Evidence map›Paper›PMID 26063677›Full record

Trial reportPsychopharmacology2015

New onset executive function difficulties at menopause: a possible role for lisdexamfetamine.

C Neill Epperson, Sheila Shanmugan, Deborah R Kim, Sarah Mathews, Kathryn A Czarkowski, Jeanette Bradley, Dina H Appleby, Claudia Iannelli, Mary D Sammel, Thomas E Brown

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT01324024 phase4completednot on this map

Attention & Memory Impairments in Menopausal Women: A Possible Role for Vyvanse?

TypeinterventionalSponsorUniversity of PennsylvaniaRan2011 to 2014Enrolled35ConditionsSymptomatic Menopause, Cognitive ImpairmentsArmsLisdexamfetamine, Placebo
NCT01977625 phase4completednot on this map

Utilizing fMRI to Determine the Effects of Vyvanse® on Memory, Attention, and Brain Activity in Menopausal Women

TypeinterventionalSponsorUniversity of PennsylvaniaRan2011 to 2014Enrolled18ConditionsMenopause, Brain Activity, CognitionArmsLisdexamfetamine, Placebo
NCT03187353 phase4completednot on this mapstarted 2017, after this paper: background citation

Multi-Modal Imaging of Psychostimulant Effects on Executive Function Post-RRSO

TypeinterventionalSponsorUniversity of PennsylvaniaRan2017 to 2022Enrolled69ConditionsCognitive Impairment, RRSOArmsLisdexamfetamine, Placebo oral capsule
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. ADHD and Sex Hormones in Females: A Systematic Review.Journal of attention disorders · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Impact of Tryptophan Depletion on Executive System Function during Menopause is Moderated by Childhood Adversity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Hormones as Psychotropic Interventions in Females.Focus (American Psychiatric Publishing) · 2024
    Article
  14. Review
  15. Article
  16. Reproductive Markers in Alzheimer's Disease Progression: The Framingham Heart Study.The journal of prevention of Alzheimer's disease · 2023
    Article
  17. Review
  18. Review
  19. Article
  20. What has sex got to do with it? The role of hormones in the transgender brain.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Review
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

10 authors.

C Neill EppersonDepartment of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA, cepp@mail.med.upenn.edu.
Sheila Shanmugan
Deborah R Kim
Sarah Mathews
Kathryn A Czarkowski
Jeanette Bradley
Dina H Appleby
Claudia Iannelli
Mary D Sammel
Thomas E Brown

Funding

Prepubertal Stress, Windows of Risk & Sex Bias for Affective DisturbanceP50MH099910 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI KIM, DEBORAH · 2012 to 2017
$6.5M
Multimodal Imaging of Progesterone/Neurosteroid Effects in Nicotine AddictionR01DA037289 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2015 to 2019
$3.3M
Neuroendocrine Contribution to Behavior & Cognition in the Female LifespanK24DA030301 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2010 to 2014
$954k
Reversing Impact of Childhood Adversity on MDD & Cognitive Decline in MenopauseR01AG048839 · NIA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2014 to 2015
$630k
NIA NIH HHS R01 AG048839NIDA NIH HHS K24 DA030301NIDA NIH HHS R01 DA030301NIDA NIH HHS R01 DA037289NIMH NIH HHS P50 MH099910
6 · The paper itself

Abstract

rationaleReports of cognitive decline, particularly in the domains of executive functions (EFs), are common among menopausal women.

objectiveThis study aims to determine the impact of the psychostimulant lisdexamfetamine (LDX) on subjective and objective cognitive function among menopausal women who report new-onset EF complaints.

methodsThirty-two healthy perimenopausal and early postmenopausal women experiencing mid-life-onset executive function difficulties as measured using the Brown Attention Deficit Disorder Scale (BADDS) were administered LDX 40-60 mg/day for 4 weeks in this double-blind, placebo-controlled, cross-over study. Diagnosis of lifetime ADHD was exclusionary. BADDS total and subscale scores and performance on verbal memory and working memory tasks were outcomes of interest.

resultsAnalyses revealed a significant effect of LDX treatment over placebo for total BADDS scores (p = 0.0001) and for four out of the five BADDS subscales (all p < 0.004). LDX treatment also resulted in significant improvement in delayed paragraph recall (p = 0.018), but there was no significant effect of treatment on other cognitive measures. Systolic blood pressure (p = 0.017) and heart rate increased significantly (p = 0.006) when women were on LDX but remained, on average, within the normal range.

conclusionsLDX 40-60 mg/day was well tolerated and improved the subjective measures of executive function as well as objective measures of delayed verbal recall in this sample of healthy menopausal women.

Indexed as

AttentionCentral Nervous System StimulantsCognitionCognition DisordersCross-Over StudiesDouble-Blind MethodExecutive FunctionFemaleHumansLisdexamfetamine DimesylateMemory, Short-TermMenopauseMental RecallMiddle AgedTreatment OutcomeCentral Nervous System StimulantsLisdexamfetamine Dimesylate

Identifiers

PMID26063677
PMCPMC4631394

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.