Most-cited articles · 2020

The 10 most-cited articles in Annals of the New York Academy of Sciences, 2020

Ranked by OpenAlex citation count on 29 October 2026, out of 227 eligible articles Annals of the New York Academy of Sciences published in 2020. Ranks are frozen; this page will not change. Number one, with 771 citations: The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis.

Cohort
227 articles
Listed
Top 10 (4.4%)
Open access
9 of 10
Snapshot
2026-10-29

The most-cited articles from 2020 cluster around three broad areas: COVID-19 and mental health, climate and environmental change, and fundamental biology and neuroscience. The single most-cited paper is a meta-analysis of depression, anxiety, and sleep disturbances in COVID-19 patients, with 771 citations. Other highly cited works address large-scale water cycle responses to climate change, predictive processing as a model of perception, autophagy regulation, thiamine deficiency disorders, macrophage targeting in cancer, inhibition in selective attention, metacommunity ecology and biodiversity conservation, global food system transformation, and SARS-CoV-2 transmission through breast milk.

For readers, the list offers a snapshot of the research that drew the most attention in this journal in 2020, spanning clinical, environmental, and basic science topics. Citation counts reflect how often later work referenced each article, so the ranking highlights areas of concentrated scholarly interest rather than quality or importance on its own. The titles and abstracts provide a starting point for exploring each subject in more depth.

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  1. 1
    top 0.5%

    The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis

    Jiawen Deng, Fangwen Zhou, Wenteng Hou, Zachary A. Silver, Chi Yi Wong and 3 more

    771 citationsOpen accessdoi:10.1111/nyas.14506OpenAlex

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    Abstract Evidence from previous coronavirus outbreaks has shown that infected patients are at risk for developing psychiatric and mental health disorders, such as depression, anxiety, and sleep disturbances. To construct a comprehensive picture of the mental health status in COVID‐19 patients, we conducted a systematic review and random‐effects meta‐analysis to assess the prevalence of depression, anxiety, and sleep disturbances in this population. We searched MEDLINE, EMBASE, PubMed, Web of Science, CINAHL, Wanfang Data, Wangfang Med Online, CNKI, and CQVIP for relevant articles, and we included 31 studies ( n = 5153) in our analyses. We found that the pooled prevalence of depression was 45% (95% CI: 37–54%, I 2 = 96%), the pooled prevalence of anxiety was 47% (95% CI: 37–57%, I 2 = 97%), and the pooled prevalence of sleeping disturbances was 34% (95% CI: 19–50%, I 2 = 98%). We did not find any significant differences in the prevalence estimates between different genders; however, the depression and anxiety prevalence estimates varied based on different screening tools. More…

  2. 2
    top 0.9%

    Advances in understanding large‐scale responses of the water cycle to climate change

    Richard Philip Allan, Mathew Anthony Barlow, Michael P. Byrne, Annalisa Cherchi, Hervé Douville and 7 more

    692 citationsOpen access (CC-BY)doi:10.1111/nyas.14337OpenAlex

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    Abstract Globally, thermodynamics explains an increase in atmospheric water vapor with warming of around 7%/°C near to the surface. In contrast, global precipitation and evaporation are constrained by the Earth's energy balance to increase at ∼2–3%/°C. However, this rate of increase is suppressed by rapid atmospheric adjustments in response to greenhouse gases and absorbing aerosols that directly alter the atmospheric energy budget. Rapid adjustments to forcings, cooling effects from scattering aerosol, and observational uncertainty can explain why observed global precipitation responses are currently difficult to detect but are expected to emerge and accelerate as warming increases and aerosol forcing diminishes. Precipitation increases with warming are expected to be smaller over land than ocean due to limitations on moisture convergence, exacerbated by feedbacks and affected by rapid adjustments. Thermodynamic increases in atmospheric moisture fluxes amplify wet and dry events, driving an intensification of precipitation extremes. The rate of intensification can deviate from a…

  3. 3
    top 1.4%

    Evaluating the neurophysiological evidence for predictive processing as a model of perception

    Kevin S. Walsh, David P. McGovern, Andy Clark, Redmond G O’Connell

    334 citationsOpen access (CC-BY)doi:10.1111/nyas.14321OpenAlex

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    For many years, the dominant theoretical framework guiding research into the neural origins of perceptual experience has been provided by hierarchical feedforward models, in which sensory inputs are passed through a series of increasingly complex feature detectors. However, the long-standing orthodoxy of these accounts has recently been challenged by a radically different set of theories that contend that perception arises from a purely inferential process supported by two distinct classes of neurons: those that transmit predictions about sensory states and those that signal sensory information that deviates from those predictions. Although these predictive processing (PP) models have become increasingly influential in cognitive neuroscience, they are also criticized for lacking the empirical support to justify their status. This limited evidence base partly reflects the considerable methodological challenges that are presented when trying to test the unique predictions of these models. However, a confluence of technological and theoretical advances has prompted a recent surge in…

