Evidence map›Paper›PMID 40447429›Full record

ArticleBMJ open2025

Investigating mood and cognition in people with multiple sclerosis: a prospective cross-sectional study protocol.

Elena C Cooper, Matthew K Schindler, Amit Bar-Or, Rachel B Brandstadter, Monica E Calkins, Ruben Gur, Dina A Jacobs, Clyde Markowitz, Tyler Moore, Laura R Naydovich and 7 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Association of Anxiety with Uncinate Fasciculus Lesion Burden in Multiple Sclerosis.medRxiv : the preprint server for health sciences · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Elena C CooperDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0009-0001-7960-9155
Matthew K SchindlerDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Amit Bar-OrDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rachel B BrandstadterDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Monica E CalkinsDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-0546-0263
Ruben GurDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dina A JacobsDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Clyde MarkowitzDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0003-3402-2489
Tyler MooreDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Laura R NaydovichDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Christopher M PerroneDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kosha RuparelDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Bailey C SpanglerDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Scott TroyanDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0009-0000-9805-2594
Russell T ShinoharaDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Theodore D SatterthwaiteDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Erica Berlin BallerDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA erica.baller@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-7987-3773

Funding

Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Knashawn Hodge Morales · 2013 to 2026
$23.5M
Inter-modal Coupling Image AnalyticsR01MH112847 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Theodore Satterthwaite, Russell Takeshi Shinohara · 2017 to 2026
$5.9M
Harmonization of Multi-Site Neuroimaging Data from Complex Study DesignsR01MH123550 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI SHINOHARA, RUSSELL TAKESHI · 2020 to 2025
$4.0M
Advanced Statistical Analytics of MRI in MSR01NS112274 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SHINOHARA, RUSSELL TAKESHI · 2020 to 2024
$2.8M
Depression as a disease of network disruption: learning from multiple sclerosisK23MH133118 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Erica Berlin Baller · 2023 to 2026
$780k
NIMH NIH HHS K23 MH133118NIMH NIH HHS P30 MH097488NIMH NIH HHS R01 MH112847NIMH NIH HHS R01 MH123550NINDS NIH HHS R01 NS112274
6 · The paper itself

Abstract

introductionMultiple sclerosis (MS) is an immune-mediated neurological disorder that affects one million people in the USA. Up to 50% of patients with MS experience depression, yet the mechanisms of depression in MS remain underinvestigated. MS is characterised by white matter lesions, suggesting that brain network disruption may underlie depression symptoms. Studies of medically healthy participants with depression have described associations between white matter variability and depressive symptoms, but frequently exclude participants with medical comorbidities and thus cannot be extrapolated to people with intracranial diseases. The purpose of this current study is to investigate how brain network disruption underlies depression by learning from the example of MS. METHODS AND ANALYSIS: We will obtain structured clinical and cognitive assessments from 250 participants with MS and prospectively evaluate white matter disease burden as a predictor of depressive symptoms. White matter lesion burden will be quantified by identifying streamlines within white matter fascicles that intersect lesions along any portion of their trajectory, classifying these streamlines as injured, and calculating the total volume of injured streamlines to serve as the metric of disease burden. ETHICS AND DISSEMINATION: Ethics approval was obtained from The University of Pennsylvania Institutional Review Board (protocol #853883). The results of this study will be presented at scientific meetings and conferences and published in peer-reviewed journals.

Indexed as

AffectCognitionDepressionMultiple SclerosisWhite MatterAdultCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesResearch DesignBehaviorCognitionDepression & mood disordersMagnetic resonance imagingMultiple sclerosis

Identifiers

PMID40447429
PMCPMC12128432

What OpenQuestion holds

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LicenceCC BY-NC
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.