Author Interviews, Gender Differences, Mental Health Research, Race/Ethnic Diversity / 07.12.2025
Geisinger study finds inadequate gender and geographical representation in the Diagnostic and Statistical Manual of Mental Disorders
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Alexa T. Diianni[/caption]
MedicalResearch.com Interview with:
Alexa T. Diianni, MBS
Department of Medical Education
Geisinger College of Health Sciences
Scranton, PA 19409
MedicalResearch.com: What is the background for this study?
Response: During a previous study, my research team and I examined the financial conflicts of interest (COIs) between industry and academia- namely those that exist between authors of The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), and industry (1). The DSM is a diagnostic tool widely used for the diagnosis of psychiatric disorders, and is thus of interest in assessing COIs (1,2). We previously found that authors of the DSM-5-TR had received over $14.2m in undisclosed payments from industry (1). Our current study examines the gender and geographic disparities of the DSM-5-TR authors, in relation to these payments.
While previous investigations have evaluated financial COIs in recent editions of the DSM (3,4), the demographic information of its authors has not yet been examined. Equitable representation of DSM authors is paramount as this manual serves a diverse population across the United States and beyond. It is important that the authorship of this manual be reflective of the population in which it serves, as there have been reported differences in both the type and prevalence of psychiatric care sought out by gender, as well as varying clinical treatment by geographic location (5-8).
Alexa T. Diianni[/caption]
MedicalResearch.com Interview with:
Alexa T. Diianni, MBS
Department of Medical Education
Geisinger College of Health Sciences
Scranton, PA 19409
MedicalResearch.com: What is the background for this study?
Response: During a previous study, my research team and I examined the financial conflicts of interest (COIs) between industry and academia- namely those that exist between authors of The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), and industry (1). The DSM is a diagnostic tool widely used for the diagnosis of psychiatric disorders, and is thus of interest in assessing COIs (1,2). We previously found that authors of the DSM-5-TR had received over $14.2m in undisclosed payments from industry (1). Our current study examines the gender and geographic disparities of the DSM-5-TR authors, in relation to these payments.
While previous investigations have evaluated financial COIs in recent editions of the DSM (3,4), the demographic information of its authors has not yet been examined. Equitable representation of DSM authors is paramount as this manual serves a diverse population across the United States and beyond. It is important that the authorship of this manual be reflective of the population in which it serves, as there have been reported differences in both the type and prevalence of psychiatric care sought out by gender, as well as varying clinical treatment by geographic location (5-8).
Dr. Mosnaim[/caption]
Dr. Giselle Mosnaim MD MS FACAAI
Allergist
Division of Allergy and Immunology
Department of Medicine
Northshore University Health System
REMIX-1/-2 Investigator
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Chronic spontaneous urticaria is a debilitating condition significantly affecting patient quality of life and is characterized by the presence of itch, hives, and/or angioedema (swelling) lasting for greater than 6 weeks, without identifiable trigger. Second-generation H1-antihistamines at standard doses are recommended as first-line treatment for patients with chronic spontaneous urticaria, and can be up-dosed to 4 times the standard dose. However, over 50% of patients continue to have symptoms despite this therapy. Both Remibrutinib and Dupilumab are FDA-approved for the treatment of chronic spontaneous urticaria in adult patients (Remibrutinib ≥ 18 years old and Dupilumab ≥ 12 years old) who remain symptomatic despite second-generation H1-antihistamine treatment.
The RECLAIM study is an ongoing head-to-head randomized controlled trial comparing the efficacy of Remibrutinib, an oral Bruton’s tyrosine kinase inhibitor, and Dupilumab, an injectable anti-interleukin-4 and anti-interleukin-13 inhibitor, at early timepoints (4 weeks and earlier) when administered as an add-on therapy in adults with moderate to severe chronic spontaneous urticaria inadequately controlled by second-generation H1-antihistamines.
