Evidence map›Paper›PMID 29341070›Full record

ArticleJournal of the American Geriatrics Society2018

Personality Changes During the Transition from Cognitive Health to Mild Cognitive Impairment.

Richard J Caselli, Blake T Langlais, Amylou C Dueck, Bruce R Henslin, Travis A Johnson, Bryan K Woodruff, Charlene Hoffman-Snyder, Dona E C Locke

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Emotion Dynamics in Young and Cognitively Diverse Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Changes in Personality Before and During Cognitive Impairment.Journal of the American Medical Directors Association · 2023
    Observational
  11. Article
  12. Effects of Longitudinal Changes in Neuroticism and Stress on Cognitive Decline.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Observational
  13. Article
  14. Observational
  15. Suicide risk in first year after dementia diagnosis in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Richard J CaselliDepartment of Neurology, Mayo Clinic Arizona, Scottsdale, Arizona.ORCID 0000-0001-5784-2987
Blake T LanglaisDepartment of Biostatistics, Mayo Clinic Arizona, Scottsdale, Arizona.
Amylou C DueckDepartment of Biostatistics, Mayo Clinic Arizona, Scottsdale, Arizona.
Bruce R HenslinDepartment of Research, Mayo Clinic Arizona, Scottsdale, Arizona.
Travis A JohnsonDepartment of Research, Mayo Clinic Arizona, Scottsdale, Arizona.
Bryan K WoodruffDepartment of Neurology, Mayo Clinic Arizona, Scottsdale, Arizona.
Charlene Hoffman-SnyderDepartment of Neurology, Mayo Clinic Arizona, Scottsdale, Arizona.
Dona E C LockeDivision of Psychology, Mayo Clinic Arizona, Scottsdale, Arizona.
Mayo Clinic in Arizona · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI GONZALEZ HERNANDEZ, GRACIELA · 2001 to 2020
$32.5M
PET, APOE & the Preclinical Course of Alzheimer's DiseaseR01AG031581 · NIA · BANNER ALZHEIMER'S INSTITUTE · PI CASELLI, RICHARD J., REIMAN, ERIC MICHAEL · 2008 to 2018
$16.6M
NIA NIH HHS P30 AG019610NIA NIH HHS R01 AG031581
6 · The paper itself

Abstract

BACKGROUND/

objectivesBehavioral problems in individuals with Alzheimer's disease (AD) impose major management challenges. Current prevention strategies are anchored to cognitive outcomes, but behavioral outcomes may provide another, clinically relevant opportunity for preemptive therapy. We sought to determine whether personality changes that predispose to behavioral disorders arise during the transition from preclinical AD to mild cognitive impairment (MCI).

designLongitudinal observational cohort study.

settingAcademic medical center.

participantsMembers of an apolipoprotein E (APOE) ɛ4 genetically enriched cohort of Maricopa County residents who were neuropsychiatrically healthy at entry (N = 277). Over a mean interval of 7 years, 25 who developed MCI and had the Neuroticism, Extraversion, and Openness Personality Inventory-Revised (NEO-PI-R) before and during the MCI transition epoch were compared with 252 nontransitioners also with serial NEO-PI-R administrations.

interventionLongitudinal administration of the NEO-PI-R and neuropsychological test battery. MEASUREMENTS: Change in NEO-PI-R factor scores (neuroticism, extraversion, openness, agreeableness, conscientiousness) from entry to the epoch of MCI diagnosis or an equivalent follow-up duration in nontransitioners.

resultsNEO-PI-R neuroticism T-scores increased significantly more in MCI transitioners than in nontransitioners (mean 2.9, 95% confidence interval (CI) = 0.9-4.9 vs 0, 95% CI = -0.7-0.7, P = .02), and openness decreased more in MCI transitioners than in nontransitioners (-4.8, 95% CI = -7.3 to -2.4 vs -1.0, 95% CI = -1.6 to -0.4, P < .001). Concurrent subclinical but statistically significant changes in behavioral scores worsened more in MCI transitioners than nontransitioners for measures of depression, somatization, irritability, anxiety, and aggressive attitude.

conclusionPersonality and subclinical behavioral changes begin during the transition from preclinical AD to incident MCI and qualitatively resemble the clinically manifest behavioral disorders that subsequently arise in individuals with frank dementia.

Indexed as

AgedAlzheimer DiseaseApolipoproteins ECognitive DysfunctionCohort StudiesDepressionFemaleHumansLongitudinal StudiesMaleMiddle AgedNeuropsychological TestsPersonalityPersonality InventoryApolipoproteins Eagingbehavioral disordermild cognitive impairmentNEO-Personality Inventory-Revisedpersonality changepreclinical Alzheimer's disease

Identifiers

PMID29341070
PMCPMC5906173
OpenAlexW2792522545

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.