Evidence map›Paper›PMID 41699892›Full record

ArticleBrain and behavior2026

Care Trajectories of People With Mood Disorders in Quebec Using a Sequence Analysis Method.

Marc Henri N'Guessan, Matea Belan, Christian Roger Clav Kouakou, Maude Laberge, Thomas Gilbert Poder

Abstract read
In one paragraph

Article in Brain and behavior, 2026. 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

5 authors.

Marc Henri N'GuessanCentre d'études et de recherches sur le développement international, Université Clermont Auvergne, Clermont-Ferrand, France.
Matea BelanDépartement d'économique, École de gestion, Université de Sherbrooke, Sherbrooke, QC, Canada.
Christian Roger Clav KouakouDépartement d'économique, École de gestion, Université de Sherbrooke, Sherbrooke, QC, Canada.
Maude LabergeDépartement de médecine sociale et préventive, Faculté de médecine, Université Laval, Québec, QC, Canada.
Thomas Gilbert PoderCentre de recherche de l'IUSMM, CIUSSS de l'Est de l'Île de Montréal, Montréal, QC, Canada.ORCID https://orcid.org/0000-0001-7017-096X

Funding

Unité Soutien SSA Québec
6 · The paper itself

Abstract

purposeThe analysis of care trajectories for chronic diseases has gained increasing importance, particularly for mental health conditions that are often neglected despite their alarming prevalence. This study aimed to identify and describe care trajectories of Quebec adults with self-reported mood disorders.

methodWe used data from the TorSaDE cohort, which links data from the Canadian Community Health Surveys (CCHS) with administrative data from Quebec's health insurance board Régie de l'assurance maladie du Québec (RAMQ) over a 21-year period (1996-2016). Sequence analysis (SA) was used for 4421 Quebec adults who self-reported mood disorders within a 7-year follow-up period. FINDING: SA revealed three distinct user groups: Low healthcare users (Type 1, n = 2714), moderate users with diverse services (Type 2, n = 1120), and moderate users with high psychiatric service use (Type 3, n = 587). Average healthcare costs over 7 years varied significantly between trajectory types, ranging from $94,434 for low users to $230,899 for moderate users.

conclusionResults show that the burden of mood disorders is unevenly distributed across care trajectories: a small vulnerable group accounts for a disproportionate share of specialized healthcare use, while the majority relies only marginally on the public system. These findings highlight the heterogeneity of patients with mood disorders and underscore the need for differentiated, profile-specific approaches to healthcare planning rather than uniform treatment strategies.

Indexed as

Health Care CostsMental Health ServicesMood DisordersAdultAgedFemaleHumansMaleMiddle AgedQuebecSequence Analysiscare trajectorieshealthcare planninghealth services utilizationmood disorderssequence analysis

Identifiers

PMID41699892
PMCPMC12910116

What OpenQuestion holds

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LicenceCC BY
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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.