Evidence map›Paper›PMID 19554672›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2009

Variability in depressive symptoms predicts cognitive decline in age-related macular degeneration.

Barry W Rovner, Robin J Casten, Benjamin E Leiby

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Differences in verbal memory performance in postmenopausal women receiving hormone therapy: 17β-estradiol versus conjugated equine estrogens.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2011
    Trial
  3. Article
  4. Article
  5. Daily Stressors, Emotion Dynamics, and Inflammation in the MIDUS Cohort.International journal of behavioral medicine · 2022
    Article
  6. Comparing Variability, Severity, and Persistence of Depressive Symptoms as Predictors of Future Stroke Risk.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Article
  7. Article
  8. Article
  9. 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

3 authors at 1 institution in 1 country.

Barry W RovnerDepartment of Psychiatry and Neurology, Jefferson Medical College, Philadelphia, PA 19107, USA. barry.rovner@jefferson.edu
Robin J Casten
Benjamin E Leiby
Jefferson College · US

Funding

Improving Function In Age-Related Macular DegenerationU01EY015839 · NEI · THOMAS JEFFERSON UNIVERSITY · PI ROVNER, BARRY W. · 2005 to 2009
$3.9M
PREVENTING DEPRESSION IN MACULAR DEGENERATIONR01MH061331 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI ROVNER, BARRY W · 2001 to 2005
$2.4M
Renal &Urologic Biostatistics Training GrantT32DK060455 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SHULTS, JUSTINE · 2003 to 2019
$1.9M
NEI NIH HHS U01 EY 015839NEI NIH HHS U01 EY015839NIDDK NIH HHS T32 DK060455NIMH NIH HHS R01 MH061331NIMH NIH HHS R0 1 MH61331
6 · The paper itself

Abstract

objectiveThe measurement of affective symptoms in older persons who decline cognitively is uncertain. The authors investigated whether mood variability predicts dementia in patients with age-related macular degeneration (AMD).

designThree-year observational study after a clinical trial.

settingCommunity follow-up of outpatients ascertained from retina clinics.

participantsOne hundred sixty patients with AMD. MEASUREMENTS: Geriatric Depression Scale (GDS) administered every 2 weeks for 6 months to subjects; Informant Questionnaire for Cognitive Decline in the Elderly (IQCODE) administered to subjects' knowledgeable informants.

resultsTwenty-three subjects (14.4%) declined cognitively. Age, education, baseline GDS score > or =5, and variability in GDS scores (i.e., fluctuations between adjacent time points) were associated with cognitive decline. For GDS variability, each 1 unit increase in the residual standard deviation (SD) of the GDS increased the risk for cognitive decline by 93% (IDR = 1.92; 95% CI [1.27-2.91]). Thus, subjects with a residual SD of 1 were nearly twice as likely to become demented as subjects with no variability in GDS scores. The risk for subjects with SDs of 2 increased more than threefold (IDR = 3.68; 95% CI [1.61-8.47]). A multiple regression analysis showed that GDS variability was a significant risk factor for dementia after controlling for significant covariates.

conclusionThese data suggest a useful approach to conceptualizing and measuring depressive symptoms in older persons. Variability in self-reported mood may be an early sign of dementia and may offer new insights into the neurobiological mechanisms linking depression and cognition

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCognitive Behavioral TherapyComorbidityCross-Sectional StudiesDepressive DisorderDisease ProgressionFemaleFollow-Up StudiesHumansMacular DegenerationMaleMass ScreeningMental Status SchedulePersonality Assessment

Identifiers

PMID19554672
PMCPMC2704479
OpenAlexW2089165991

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.