Evidence map›Paper›PMID 30144717›Full record

ArticleJournal of affective disorders2018

Lifetime affective problems and later-life cognitive state: Over 50 years of follow-up in a British birth cohort study.

Sarah-Naomi James, Daniel Davis, Celia O'Hare, Nikhil Sharma, Amber John, Darya Gaysina, Rebecca Hardy, Diana Kuh, Marcus Richards

Abstract read
In one paragraph

Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Power of Birth Cohorts to Study Risk Factors for Cognitive Impairment.Current neurology and neuroscience reports · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Depression, dementia and immune dysregulation.Brain : a journal of neurology · 2021
    Article
  12. Article
  13. Article
  14. Observational
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

9 authors.

Sarah-Naomi JamesMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Daniel DavisMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Celia O'HareMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Nikhil SharmaMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Amber JohnEDGE Lab, School of Psychology, University of Sussex, BN1 9RH, Brighton, United Kingdom.
Darya GaysinaEDGE Lab, School of Psychology, University of Sussex, BN1 9RH, Brighton, United Kingdom.
Rebecca HardyMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Diana KuhMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom.
Marcus RichardsMRC Unit for Lifelong Health and Aging at UCL, 33 Bedford Place, WC1B 5JU, London, United Kingdom. Electronic address: m.richards@ucl.ac.uk.

Funding

Medical Research Council MC_UU_12019/1Medical Research Council MC_UU_12019/3Wellcome Trust 107467/Z/15/ZWellcome Trust WT107467
6 · The paper itself

Abstract

backgroundAffective problems increase the risk of dementia and cognitive impairment, yet the life course dimension of this association is not clearly understood. We aimed to investigate how affective problems across the life course relate to later-life cognitive state.

methodsData from 1269 participants from the Medical Research Council National Survey of Health and Development (NSHD, the British 1946 birth cohort) were used. Prospectively-assessed measures of affective symptoms spanning ages 13-69 and categorised into case-level thresholds. Outcomes consisted of a comprehensive measure of cognitive state (Addenbrooke's Cognitive Examination (ACE-III)), verbal memory, and letter search speed and accuracy at age 69.

resultsComplementary life course models demonstrated that having 2 or more case-level problems across the life course was most strongly associated with poorer cognitive outcomes, before and after adjusting for sex, childhood cognition, childhood and midlife occupational position and education. LIMITATIONS: A disproportionate loss to follow-up of those who had lower childhood cognitive scores may have led to underestimation of the strength of associations. DISCUSSION: Using a population-based prospective study we provide evidence that recurrent lifetime affective problems predicts poorer later-life cognitive state, and this risk can be already manifest in early old age (age 69). Our findings raise the possibility that effective management to minimise affective problems reoccurring across the life course may reduce the associated risk of cognitive impairment and decline.

Indexed as

AdolescentAdultAffective SymptomsAgedChildCognition DisordersCohort StudiesEthnicityFemaleFollow-Up StudiesHealth SurveysHumansMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesAffectiveAnxietyCognitionCognitive stateDepressionLife course

Identifiers

PMID30144717
PMCPMC6137547

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.