Hospital and University of Zurich, Zurich, Switzerland.
Sabin AmmannEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Pasquale CalabreseDivision of Molecular and Cognitive Neuroscience, Neuropsychology and Behavioral Neurology Unit, University of Basel, Basel, Switzerland.
Christian Philipp KammNeurocentre, Lucerne Cantonal Hospital, Lucerne, Switzerland.
Jürg KesselringDepartment of Neurology and Neurorehabilitation, Rehabilitation Center Valens, Valens, Switzerland.
Jens KuhleDepartment of Neurology, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-6963-8892
Chiara ZeccaMultiple Sclerosis Center, Neurocenter of Southern Switzerland, EOC, Lugano, Switzerland.
Milo Alan PuhanEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Viktor von WylEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland. viktor.vonwyl@uzh.ch.ORCID http://orcid.org/0000-0002-8754-9797

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile potential risk factors for multiple sclerosis (MS) have been extensively researched, it remains unclear how persons with MS theorize about their MS. Such theories may affect mental health and treatment adherence. Using natural language processing techniques, we investigated large-scale text data about theories that persons with MS have about the causes of their disease. We examined the topics into which their theories could be grouped and the prevalence of each theory topic.

methodsA total of 486 participants of the Swiss MS Registry longitudinal citizen science project provided text data on their theories about the etiology of MS. We used the transformer-based BERTopic Python library for topic modeling to identify underlying topics. We then conducted an in-depth characterization of the topics and assessed their prevalence.

resultsThe topic modeling analysis identifies 19 distinct topics that participants theorize as causal for their MS. The topics most frequently cited are Mental Distress (31.5%), Stress (Exhaustion, Work) (29.8%), Heredity/Familial Aggregation (27.4%), and Diet, Obesity (16.0%). The 19 theory topics can be grouped into four high-level categories: physical health (mentioned by 56.2% of all participants), mental health (mentioned by 53.7%), risk factors established in the scientific literature (genetics, Epstein-Barr virus, smoking, vitamin D deficiency/low sunlight exposure; mentioned by 47.7%), and fate/coincidence (mentioned by 3.1%). Our study highlights the importance of mental health issues for theories participants have about the causes of their MS.

conclusionsOur findings emphasize the importance of communication between healthcare professionals and persons with MS about the pathogenesis of MS, the scientific evidence base and mental health.

Identifiers

PMID38914643
PMCPMC11196672

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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.