JACC VOL. 65, NO. 16, 2015

Letters

APRIL 28, 2015:1710–9

lowering the availability of serotonin in the brain

the entire spectrum of their papers or from the publi-

(3). Additionally, IFN- g is involved in cardiovascular

cation of a few highly-cited papers, such as clinical

pathology (4). An earlier study of CABG patients

practice guidelines. To address this question, we

demonstrated that greater IFN- g concentration in

quantified the variation in cardiovascular journals’

the 12 h after surgery predicted clinical cardiac

citation distributions and whether the variation was

outcomes at 12 months (5). Increased IFN-g there-

associated with the IF. Uneven citation distributions

fore provides a mechanistic link between depressive

can be studied with techniques that assess inequality.

symptoms and cardiac morbidity after CABG. These

One such measure is the Gini coefficient, which is uti-

observations are not only relevant to the mental

lized to characterize inequality in income distribu-

health of cardiac patients, but suggest that some of

tions. It has a range of 0 to 1, where a Gini coefficient of

the adverse cardiovascular effect of depression

0 represents perfect equality, meaning, in this case,

may be due to inflammatory processes. Targeting

that all papers have an equal number of citations (1).

inflammatory processes may have an impact on

We identified all journals from 2010 that primarily

depressive symptoms as well as potentially re-

published cardiovascular content (n ¼ 241) using

ducing cardiac morbidity.

SCImago (Granada, Spain), a third-party provider that categorizes journals into fields on the basis of journal

*Andrew Steptoe, DSc Lydia Poole, PhD Amy Ronaldson, MSc Tara Kidd, PhD Elizabeth Leigh, PhD Marjan Jahangiri

data obtained from the Scopus citation database. We used Scopus because it is a larger citation database than Thompson Reuters’ Web of Science, which provides the journal IF (2). We excluded journals with 70% (group C), and some plaques of the

Association between journal citation distribution and impact factor: a novel application of the Gini coefficient.

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