Evidence map›Paper›PMID 38268951›Full record

ArticleSAGE open nursing

Subjective Functional Difficulties Were Associated With Subjective Cognitive Decline Among U.S. Older Adults: Mentally Unhealthy Days Mediation and Income Level Moderation Effects.

Renata Komalasari, Ladda Thiamwong, Karolus Wangi, Boon Peng Ng

Open access · goldAbstract read
In one paragraph

Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
4.1field-weighted citation impact, top 8% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Adverse Childhood Experiences, Depression and Subjective Cognitive Decline by Gender: A Moderated Mediation Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    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

4 authors at 2 institutions in 1 country.

Renata KomalasariRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.ORCID https://orcid.org/0000-0001-6147-9279
Ladda ThiamwongDisability, Aging and Technology Cluster, University of Central Florida, Orlando, FL, USA.ORCID https://orcid.org/0000-0001-8506-5812
Karolus WangiRoss and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA.
Boon Peng NgDisability, Aging and Technology Cluster, University of Central Florida, Orlando, FL, USA.
Pennsylvania State University · USUniversity of Central Florida · US

Funding

Optimizing a technology-based body and mind intervention to prevent falls and reduce health disparities in low-income populations.R01MD018025 · NIMHD · UNIVERSITY OF CENTRAL FLORIDA · PI THIAMWONG, LADDA · 2022 to 2025
$3.0M
NIMHD NIH HHS R01 MD018025
6 · The paper itself

Abstract

Introduction: Subjective cognitive decline (SCD) is a self-perceived decline in cognition that may progress to mild cognitive impairment or Alzheimer's disease. SCD may be associated with difficulties in daily functioning and psychological distress. Previous research has shown the association between functional difficulties and SCD via mentally unhealthy days (MUDs). However, whether income levels influence the mediation effect of MUDs is less understood. Objectives: This study examined the association between subjective functional difficulties and the odds of SCD through MUDs, and whether the mediation effect was moderated by income levels. Methods: Cross-sectional data were obtained from the 2019 Behavioral Risk Factor Surveillance System ( Results: Subjective functional difficulties were positively associated with SCD through mediation by MUDs ( Conclusions: Our study extends previous findings by demonstrating that greater subjective functional difficulties are associated with higher odds of SCD through more frequent MUDs, with higher income levels being associated with more SCD reporting.

Indexed as

income levelsmentally unhealthy daysmoderated mediationpsychological distresssubjective cognitive declinesubjective functional difficulties

Identifiers

PMID38268951
PMCPMC10807341
OpenAlexW4391146141

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.