Evidence map›Paper›PMID 41429642›Full record

ArticleBJPsych bulletin2025

High-functioning depression: a hidden burden demanding clinical recognition.

Promise U Okereke, Chukwuemeka V Umeh, Wisdom O Okereke, Egide Ndayambaje, Christian C Obetta, Onyedikachi F Uzor, Olanrewaju J Oduola

Abstract read
In one paragraph

Article in BJPsych bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Promise U OkerekeFaculty of Dentistry, College of Medicine, https://ror.org/01sn1yx84University of Nigeria, Enugu, Nigeria.ORCID https://orcid.org/0000-0002-6801-6207
Chukwuemeka V UmehFaculty of Clinical Sciences, College of Medicine, University of Nigeria, Enugu, Nigeria.
Wisdom O OkerekeFaculty of Dentistry, College of Medicine, https://ror.org/01sn1yx84University of Nigeria, Enugu, Nigeria.
Egide NdayambajeCollege of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Christian C ObettaFaculty of Clinical Sciences, College of Medicine, University of Nigeria, Enugu, Nigeria.
Onyedikachi F UzorSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Olanrewaju J OduolaDepartment of Periodontology and Community Dentistry, University College Hospital, Ibadan, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-functioning depression (HFD) describes individuals experiencing persistent depressive symptoms, such as low mood and emotional exhaustion, while maintaining outward success. Owing to preserved functionality, the underlying distress is often unnoticed, misattributed or suppressed. HFD challenges existing psychiatric frameworks, delays diagnosis and increases the risk of progression to major depressive disorder and suicidality. Current screening tools may lack sensitivity, and stigma can lead to disengagement from therapy. Expanded diagnostic awareness, improved clinician training and culturally attuned care are essential for recognising and validating internal suffering in this overlooked population.

Indexed as

clinical outcome measuresDepressive disordersdiagnosis and classificationmental health servicespsychotherapy

Identifiers

PMID41429642
PMCPMC13150555

What OpenQuestion holds

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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.