Evidence map›Paper›PMID 33682706›Full record

ArticleJournal of Alzheimer's disease : JAD2021

The Impact of Amyloid Burden and APOE on Rates of Cognitive Impairment in Late Life Depression.

Emma Rhodes, Philip S Insel, Meryl A Butters, Ruth Morin, David Bickford, Duygu Tosun, Devon Gessert, Howie J Rosen, Paul Aisen, Rema Raman and 9 more

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. A Systematic Review of Antidepressants and Psychotherapy Commonly Used in the Treatment of Late Life Depression for Their Effects on Cognition.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Pooled it
  2. Accelerated Cognitive Decline in Late Life Depression: The Role of Amyloid-β, Cortico-Limbic Volume, and White Matter Hyperintensities.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  3. Article
  4. Article
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  6. Anxiety in late-life depression is associated with poorer performance across multiple cognitive domains.Journal of the International Neuropsychological Society : JINS · 2024
    Article
  7. Relationship of Hoarding and Depression Symptoms in Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  8. Review
  9. Article
  10. Cognitive phenotypes in late-life depression.International psychogeriatrics · 2023
    Observational
  11. Article
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  14. Review
  15. 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

19 authors at 8 institutions in 2 countries.

Emma RhodesMental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA.
Philip S InselDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Meryl A ButtersDepartment of Psychiatry, Western Psychiatric Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ruth MorinMental Illness Research Education and Clinical Centers, Veterans Administration Medical Center, San Francisco, CA, USA.
David BickfordDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Duygu TosunVeterans Administration Medical Center, San Francisco, CA, USA.
Devon GessertUniversity of Southern California, Los Angeles, CA, USA.
Howie J RosenMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.
Paul AisenUniversity of Southern California, Los Angeles, CA, USA.
Rema RamanUniversity of Southern California, Los Angeles, CA, USA.
Susan LandauHelen Wills Neuroscience Institute, University of California, Berkeley, CA, USA.
Andrew SaykinIndiana University School of Medicine, Indianapolis, IN, USA.
Arthur TogaLaboratory of Neuro Imaging, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Clifford R JackDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Michael W WeinerDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Craig NelsonDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Scott MackinDepartment of Psychiatry, University of California, San Francisco, CA, USA.
Alzheimer’s Disease Neuroimaging Initiative
ADNI Depression Project
University of California, San Francisco · USAutism Research Institute · USMental Illness Research, Education and Clinical Centers · USUniversity of Pittsburgh · USUniversity of Southern California · USIndiana University School of MedicineMayo Clinic in Arizona · USUniversity of California, Berkeley · US

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
TR&D3: Intrinsic Surface MappingP41EB015922 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VAN HORN, JOHN DARRELL · 2012 to 2022
$14.1M
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
NIA NIH HHS P30 AG066530NIA NIH HHS U01 AG024904NIA NIH HHS U24 AG021886NIBIB NIH HHS P41 EB015922NIMH NIH HHS R01 MH098062
6 · The paper itself

Abstract

backgroundCognitive impairment (CI) is a key feature of late life depression (LLD), but the contribution of underlying neurodegenerative pathology remains unclear.

objectiveTo evaluate cognitive dysfunction in LLD relative to a sample of nondepressed (ND) older adults with matched levels of memory impairment and amyloid-β (Aβ) burden.

methodsParticipants included 120 LLD and 240 ND older adults matched on age, education, sex, Mini-Mental State Exam, mild cognitive impairment diagnosis, and PET Aβ burden.

resultsLLD showed higher rates of impairment relative to ND with 54.6% of the LLD sample demonstrating impairment in at least one cognitive domain compared to 42.9% of controls (H = 7.13, p = 0.008). LLD had poorer performance and higher rates of impairment on Rey Auditory Verbal Learning Test learning and memory compared to controls. In the overall sample, Aβ positivity was associated with worse performance on Logical Memory I (p = 0.044), Logical Memory II (p = 0.011), and Trail Making Test -B (p = 0.032), and APOEɛ4 genotype was associated with worse performance on Logical Memory I (p = 0.022); these relationships did not differ between LLD and ND.

conclusionLLD showed higher rates of CI driven by focal deficits in verbal learning and memory. Alzheimer's disease (AD) biomarkers were associated with worse performance on timed set-shifting and story learning and memory, and these relationships were not impacted by depression status. These findings suggest that AD may account for a portion of previously reported multi-domain CI in LLD and highlight the potential for AD to confound studies of cognition in LLD.

Indexed as

AgedAlzheimer DiseaseAmyloid beta-PeptidesApolipoprotein E4Cognitive DysfunctionFemaleHumansMajor Depressive DisorderMaleMiddle AgedAmyloid beta-PeptidesApolipoprotein E4Amyloidapolipoprotein Ecognitive impairmentlate life depression

Identifiers

PMID33682706
PMCPMC8935860
OpenAlexW3135351484

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.