Dr. Serena Guo[/caption]
Serena Jingchuan Guo, MD PhD
Assistant Professor
Department of Pharmaceutical Outcomes and Policy
University of Florida College of Pharmacy
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Dr. Hao Dai[/caption]
Hao Dai, PhD
Postdoctoral Fellow
Department of Biostatistics & Health Data Science
Indiana University School of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Obesity and type 2 diabetes are both known to increase the risk of several cancers. Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have become very popular for both glycemic control and weight loss, but their long-term effects on cancer risk are still unclear. Using a large real-world dataset, we emulated a target trial comparing more than 43,000 GLP-1RA users to matched non-users.
We found that GLP-1RA use was associated with a significantly lower overall cancer risk.
Dr. Del Pozo Cruz[/caption]
MedicalResearch.com Interview with:
Borja del Pozo Cruz, PhD
Department of Sport Sciences
Faculty of Medicine, Health, and Sport Sciences
Universidad Europea de Madrid
MedicalResearch.com: What is the background for this study?
Response: We now have consistent evidence that taking around 7,000 to 10,000 steps per day is associated with substantially lower risks of death and cardiovascular disease. However, much less is known about how those steps are accumulated throughout the day. This question is particularly relevant for people who are mostly inactive, as their steps are often of lower intensity and accumulated in short, fragmented bouts. Understanding whether different step accumulation patterns have distinct health effects in this group is essential to refine physical activity recommendations and make them more inclusive.
Shemyia Smith[/caption]
Shemyia Smith, MBS
Department of Medical Education
Geisinger College of Health Sciences
Scranton, PA 18509
MedicalResearch.com: What is the background for this study?
Response: Over the past several years, legal marijuana (also known as cannabis) use has substantially increased in many states and countries. Alongside this, more patients visit the emergency room and specialist with severe recurring nausea, vomiting, and abdominal pain. Often, this may be misdiagnosed since these symptoms are now known as Cannabinoid Hyperemesis Syndrome (CHS). Although CHS is now widely known, there is still a lot of uncertainty among clinicians about how to diagnose it confidently and manage it effectively.
Dr. Massimiliano[/caption]
MedicalResearch.com Interview with:
Massimiliano Orri, PhD
Assistant Professor in the Department of Psychiatry
McGill University
Principal Investigator at the Douglas Research Centre
within the McGill Group for Suicide Studies.
MedicalResearch.com: What is the background for this study? What types of medical conditions were associated with the early cannabis use?
Response: We already know that cannabis use can be linked to both mental and physical health problems. But what about problems severe enough to require medical attention? In this study, we wanted to see whether young adults who had used cannabis during their teenage years were more likely to seek medical care for mental or physical health issues. Using medical service data allows us to look at more serious cases - those that required professional attention and were diagnosed by healthcare providers. It also helps us understand the broader impact of early cannabis use on the healthcare system
Dr. Dehghani[/caption]
MedicalResearch.com Interview with:
Ali Dehghani, DO
Department of Medicine
University Hospitals Cleveland Medical Center / Case Western Reserve University
Presenting Author, IDWeek 2025
MedicalResearch.com: What is the background for this study?
Response: Shingles (herpes zoster) is caused by reactivation of the varicella-zoster virus, which can inflame blood vessels and the nervous system. Evidence over the past decade has linked shingles to higher risks of heart attack, stroke, and dementia—but it was unclear whether the shingles vaccine might lessen those long-term effects.
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Clubfoot
Dr. Jiyoung Ahn[/caption]
MedicalResearch.com Interview with:
Jiyoung Ahn, PhD
Dr. King[/caption]
Brett King, MD, PHD
Dr. King was named an American Academy of Dermatology (AAD) “Patient Care Hero”
for his work treating patients with severe alopecia areata
Dermatology Physicians of Connecticut
Fairfield, Connecticut
MedicalResearch.com: What is the background for this study? Would you briefly explain the condition of Alopecia Areata?
Response: Alopecia Areata (AA), an autoimmune form of hair loss, is common and its treatment has been revolutionized in the past ~3 years with approvals of 3 JAK inhibitors, bariticinib, ritlecitinib and deuruxolitinib. Prior to these approvals, off label treatments included the JAK inhibitors tofacitinib and ruxolitinib.