  4. 4
    top 1.8%

    Molecular regulation of autophagy machinery by mTOR‐dependent and ‐independent pathways

    Md. Abdul Alim Al‐Bari, Pingyong Xu

    261 citationsdoi:10.1111/nyas.14305OpenAlex

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    Macroautophagy is a lysosomal degradative pathway or recycling process that maintains cellular homeostasis. This autophagy involves a series of sequential processing events, such as initiation; elongation and nucleation of the isolation membrane; cargo recruitment and maturation of the autophagosome (AP); transport of the AP; docking and fusion of the AP with a late endosome or lysosome; and regeneration of the lysosome by the autophagic lysosomal reformation cycle. These events are critically coordinated by the action of a set of several key components, including autophagy-related proteins (Atg), and regulated by intricate networks, such as mechanistic target of rapamycin (mTOR), a master regulator of autophagy, as well as mTOR-independent signaling pathways. Among mTOR-independent pathways, the transient receptor potential (TRP) calcium ion channel TRPML (mucolipin) subfamily is emerging as an important signaling channel to modulate lysosomal biogenesis and autophagy. This review discusses the recent advances in elucidating the molecular mechanisms and regulation of the autophagy…

  5. 5
    top 2.3%

    Thiamine deficiency disorders: a clinical perspective

    Taryn J. Smith, Casey R. Johnson, Roshine Mary Koshy, Sonja Y. Hess, Umar Amin Qureshi and 2 more

    231 citationsOpen access (CC-BY)doi:10.1111/nyas.14536OpenAlex

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    Thiamine is an essential water-soluble vitamin that plays an important role in energy metabolism. Thiamine deficiency presents many challenges to clinicians, in part due to the broad clinical spectrum, referred to as thiamine deficiency disorders (TDDs), affecting the metabolic, neurologic, cardiovascular, respiratory, gastrointestinal, and musculoskeletal systems. Concurrent illnesses and overlapping signs and symptoms with other disorders can further complicate this. As such, TDDs are frequently misdiagnosed and treatment opportunities missed, with fatal consequences or permanent neurologic sequelae. In the absence of specific diagnostic tests, a low threshold of clinical suspicion and early therapeutic thiamine is currently the best approach. Even in severe cases, rapid clinical improvement can occur within hours or days, with neurological involvement possibly requiring higher doses and a longer recovery time. Active research aims to help better identify patients with thiamine-responsive disorders and future research is needed to determine effective dosing regimens for the…

  6. 6
    top 2.7%

    Macrophage targeting in cancer

    Martha Lopez‐Yrigoyen, Luca Cassetta, Jeffrey W. Pollard

    221 citationsOpen access (CC-BY)doi:10.1111/nyas.14377OpenAlex

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    Abstract Tumorigenesis is not only determined by the intrinsic properties of cancer cells but also by their interactions with components of the tumor microenvironment (TME). Tumor‐associated macrophages (TAMs) are among the most abundant immune cells in the TME. During initial stages of tumor development, macrophages can either directly promote antitumor responses by killing tumor cells or indirectly recruit and activate other immune cells. As genetic changes occur within the tumor or T helper 2 (T H 2) cells begin to dominate the TME, TAMs begin to exhibit an immunosuppressive protumor phenotype that promotes tumor progression, metastasis, and resistance to therapy. Thus, targeting TAMs has emerged as a strategy for cancer therapy. To date, TAM targeting strategies have focused on macrophage depletion and inhibition of their recruitment into the TME. However, these strategies have shown limited therapeutic efficacy, although trials are still underway with combination therapies. The fact that macrophages have the potential for antitumor activity has moved the TAM targeting field…

