Evidence map›Paper›PMID 39031355›Full record

ArticleJournal of Alzheimer's disease : JAD2024

Risk-Taking Behavior Differs Between Older Adults with and without Mild Cognitive Impairment.

Sarah Therrien, Mia Anthony, Adam Turnbull, F Vankee Lin

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Sarah TherrienDepartment of Psychiatry and Behavioral Sciences, CogT Lab, Stanford University, Palo Alto, CA, USA.
Mia AnthonyDepartment of Psychiatry and Behavioral Sciences, CogT Lab, Stanford University, Palo Alto, CA, USA.
Adam TurnbullDepartment of Psychiatry and Behavioral Sciences, CogT Lab, Stanford University, Palo Alto, CA, USA.
F Vankee LinDepartment of Psychiatry and Behavioral Sciences, CogT Lab, Stanford University, Palo Alto, CA, USA.

Funding

Applying the Neuroeconomics Paradigm for the Assessment of Central Fatigability in the Aging PopulationR21AG053193 · NIA · UNIVERSITY OF ROCHESTER · PI LIN, FENG VANKEE · 2016 to 2017
$421k
Validate a Shared Neural Circuit Underlying Multiple Neuropsychiatric SymptomsR21MH120734 · NIMH · UNIVERSITY OF ROCHESTER · PI HEFFNER, KATHI L, LIN, FENG VANKEE · 2019 to 2020
$419k
NIA NIH HHS R21 AG053193NIMH NIH HHS R21 MH120734
6 · The paper itself

Abstract

Background: Adequately evaluating risk and making decisions is vital but understudied for older adults living independently but with compromised cognition, as seen in those with mild cognitive impairment (MCI), specifically those with amnestic MCI (aMCI) which is associated with higher risk of conversion to Alzheimer's disease. Objective: We propose to comprehensively evaluate risk-taking behaviors across domains important for everyday activities between an aMCI group and their cognitively healthy counterparts (HC). Methods: A case-control study design. Data on risk-taking behaviors via the Domain-Specific Risk-Taking Scale (DOSPERT), and candidate confounding mental health factors (i.e., neurodegeneration, depression, and fatigue) were collected. Analyses on group difference and interaction between group and confounding factors on risk-taking behaviors were conducted. Results: The aMCI group showed a higher likelihood of risk-taking than HC (t = 4.38, df = 73, p < 0.001). Moderation analysis showed fatigue (F = 5.91, p = 0.018) and presence of depression (F = 4.52, p = 0.037), but not neurodegeneration, as significant moderators for group and DOSPERT total score, controlling for sex. In post-hoc analyses, there was a significant relationship between both fatigue (B = -7.83, SE = 3.65, t = -2.14, p = 0.036), and presence of depression (B = -20.80, SE = 9.97, t = -2.09, p = 0.041), with DOSPERT total score for HC but not for aMCI. There were no significant relationships between neurodegeneration, fatigue, or depression with any specific risk-taking domains after correction for multiple comparisons. Conclusions: Our results show differences in risk-taking behavior between older adults with and without intact cognition, and overall decision-making is affected by fatigue and depression in HC but not aMCI, together suggesting the importance of cognition in the ability to adjust risk-taking behaviors.

Indexed as

Cognitive DysfunctionRisk-TakingAgedAged, 80 and overCase-Control StudiesDepressionFatigueFemaleHumansMaleNeuropsychological TestsAlzheimer’s diseasedecision makingfunctional statusmild cognitive impairmentrisk-taking

Identifiers

PMID39031355
PMCPMC12094877

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Registered trials

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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.