Evidence mapPaperPMID 31024360Full record

ReviewFrontiers in psychiatry2019

Impacts of Psychological Stress on Osteoporosis: Clinical Implications and Treatment Interactions.

Ryan R Kelly, Lindsay T McDonald, Nathaniel R Jensen, Sara J Sidles, Amanda C LaRue

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 1% of its field
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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Early-life famine exposure and risk of osteoporosis and low bone mineral density: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Pooled it
  3. Repeated social defeat causes bone loss from mouse femur.Brain, behavior, & immunity - health · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Exercise improves quality of life, mental health and pain in people living with osteoporosis: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Relationship of Chronic Stress and Hypertension with Bone Resorption.Journal of functional morphology and kinesiology · 2025
    Review
  16. Observational
  17. Article
  18. Effects of stress on bone health in children.Frontiers in endocrinology · 2025
    Review
  19. Review
  20. 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 at 2 institutions in 1 country.

Ryan R KellyResearch Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States.
Lindsay T McDonaldResearch Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States.
Nathaniel R JensenResearch Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States.
Sara J SidlesResearch Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States.
Amanda C LaRueResearch Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States.
Ralph H. Johnson VA Medical Center · USMedical University of South Carolina · US

Funding

Potential of Hematopoietic Stem Cell-Based Therapies for Complicated FracturesI01BX000333 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI AMANDA C. LARUE · 2021 to 2021
BLRD VA I01 BX000333BLRD VA IK2 BX004072
6 · The paper itself

Abstract

The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for osteoporosis, the mechanisms that may link these conditions, and potential implications for treatment. Traditional, alternative, and adjunctive therapies are discussed. This review is not intended to provide therapeutic recommendations, but, rather, the goal of this review is to delineate potential interactions of psychological stress and osteoporosis and to highlight potential multi-system implications of pharmacological interventions. Review of the current literature identifies several potentially overlapping mechanistic pathways that may be of interest (e.g., glucocorticoid signaling, insulin-like growth factor signaling, serotonin signaling) for further basic and clinical research. Current literature also supports the potential for cross-effects of therapeutics for osteoporosis and mental health disorders. While studies examining a direct link between osteoporosis and chronic psychological stress are limited, the studies reviewed herein suggest that a multi-factorial, personalized approach should be considered for improved patient outcomes in populations experiencing psychological stress, particularly those at high-risk for development of osteoporosis.

Indexed as

alternativesbonedepressionmental healthosteoporosispharmacologypsychological stressPTSD

Identifiers

PMID31024360
PMCPMC6465575
OpenAlexW2938598156

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.