Evidence map›Paper›PMID 38157881›Full record

ArticleArquivos de neuro-psiquiatria2023

Behavioral or neuropsychiatric symptoms of Alzheimer's disease: from psychopathology to pharmacological management.

Antonio Lucio Teixeira, Natalia Pessoa Rocha, Jennifer Gatchel

Open access · goldAbstract read
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Frontiers in pharmacology · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. A 2025 update on treatment strategies for the Alzheimer's disease spectrum.Journal of the Chinese Medical Association : JCMA · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. A journey through 80 years of Brazilian neurology.Arquivos de neuro-psiquiatria · 2023
    Article
  18. 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

3 authors at 3 institutions in 2 countries.

Antonio Lucio TeixeiraUniversity of Texas University of Texas Health Science Center, McGovern Medical School, Department of Psychiatry and Behavioral Sciences, Neuropsychiatry Program, Houston, Texas, United States.ORCID 0000-0002-9621-5422
Natalia Pessoa RochaUniversity of Texas Health Science Center, McGovern Medical School, Department of Neurology, Houston, Texas, United States.ORCID 0000-0003-2616-8082
Jennifer GatchelMassachusetts General Hospital, Department of Psychiatry, Boston, Massachusetts, United States.ORCID 0000-0002-3892-9742
Grupo Santa Casa de Belo Horizonte · BRMichael E. DeBakey VA Medical Center · USThe University of Texas Health Science Center · US

Funding

Depression and Alzheimer's Disease: CaTAUstrophy?R01AG078191 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Jennifer Rose Gatchel · 2022 to 2026
$4.0M
Depressive symptoms in the pathogenesis of preclinical Alzheimer's DiseaseK23AG058805 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI GATCHEL, JENNIFER ROSE · 2018 to 2022
$992k
Kynurenine Pathway in the Pathogenesis of Post-Stroke Depression in aged MiceR21AG072380 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TEIXEIRA, ANTONIO LUCIO, VENNA, VENUGOPAL REDDY · 2021 to 2022
$429k
NIA NIH HHS K23 AG058805NIA NIH HHS R01 AG078191NIA NIH HHS R21 AG072380
6 · The paper itself

Abstract

Neuropsychiatric or behavioral symptoms of dementia encompass a series of disorders, such as anxiety, depression, apathy, psychosis, and agitation, all commonly present in individuals living with dementia. While they are not required for the diagnosis of Alzheimer's disease (AD), they are ubiquitously present in all stages of the disease, contributing to negative clinical outcomes, including cognitive decline, functional disability, and caregiver burden. Neuropsychiatric symptoms have been conceptualized not only as risk factors but as clinical markers of decline along the AD spectrum. The concept of "mild behavioral impairment", the behavioral correlate of mild cognitive impairment, has been proposed within this framework. The first steps in the management of behavioral symptoms in AD involve defining the target and investigating potential causes and/or aggravating factors. Once these factors are addressed, non-pharmacological approaches are preferred as first-line interventions. Following the optimization of anticholinesterase treatments, specific pharmacological approaches (e.g., antidepressants, antipsychotics) can be considered weighing potential side effects.

Indexed as

Alzheimer DiseaseAntipsychotic AgentsCognitive DysfunctionMental DisordersAnxietyBehavioral SymptomsHumansAntipsychotic Agents

Identifiers

PMID38157881
PMCPMC10756775
OpenAlexW4390430964

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.