  7. 7
    top 3.1%

    Inhibition in selective attention

    Dirk van Moorselaar, Heleen A. Slagter

    207 citationsOpen access (CC-BY-NC)doi:10.1111/nyas.14304OpenAlex

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    Our ability to focus on goal-relevant aspects of the environment is critically dependent on our ability to ignore or inhibit distracting information. One perspective is that distractor inhibition is under similar voluntary control as attentional facilitation of target processing. However, a rapidly growing body of research shows that distractor inhibition often relies on prior experience with the distracting information or other mechanisms that need not rely on active representation in working memory. Yet, how and when these different forms of inhibition are neurally implemented remains largely unclear. Here, we review findings from recent behavioral and neuroimaging studies to address this outstanding question. We specifically explore how experience with distracting information may change the processing of that information in the context of current predictive processing views of perception: by modulating a distractor's representation already in anticipation of the distractor, or after integration of top-down and bottom-up sensory signals. We also outline directions for future…

  8. 8
    top 3.6%

    Biodiversity conservation through the lens of metacommunity ecology

    Jonathan M. Chase, Aliénor Jeliazkov, Emma R. Ladouceur, Duarte S. Viana

    206 citationsOpen access (CC-BY)doi:10.1111/nyas.14378OpenAlex

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    Metacommunity ecology combines local (e.g., environmental filtering and biotic interactions) and regional (e.g., dispersal and heterogeneity) processes to understand patterns of species abundance, occurrence, composition, and diversity across scales of space and time. As such, it has a great potential to generalize and synthesize our understanding of many ecological problems. Here, we give an overview of how a metacommunity perspective can provide useful insights for conservation biology, which aims to understand and mitigate the effects of anthropogenic drivers that decrease population sizes, increase extinction probabilities, and threaten biodiversity. We review four general metacommunity processes-environmental filtering, biotic interactions, dispersal, and ecological drift-and discuss how key anthropogenic drivers (e.g., habitat loss and fragmentation, and nonnative species) can alter these processes. We next describe how the patterns of interest in metacommunities (abundance, occupancy, and diversity) map onto issues at the heart of conservation biology, and describe cases…

  9. 9
    top 4%

    Changing diets and the transformation of the global food system

    Sonja J. Vermeulen, Toby Park, Colin K. Khoury, Christophe Béné

    198 citationsOpen access (CC-BY)doi:10.1111/nyas.14446OpenAlex

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    An aspirational global food system is one that delivers across a suite of the Sustainable Development Goals (SDGs), including universal access to healthy diets, which can also codeliver on climate and environment SDGs. The literature has downplayed the relative contribution of dietary change to sustainable food systems. In this perspective article, we argue that the potential for positive transformational change in diets should not be underestimated, for two sets of reasons. First, the dynamism of diets over long-term and, especially, recent history shows the potential for rapid and widespread change, including toward more diverse and healthier diets. Second, contemporary behavioral research demonstrates promising tactics to influence consumers' dietary choices. Since the entire food system creates the circumstances of those choices, the most effective strategies to shift diets will involve multiple approaches that deliberately aim not just to influence consumers themselves but also to incentivize all actors in the food systems, taking into account multiple agendas and values. The…

  10. 10
    top 4.5%

    Transmission of SARS‐CoV‐2 through breast milk and breastfeeding: a living systematic review

    Elizabeth Centeno‐Tablante, Melisa Medina‐Rivera, Julia Leigh Finkelstein, Pura Rayco‐Solon, Maria Nieves Garcia‐Casal and 5 more

    168 citationsOpen access (CC-BY)doi:10.1111/nyas.14477OpenAlex

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    The pandemic of coronavirus disease 2019 (COVID-19) is caused by infection with a novel coronavirus strain, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). At present, there is limited information on potential transmission of the infection from mother to child, particularly through breast milk and breastfeeding. Here, we provide a living systematic review to capture information that might necessitate changes in the guidance on breast milk and breastfeeding given the uncertainty in this area. Our search retrieved 19,414 total records; 605 were considered for full-text eligibility and no ongoing trials were identified. Our review includes 340 records, 37 with breast milk samples and 303 without. The 37 articles with analyzed breast milk samples reported on 77 mothers who were breastfeeding their children; among them, 19 of 77 children were confirmed COVID-19 cases based on RT-PCR assays, including 14 neonates and five older infants. Nine of the 68 analyzed breast milk samples from mothers with COVID-19 were positive for SARS-CoV-2 RNA; of the exposed infants, four…

How to read this list

The cohort is every article, review and book chapter OpenAlex attributes to Annals of the New York Academy of Sciences with publication year 2020, excluding retracted works and paratext such as editorials and errata. The top 10 by citation count are listed; the percentile is the rank divided by the cohort size. 10 of the 10 entries have an abstract in OpenAlex. Counts were read on 29 October 2026 and will not be updated on this page, so a quoted rank stays verifiable. Full rules on the methodology page.

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