Evidence map›Paper›PMID 34782990›Full record

ArticleJournal of general internal medicine2022

The Association Between Adverse Childhood Experiences and Positive Dementia Screen in American Older Adults.

Heather Bennett Schickedanz, Lee A Jennings, Adam Schickedanz

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Potentially modifiable mediators of the association between child abuse and dementia.medRxiv : the preprint server for health sciences · 2026
    Article
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  6. Positive Childhood Experiences, Cognition, and Biomarkers of Alzheimer's Disease.International journal of environmental research and public health · 2025
    Article
  7. Impact of Childhood Adversity on Late-Life Cognition in Older Puerto Rican Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
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  11. Allostasis, health, and development in Latin America.Neuroscience and biobehavioral reviews · 2024
    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

3 authors at 3 institutions in 1 country.

Heather Bennett SchickedanzDepartment of Family Medicine, Harbor-UCLA Medical Center, 1403 Lomita Blvd Suite 102, Harbor City, CA, 90710, USA. hschickedanz@dhs.lacounty.gov.
Lee A JenningsReynolds Section of Geriatrics, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Adam SchickedanzDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Harbor–UCLA Medical Center · USUniversity of California, Los Angeles · USUniversity of Oklahoma Health Sciences Center · US

Funding

Health, Wealth, and Wellbeing over the Life Course and Across GenerationsR01AG040213 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FRIEDMAN, ESTHER M. · 2011 to 2025
$31.2M
Family Dynamics, Fertility, and Investments in Children Across Generations - Administrative SupplementR01HD069609 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Thomas Fraser Crossley · 2011 to 2026
$14.2M
The Effect of Nanoparticle Encapsulated Resveratrol on Treatment of PeriodontitisKL2TR001882 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2016 to 2026
$13.1M
Effectiveness & Implementation of Medical-Financial Partnerships for Parent Health-Related Quality of Life and Child Developmental RiskK23HD099308 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SCHICKEDANZ, ADAM · 2019 to 2023
$885k
NCATS NIH HHS KL2 TR001882NIA NIH HHS R01 AG040213NICHD NIH HHS K23 HD099308
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) are linked to higher risk of common conditions driving mortality in adulthood, but little evidence exists on whether ACEs are associated with risk of dementia, a leading cause of death in the USA.

objectiveTo estimate the relationship between US adults' reported ACE scores and a positive screen for dementia.

designCross-sectional analysis of a longitudinal, national population-based survey of US older adults.

participantsSurvey respondents aged ≥ 65 years with dementia screening data from the 2017 wave of the Panel Study of Income Dynamics (PSID) and ACE scores from the 2014 PSID Childhood Retrospective Circumstances Survey supplement (1,488 eligible participants unweighted). MAIN MEASURES: Dementia screening data was collected in the 2017 wave of the PSID using the 8-item informant interview to differentiate normal cognition and dementia (AD8). Mean change in AD8 score and probability of a positive dementia screen by ACE score were calculated using adjusted regression models with post-estimation. Analyses were stratified by age group. Measures were analyzed in 2020.

resultsComplete data were available for 1,223 (82%) participants, with a mean age of 73.4 years (SD 7.1, range 65 to 96 years). Adjusted estimated probability of a positive dementia screen increased with each additional adverse childhood experience reported. Older adults with ≥ 4 ACEs had higher rates of a positive dementia screen (AD8 score ≥ 2 points) compared to those with no ACEs (adjusted rate 26.6% versus 16.3%, p = 0.034). Compared to those with no ACE history, respondents with ≥ 4 ACEs had higher odds of a 1-point increase in AD8 score across all intervals of the AD8 scale (aOR 1.79, 95% CI 1.05-3.04). The ACE-positive dementia screen associations were strongest among those aged 65-75.

conclusionsGreater exposure to ACEs is independently associated with higher probability of a positive dementia screen in older adulthood.

Indexed as

Adverse Childhood ExperiencesDementiaAdultAgedAged, 80 and overCross-Sectional StudiesHumansRetrospective StudiesSurveys and QuestionnairesUnited Statesadverse childhood experiences (ACEs)dementianational survey data

Identifiers

PMID34782990
PMCPMC9360371
OpenAlexW3211772882

What OpenQuestion holds

Textmetadata
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.