Evidence map›Paper›PMID 40461262›Full record

ArticleBMJ mental health2025

General disease factor: evidence of a unifying dimension across mental and physical illness in children and adolescents.

Miguel Garcia-Argibay, Valerie Brandt, Hongyi Sun, Marco Solmi, Paul Lichtenstein, Henrik Larsson, Samuele Cortese

Abstract read
In one paragraph

Article in BMJ mental health, 2025. 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
–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

1 citing paper in PubMed.

  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.

Miguel Garcia-ArgibayDevelopmental EPI (Evidence synthesis, Prediction, Implementation) lab, Centre for Innovation in Mental Health, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK miguel.garcia-argibay@oru.se.ORCID 0000-0002-4811-2330
Valerie BrandtDevelopmental EPI (Evidence synthesis, Prediction, Implementation) lab, Centre for Innovation in Mental Health, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID 0000-0002-3208-2659
Hongyi SunDevelopmental EPI (Evidence synthesis, Prediction, Implementation) lab, Centre for Innovation in Mental Health, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Marco SolmiDepartment of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada.
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Henrik LarssonSchool of Medical Sciences, Faculty of Medicine and Health, Örebro universitet, Orebro, Sweden.
Samuele CorteseDevelopmental EPI (Evidence synthesis, Prediction, Implementation) lab, Centre for Innovation in Mental Health, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID 0000-0001-5877-8075

Funding

UK Department of Health and Social Care NIHR128472UK Department of Health and Social Care NIHR130077UK Department of Health and Social Care NIHR203035UK Department of Health and Social Care NIHR203684
6 · The paper itself

Abstract

backgroundUnderstanding the relationship between mental and physical health conditions is crucial for developing comprehensive healthcare strategies. The putative existence of a general disease factor (

objectiveTo investigate the presence and characteristics of a general

methodsThis Swedish registry-based cross-sectional study included children and adolescents born between 1996 and 2003 with follow-up until 2013. We extracted data on 25 mental and physical health conditions according to the ICD-10 system. To determine the optimal dimensional structure of these conditions, several competing measurement models were tested, including correlated factors, one factor, various bifactor specifications and bifactor exploratory structural equation modelling (ESEM).

findingsThe study cohort included 776 667 individuals (mean age 13.96 years, IQR=11.96-16.04; 51% male). The bifactor ESEM model, including a general

conclusionsThis study provided evidence for a multidimensional structure of health in children and adolescents, characterised by a general

Indexed as

Health StatusMental DisordersRegistriesAdolescentChildCross-Sectional StudiesFemaleHumansMaleSwedenChild & adolescent psychiatry

Identifiers

PMID40461262
PMCPMC12142111

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.