Evidence map›Paper›PMID 26655068›Full record

ArticleAlzheimer disease and associated disorders

Influence of Perceived Stress on Incident Amnestic Mild Cognitive Impairment: Results From the Einstein Aging Study.

Mindy J Katz, Carol A Derby, Cuiling Wang, Martin J Sliwinski, Ali Ezzati, Molly E Zimmerman, Jessica L Zwerling, Richard B Lipton

Open access · greenAbstract read
In one paragraph

Article in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. A Taxonomy of Data Synthesis.Personality & social psychology bulletin · 2026
    Article
  6. Stress, stress systems, and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. Article
  8. Psychological Stress and Cognitive Brain Health: Policies to Reduce Dementia Risk.Policy insights from the behavioral and brain sciences · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Roles of General and Domain-Specific Perceived Stress in Healthy Aging.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  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

8 authors at 4 institutions in 1 country.

Mindy J KatzDepartments of *Neurology†Epidemiology and Population Health, Albert Einstein College of Medicine§Department of Neurology, Montefiore Medical Center, Bronx, NY‡Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA.
Carol A Derby
Cuiling Wang
Martin J Sliwinski
Ali Ezzati
Molly E Zimmerman
Jessica L Zwerling
Richard B Lipton
Neurology, Inc · USMontefiore Medical Center · USAlbert Einstein College of Medicine · USPennsylvania State University · US

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI Charles B Hall · 1985 to 2026
$73.9M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Stress, Unconstructive Repetitive Thought and Cognitive AgingR01AG039409 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI SLIWINSKI, MARTIN J · 2011 to 2015
$2.5M
Creation of the Einstein Aging Study Data WarehouseR03AG045474 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KATZ, MINDY · 2013 to 2013
$84k
NCATS NIH HHS UL1 TR001073NIA NIH HHS P01 AG003949NIA NIH HHS R01 AG039409NIA NIH HHS R03 AG045474
6 · The paper itself

Abstract

Stress is a potentially remediable risk factor for amnestic mild cognitive impairment (aMCI). Our objective is to determine whether perceived stress predicts incident aMCI and to determine if the influence of stress on aMCI is independent of known aMCI risk factors, particularly demographic variables, depression, and apolipoprotein genotype. The Einstein Aging Study is a longitudinal community-based study of older adults. The Perceived Stress Scale (PSS) was administered annually in the Einstein Aging Study to participants (N=507; 71 developed incident aMCI; mean follow-up time=3.6 y, SD=2.0) who were aged 70 years and older, free of aMCI and dementia at baseline PSS administration, and had at least 1 subsequent annual follow-up. Cox hazard models were used to examine time to aMCI onset adjusting for covariates. High levels of perceived stress are associated with a 30% greater risk of incident aMCI (per 5-point increase in PSS: hazard ratio=1.30; 95% confidence interval, 1.08-1.58) independent of covariates. The consistency of results after covariate adjustment and the lack of evidence for reverse causation in longitudinal analyses suggest that these findings are robust. Understanding of the effect of perceived stress on cognition may lead to intervention strategies that prevent the onset of aMCI and Alzheimer dementia.

Indexed as

AgedAged, 80 and overApolipoprotein E4Cognitive DysfunctionDementiaDepressionDisease ProgressionFemaleHumansLongitudinal StudiesMaleNeuropsychological TestsRisk FactorsSex FactorsStress, PsychologicalApolipoprotein E4

Identifiers

PMID26655068
PMCPMC4877262
OpenAlexW2326540618

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.