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Global population a...
Global population attributable fraction of potentially modifiable risk factors for mental disorders : a meta-umbrella systematic review
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- Dragioti, Elena, Ph.D. (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Radua, Joaquim (författare)
- Karolinska Institutet
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- Solmi, Marco (författare)
- Kings Coll London, England; Univ Ottawa, Canada; Ottawa Hosp, Canada; Univ Southampton, England
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- Arango, Celso (författare)
- Hosp Gen Univ Gregorio Maranon, Spain; Univ Complutense Madrid, Spain; Biomed Res Ctr Mental Hlth CIBERSAM, Spain
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- Oliver, Dominic (författare)
- Kings Coll London, England
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- Cortese, Samuele (författare)
- Univ Southampton, England; Univ Southampton, England; Solent NHS Trust, England; Hassenfeld Childrens Hosp NYU Langone, NY USA; Univ Nottingham, England
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- Jones, Peter B. (författare)
- Univ Cambridge, England; Cambridgeshire & Peterborough Natl Hlth Serv Fdn, England
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- Il Shin, Jae (författare)
- Yonsei Univ, South Korea; Severance Childrens Hosp, South Korea
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- Correll, Christoph U. (författare)
- Northwell Hlth, NY USA; Zucker Sch Med Hofstra Northwell, NY USA; Feinstein Inst Med Res, NY USA; Charite, Germany
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- Fusar-Poli, Paolo (författare)
- Kings Coll London, England; South London & Maudsley NHS Fdn Trust, England; Univ Pavia, Italy
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(creator_code:org_t)
- 2022-04-28
- 2022
- Engelska.
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Ingår i: Molecular Psychiatry. - : SPRINGER NATURE. - 1359-4184 .- 1476-5578. ; 27:8, s. 3510-3519
- Relaterad länk:
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http://liu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- Numerous risk factors for mental disorders have been identified. However, we do not know how many disorders we could prevent and to what extent by modifying these risk factors. This study quantifies the Population Attributable Fraction (PAF) of potentially modifiable risk factors for mental disorders. We conducted a PRISMA 2020-compliant (Protocol: https://osf.io/hk2ag) meta-umbrella systematic review (Web of Science/PubMed/Cochrane Central Register of Reviews/Ovi/PsycINFO, until 05/12/2021) of umbrella reviews reporting associations between potentially modifiable risk factors and ICD/DSM mental disorders, restricted to highly convincing (class I) and convincing (class II) evidence from prospective cohorts. The primary outcome was the global meta-analytical PAF, complemented by sensitivity analyses across different settings, the meta-analytical Generalised Impact Fraction (GIF), and study quality assessment (AMSTAR). Seven umbrella reviews (including 295 meta-analyses and 547 associations) identified 28 class I-II risk associations (23 risk factors; AMSTAR: 45.0% high-, 35.0% medium-, 20.0% low quality). The largest global PAFs not confounded by indication were 37.84% (95% CI = 26.77-48.40%) for childhood adversities and schizophrenia spectrum disorders, 24.76% (95% CI = 13.98-36.49%) for tobacco smoking and opioid use disorders, 17.88% (95% CI = not available) for job strain and depression, 14.60% (95% CI = 9.46-20.52%) for insufficient physical activity and Alzheimers disease, 13.40% (95% CI = 7.75-20.15%) for childhood sexual abuse and depressive disorders, 12.37% (95% CI = 5.37-25.34%) for clinical high-risk state for psychosis and any non-organic psychotic disorders, 10.00% (95% CI = 5.62-15.95%) for three metabolic factors and depression, 9.73% (95% CI = 4.50-17.30%) for cannabis use and schizophrenia spectrum disorders, and 9.30% (95% CI = 7.36-11.38%) for maternal pre-pregnancy obesity and ADHD. The GIFs confirmed the preventive capacity for these factors. Addressing several potentially modifiable risk factors, particularly childhood adversities, can reduce the global population-level incidence of mental disorders.
Ämnesord
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
- Av författaren/redakt...
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Dragioti, Elena, ...
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Radua, Joaquim
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Solmi, Marco
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Arango, Celso
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Oliver, Dominic
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Cortese, Samuele
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visa fler...
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Jones, Peter B.
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Il Shin, Jae
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Correll, Christo ...
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Fusar-Poli, Paol ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Psykiatri
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
- Artiklar i publikationen
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Molecular Psychi ...
- Av lärosätet
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Linköpings universitet
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Karolinska Institutet