Evidence map›Paper›PMID 26238228›Full record

Observational studyThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2016

Chronic Depressive Symptomatology in Mild Cognitive Impairment Is Associated with Frontal Atrophy Rate which Hastens Conversion to Alzheimer Dementia.

Simona Sacuiu, Philip S Insel, Susanne Mueller, Duygu Tosun, Niklas Mattsson, Clifford R Jack, Charles DeCarli, Ronald Petersen, Paul S Aisen, Michael W Weiner and 2 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Psychiatric Risk Factors for Progression From Mild Cognitive Impairment to Alzheimer's Disease: A Systematic Review.The American journal of geriatric psychiatry. Open science, education, and practice · 2025
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 7 institutions in 2 countries.

Simona SacuiuCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA; Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Philip S InselCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA.
Susanne MuellerCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA.
Duygu TosunCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA.
Niklas MattssonCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA; Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Clifford R JackDepartment of Radiology, Mayo Clinic, Rochester, MN.
Charles DeCarliDepartment of Neurology and Center for Neuroscience, University of California at Davis, Sacramento, CA.
Ronald PetersenMayo Alzheimer's Disease Research Center and Mayo Clinic College of Medicine, Rochester, MN.
Paul S AisenDepartment of Neurosciences, University of California, San Diego, CA.
Michael W WeinerCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA.
R Scott MackinCenter for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA; Department of Psychiatry, University of California San Francisco, San Francisco, CA. Electronic address: scottm@lppi.ucsf.edu.
Alzheimer's Disease Neuroimaging Initiative
University of California System · USSan Francisco VA Medical Center · USUniversity of California, San Francisco · USMayo Clinic in Arizona · USUniversity of California, Davis · USUniversity of California, San Diego · USWinnMed · US

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Characterizing Cognitive Decline in Late Life Depression: The ADNI-D ProjectR01MH098062 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Robert Scott Mackin · 2013 to 2026
$9.1M
Multimodal MRI Characteristics of Psychotherapy Response in Late Life DepressionR01MH101472 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACKIN, ROBERT SCOTT, TOSUN-TURGUT, DUYGU · 2015 to 2019
$3.3M
Cognitive and Neuroimaging Predictors of Disability in Late Life DepressionK08MH081065 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACKIN, ROBERT SCOTT · 2008 to 2012
$877k
Canadian Institutes of Health ResearchNIA NIH HHS U01 AG024904NIMH NIH HHS K08 MH081065NIMH NIH HHS R01 MH098062NIMH NIH HHS R01 MH101472PHS HHS R01 0977669
6 · The paper itself

Abstract

objectiveInvestigate the association of chronic depressive symptomatology (chrDS) with cortical atrophy rates and conversion to Alzheimer dementia (AD) over 3 years in mild cognitive impairment (MCI).

methodsIn a multicenter, clinic-based study, MCI elderly participants were selected from the Alzheimer's Disease Neuroimaging Initiative repository, based on availability of both serial structural magnetic resonance imaging and chrDS endorsed on three depression-related items from the Neuropsychiatric Inventory Questionnaire (chrDS N = 32 or no depressive symptoms N = 62) throughout follow-up. Clinical and laboratory investigations were performed every 6 months during the first 2 years and yearly thereafter (median follow-up: 3 years; interquartile range: 1.5-4.0 years). Cortical atrophy rates in 16 predefined frontotemporoparietal regions affected in major depression and AD and the rate of incident AD at follow-up.

resultsChrDS in a single domain amnestic MCI sample were associated with accelerated cortical atrophy in the frontal lobe and anterior cingulate but not with atrophy rates in temporomedial or other AD-affected regions. During follow-up, 38 participants (42.7%) developed AD. Participants with chrDS had 60% shorter conversion time to AD than those without depressive symptoms. This association remained significant in survival models adjusted for temporomedial atrophy rates and showed the same trend in models adjusted for frontal cortical atrophy rate, which all increased the risk of AD.

conclusionOur results suggest that chrDS associated with progressive atrophy of frontal regions may represent an additional risk factor for conversion to dementia in MCI as opposite to representing typical prodromal AD symptomatology.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAtrophyCerebral CortexCognitive DysfunctionDepressionDisease ProgressionFemaleHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleNeuroimagingNeuropsychological TestsPsychiatric Status Rating ScalesAlzheimer dementiacohort studyDepressive symptomsmild cognitive impairmentMRI

Identifiers

PMID26238228
PMCPMC4973623
OpenAlexW2083528533

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.