Gender and geographic disparities among DSM-5-TR authors in relation to financial conflicts of interest and industry payments: cross-sectional analysis.
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| Názov: | Gender and geographic disparities among DSM-5-TR authors in relation to financial conflicts of interest and industry payments: cross-sectional analysis. |
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| Autori: | Diianni AT; Department of Medical Education, Geisinger College of Health Sciences, Scranton, Pennsylvania, USA., Davis LC; Department of Medical Education, Geisinger College of Health Sciences, Scranton, Pennsylvania, USA ldavis02@som.geisinger.edu., Piper BJ; Department of Medical Education, Geisinger College of Health Sciences, Scranton, Pennsylvania, USA.; Center for Pharmacy Innovation and Outcomes, Geisinger College of Health Sciences, Danville, Pennsylvania, USA. |
| Zdroj: | BMJ mental health [BMJ Ment Health] 2025 Nov 12; Vol. 28 (1). Date of Electronic Publication: 2025 Nov 12. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: BMJ Country of Publication: England NLM ID: 9918521385306676 Publication Model: Electronic Cited Medium: Internet ISSN: 2755-9734 (Electronic) Linking ISSN: 27559734 NLM ISO Abbreviation: BMJ Ment Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ, [2023]- |
| Výrazy zo slovníka MeSH: | Conflict of Interest*/economics , Diagnostic and Statistical Manual of Mental Disorders* , Authorship* , Industry*/economics, Humans ; Cross-Sectional Studies ; Female ; Male ; United States ; Sex Factors |
| Abstrakt: | Competing Interests: Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: ATD reports employment by PerkinElmer, working on assignment at GlaxoSmithKline (2023–present), outside the submitted work; BJP reports contributing to an osteoarthritis research team supported by Pfizer and Eli Lilly (2019–2021) and reports receiving grants from the Pennsylvania Academic Clinical Research Centre, outside the submitted work; no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work. Objective: To evaluate gender and geographic representation (within the USA) and assess financial conflicts of interest and industry payments among task force, panel and cross-cutting review group members of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision (DSM-5-TR). Design: Cross-sectional analysis. Setting: Open Payments database, USA; National Provider Identifier (NPI) registry, USA. Participants: The 116 physicians who served on a task force (n=5), panel (n=83) and cross-cutting review group (n=28) for the DSM-5-TR with information recorded in the Open Payments database and NPI registry. Main Outcome Measures: Demographic patterns among contributors to the DSM-5-TR, including gender and geographic location (USA) and type and extent of industry payments received by contributors to the DSM-5-TR during 2016-2019. Results: Women represented 30.2% (n=35) of all DSM-5-TR contributors. Men accounted for 70.8% (n=46) of the contributors receiving industry funding and received 91.8% of all compensation, totalling US$13.4 million. Three states were represented by 43.9% (n=51) of contributors. Of the 116 contributors, 65 (56%) received financial compensation from industry, totalling US$14.6 million. Conclusion: Female contributors accounted for less than one-third of all DSM-5-TR contributors and had fewer financial ties to industry compared to their male counterparts. There was a disproportionate representation of contributors in three states, while 23 states were not represented. To promote gender parity and equitable geographic representation in the DSM, sixth edition, the adequate inclusion of male and female contributors, as well as those from various regions of the USA, should be prioritised to increase diversity. Finally, financial conflicts of interest should be minimised and more thoroughly managed in future DSM editions. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. Published by BMJ Group.) |
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| Contributed Indexing: | Keywords: Mental Health; Psychiatry |
| Entry Date(s): | Date Created: 20251112 Date Completed: 20251113 Latest Revision: 20251115 |
| Update Code: | 20251115 |
| PubMed Central ID: | PMC12612736 |
| DOI: | 10.1136/bmjment-2025-301913 |
| PMID: | 41224482 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: ATD reports employment by PerkinElmer, working on assignment at GlaxoSmithKline (2023–present), outside the submitted work; BJP reports contributing to an osteoarthritis research team supported by Pfizer and Eli Lilly (2019–2021) and reports receiving grants from the Pennsylvania Academic Clinical Research Centre, outside the submitted work; no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work.<br />Objective: To evaluate gender and geographic representation (within the USA) and assess financial conflicts of interest and industry payments among task force, panel and cross-cutting review group members of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, text revision (DSM-5-TR).<br />Design: Cross-sectional analysis.<br />Setting: Open Payments database, USA; National Provider Identifier (NPI) registry, USA.<br />Participants: The 116 physicians who served on a task force (n=5), panel (n=83) and cross-cutting review group (n=28) for the DSM-5-TR with information recorded in the Open Payments database and NPI registry.<br />Main Outcome Measures: Demographic patterns among contributors to the DSM-5-TR, including gender and geographic location (USA) and type and extent of industry payments received by contributors to the DSM-5-TR during 2016-2019.<br />Results: Women represented 30.2% (n=35) of all DSM-5-TR contributors. Men accounted for 70.8% (n=46) of the contributors receiving industry funding and received 91.8% of all compensation, totalling US$13.4 million. Three states were represented by 43.9% (n=51) of contributors. Of the 116 contributors, 65 (56%) received financial compensation from industry, totalling US$14.6 million.<br />Conclusion: Female contributors accounted for less than one-third of all DSM-5-TR contributors and had fewer financial ties to industry compared to their male counterparts. There was a disproportionate representation of contributors in three states, while 23 states were not represented. To promote gender parity and equitable geographic representation in the DSM, sixth edition, the adequate inclusion of male and female contributors, as well as those from various regions of the USA, should be prioritised to increase diversity. Finally, financial conflicts of interest should be minimised and more thoroughly managed in future DSM editions.<br /> (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. Published by BMJ Group.) |
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| ISSN: | 2755-9734 |
| DOI: | 10.1136/bmjment-2025-301913 |