Evidence map›Paper›PMID 25475430›Full record

ArticleInternational psychogeriatrics2015

Disability but not social support predicts cognitive deterioration in late-life depression.

Meghan Riddle, Douglas R McQuoid, Guy G Potter, David C Steffens, Warren D Taylor

Open access · diamondAbstract read
In one paragraph

Article in International psychogeriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Cognitive phenotypes in late-life depression.International psychogeriatrics · 2023
    Observational
  6. Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Meghan RiddleThe Center for Cognitive Medicine,Department of Psychiatry,Vanderbilt University Medical Center,Nashville,TN,37212,USA.
Douglas R McQuoidDepartment of Psychiatry,Duke University Medical Center,Durham,NC,27710,USA.
Guy G PotterDepartment of Psychiatry,Duke University Medical Center,Durham,NC,27710,USA.
David C SteffensDepartment of Psychiatry,University of Connecticut Health Center,Farmington,CT,06030,USA.
Warren D TaylorThe Center for Cognitive Medicine,Department of Psychiatry,Vanderbilt University Medical Center,Nashville,TN,37212,USA.
Duke Medical Center · USDuke University Hospital · USGeriatric Research Education and Clinical Center · USUConn Health · USVanderbilt University Medical Center · US

Funding

Geriatric Depression: Risk Factors for Adverse OutcomesR01MH054846 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI STEFFENS, DAVID C. · 1995 to 2016
$10.1M
Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRELL, FRANK E. · 2015 to 2019
$7.1M
Midcareer Investigator Award in Geriatric DepressionK24MH070027 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI STEFFENS, DAVID C. · 2004 to 2013
$1.6M
Frontal hypo perfusion effects on antidepressant outcomes in geriatric depressionR21MH099218 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TAYLOR, WARREN D · 2013 to 2014
$429k
NICHD NIH HHS U54 HD083211NIMH NIH HHS K24 MH070027NIMH NIH HHS K24 MH70027NIMH NIH HHS R01 MH054846NIMH NIH HHS R01 MH 54846NIMH NIH HHS R21 MH 099218NIMH NIH HHS R21 MH099218
6 · The paper itself

Abstract

backgroundDepression in late life is a risk factor for cognitive decline. Depression is also associated with increased disability and social support deficits; these may precede conversion to dementia and inform risk. In this study, we examined if baseline or one-year change in disability and social support predicted later cognitive deterioration.

methods299 cognitively intact depressed older adults were followed for an average of approximately seven years. Participants received antidepressant treatment according to a standardized algorithm. Neuropsychological testing and assessment of disability and social support were assessed annually. Cognitive diagnosis was reviewed annually at a consensus conference to determine if participants remained cognitively normal, or if they progressed to either dementia or cognitively impaired, no dementia (CIND).

resultsDuring study participation, 167 individuals remained cognitively normal (56%), 83 progressed to CIND (28%), and 49 progressed to dementia (16%). Greater baseline instrumental activities of daily living (IADL) deficits predicted subsequent conversion to a cognitive diagnosis (CIND or dementia). However, neither baseline measures nor one-year change in basic ADLs (BADLs) and social support predicted cognitive conversion. In post hoc analyses, two IADL measures (managing finances, preparing meals) significantly increased the odds of cognitive conversion.

conclusionsGreater IADL deficits predicted increased risk of cognitive conversion. Assessment of IADL deficits may provide clues about risk of later cognitive decline.

Indexed as

Social SupportAgedCognition DisordersDementiaFemaleHumansLongitudinal StudiesMajor Depressive DisorderMaleMiddle AgedNeuropsychological TestsPersons with DisabilitiesRisk Factorsmemory

Identifiers

PMID25475430
PMCPMC4385394
OpenAlexW2171293615

What OpenQuestion holds

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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.