Evidence map›Paper›PMID 28029184›Full record

ArticleInternational journal of geriatric psychiatry2017

Effects of stressful life events on cerebral white matter hyperintensity progression.

Anne D Johnson, Douglas R McQuoid, David C Steffens, Martha E Payne, John L Beyer, Warren D Taylor

Open access · greenAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Racial and ethnic differences in white matter hypointensities: The role of vascular risk factors.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. An Understated Comorbidity: The Impact of Homelessness on Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

6 authors at 5 institutions in 1 country.

Anne D JohnsonThe Center for Cognitive Medicine, Department of Psychiatry, Vanderbilt University Medical Center, Nashville, TN, USA.
Douglas R McQuoidDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
David C SteffensDepartment of Psychiatry, University of Connecticut Health Center, Farmington, CT, USA.
Martha E PayneOffice of Research Development, Duke University School of Medicine, Durham, NC, USA.
John L BeyerDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Warren D TaylorThe Center for Cognitive Medicine, Department of Psychiatry, Vanderbilt University Medical Center, Nashville, TN, USA.
Duke University Hospital · USUConn Health · USVanderbilt University Medical Center · USVA Office of Research and Development · USVA Tennessee Valley Healthcare System · 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 DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
Neural Connectivity Affecting the Antidepressant Response: Testing a Lesion ModelR01MH102246 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TAYLOR, WARREN D · 2015 to 2019
$3.1M
Mentoring and Research on Neurobiological Markers of Clinical Outcomes in DepressionK24MH110598 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TAYLOR, WARREN D · 2016 to 2019
$637k
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 MH110598NIMH NIH HHS R01 MH054846NIMH NIH HHS R01 MH102246NIMH NIH HHS R21 MH099218
6 · The paper itself

Abstract

objectiveExposure to stressful events is associated with both occurrence of depression and also vascular disease. The objective of this study was to determine whether higher levels of stress exposure was related to measures of pathological brain aging, specifically white matter hyperintensity volumes, in older adults with and without depression.

methodsThe sample included 130 depressed and 110 never-depressed older adults aged 60 years or older enrolled in a longitudinal study at an academic medical center. Participants completed clinical assessments, assessment of stressful event exposure and perceived stress, and magnetic resonance imaging at baseline and after 2 years. Analyses examined both cross-sectional and longitudinal relationships between stress measures and white matter hyperintensity volumes.

resultsThere were no statistically significant relationships observed between cross-sectional baseline stress measures and either baseline hyperintensity volume or 2-year change in hyperintensity volume. However, after controlling for demographic variables and baseline measures, change in stressor exposure was associated with change in hyperintensity volumes. In this analysis, increased stressor exposure was associated with greater increases in white matter hyperintensity volume, while reductions in stressor exposure were associated with less increase in hyperintensity volume. This relationship did not significantly differ based on the presence of either depression or medical comorbidities.

conclusionsThis work adds to a growing literature associating exposure to stressful events in later life with more rapid pathological brain aging. Work is needed to understand the physiological mechanisms by which stress exposure has this effect and examine whether stress reduction techniques may modify these observed outcomes. Copyright © 2016 John Wiley & Sons, Ltd.

Indexed as

Life Change EventsAgedAged, 80 and overCase-Control StudiesCross-Sectional StudiesDepressive DisorderFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedWhite MatteragingdepressiongeriatricsMRIstressvascular

Identifiers

PMID28029184
PMCPMC5489375
OpenAlexW2561610004

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.