Evidence map›Paper›PMID 34035132›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2021

Subjective cognitive complaints at age 70: associations with amyloid and mental health.

Ivanna M Pavisic, Kirsty Lu, Sarah E Keuss, Sarah-Naomi James, Christopher A Lane, Thomas D Parker, Ashvini Keshavan, Sarah M Buchanan, Heidi Murray-Smith, David M Cash and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  4. Active information sampling in health and disease.Neuroscience and biobehavioral reviews · 2025
    Review
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  8. Subjective Memory Complaints: A Conceptual Analysis.Journal of multidisciplinary healthcare · 2025
    Review
  9. Article
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  11. Article
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  15. Review
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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

16 authors at 2 institutions in 1 country.

Ivanna M PavisicDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.ORCID 0000-0002-4891-9847
Kirsty LuDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.ORCID 0000-0002-8416-2183
Sarah E KeussDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Sarah-Naomi JamesMedical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
Christopher A LaneDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Thomas D ParkerDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.ORCID 0000-0001-7679-4220
Ashvini KeshavanDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Sarah M BuchananDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Heidi Murray-SmithDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
David M CashDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
William CoathDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Andrew WongMedical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
Nick C FoxDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Sebastian J CrutchDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK.
Marcus RichardsMedical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
Jonathan M SchottDementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK j.schott@ucl.ac.uk.ORCID 0000-0003-2059-024X
UK Dementia Research Institute · GBMRC Unit for Lifelong Health and Ageing · GB

Funding

Medical Research Council MC_UU_00019/3Medical Research Council MC_UU_12019/3
6 · The paper itself

Abstract

objectiveTo investigate subjective cognitive decline (SCD) in relation to β-amyloid pathology and to test for associations with anxiety, depression, objective cognition and family history of dementia in the Insight 46 study.

methodsCognitively unimpaired ~70-year-old participants, all born in the same week in 1946 (n=460, 49% female, 18% amyloid-positive), underwent assessments including the SCD-Questionnaire (MyCog). MyCog scores were evaluated with respect to

resultsAnxiety (mean (SD) trait anxiety score: 4.4 (3.9)) was associated with higher MyCog scores, especially in women. MyCog scores were higher in amyloid-positive compared with amyloid-negative individuals (adjusted means (95% CIs): 5.3 (4.4 to 6.1) vs 4.3 (3.9 to 4.7), p=0.044), after accounting for differences in anxiety. PACC (mean (SD) -0.05 (0.68)) and family history of dementia (prevalence: 23.9%) were not independently associated with MyCog scores. The informant's perception of SCD was generally in accordance with that of the participant.

conclusionsThis cross-sectional study demonstrates that symptoms of SCD are associated with both β-amyloid pathology, and more consistently, trait anxiety in a population-based cohort of older adults, at an age when those who are destined to develop dementia are still likely to be some years away from symptoms. This highlights the necessity of considering anxiety symptoms when assessing Alzheimer's disease pathology and SCD.

Indexed as

Mental HealthAgedAmyloid beta-PeptidesAnxietyBrainCognitionCross-Sectional StudiesDepressionFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsPositron-Emission TomographyAmyloid beta-Peptides

Identifiers

PMID34035132
PMCPMC8522456
OpenAlexW3164243075

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.