Evidence map›Paper›PMID 35287768›Full record

Observational studyInternational psychogeriatrics2022

Association of 1-year change in neuroticism and 3-year change in cognitive performance among older depressed adults.

David C Steffens, Kevin J Manning, Rong Wu, James J Grady

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in International psychogeriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. The Role of State Versus Trait Anxiety on Cognition in Older Adults With Major Depressive Disorder.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Observational
  3. Article
  4. 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
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

David C SteffensDepartment of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA.ORCID 0000-0001-6626-7398
Kevin J ManningDepartment of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA.
Rong WuDepartment of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT, USA.
James J GradyDepartment of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT, USA.
University of Connecticut · US

Funding

Research Education ComponentP30AG067988 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Richard H Fortinsky, GEORGE A KUCHEL · 2021 to 2026
$9.5M
Phenotype Predictors of Cognitive Outcomes in Geriatric DepressionR01MH108578 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI STEFFENS, DAVID C. · 2016 to 2025
$5.5M
NIA NIH HHS P30 AG067988NIMH NIH HHS R01 MH108578
6 · The paper itself

Abstract

objectivesThe relationships among depression, personality factors, and cognitive decline in the elderly are complex. Depressed elders score higher in neuroticism than nondepressed older individuals. Presence of neuroticism worsens cognitive decline in depressed older adults. Yet little is known about changes in neuroticism among older adults being treated for depression and the impact of these changes on cognitive decline.

designLongitudinal observational study.

settingAcademic Health Center.

participantsWe examined 68 participants in the neurobiology of late-life depression (LLD) study to test the hypothesis that older depressed subjects with more improvement in neuroticism would experience less cognitive decline compared with those with less change in neuroticism. MEASUREMENTS: We measured neuroticism using the NEO-Personality Inventory-Revised at baseline and 1 year. Study psychiatrists measured depression using the Montgomery-Åsberg depression rating scale (MADRS). Global cognitive performance was measured using the Consortium to Establish a Registry for Alzheimer's disease (CERAD) battery at baseline and annually over 3 years. Regression models of 1-year change in neuroticism and 3-year change in CERAD included sex, age, race, education, and 1-year change in MADRS score as covariates.

resultsWe found that among older adults, 1-year change in neuroticism was inversely associated with 3-year change in CERAD total score.

conclusionsOur findings challenge the notion of longitudinal stability of measures of personality, especially among older depressed individuals. They highlight the importance of repeated personality assessment, especially of neuroticism, in the management of LLD. Future studies in larger samples followed for longer periods are needed to confirm our results and to extend them to examine both cognitive change and development of dementia.

Indexed as

Alzheimer DiseasePersonality DisordersAgedCognitionHumansNeuroticismPersonalityPersonality Inventorycognitive disordersdepressionpersonality disorder

Identifiers

PMID35287768
PMCPMC9308569
OpenAlexW4220832169

What OpenQuestion holds

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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.