Evidence map›Paper›PMID 39151757›Full record

ArticleJournal of affective disorders2024

A preliminary investigation of worry, cortical amyloid burden, and stressor-evoked brain and cardiovascular reactivity in older adults.

Thomas E Kraynak, Helmet T Karim, Layla Banihashemi, Dana L Tudorascu, Meryl A Butters, Tharick Pascoal, Brian Lopresti, Carmen Andreescu

Abstract read
In one paragraph

Article in Journal of affective disorders, 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. Older and wiser? The neural correlates of worry induction and reappraisal in older adults.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    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

8 authors.

Thomas E KraynakDepartment of Epidemiology, University of Pittsburgh, United States of America; Department of Psychiatry, University of Pittsburgh, United States of America.
Helmet T KarimDepartment of Psychiatry, University of Pittsburgh, United States of America; Department of Bioengineering, University of Pittsburgh, United States of America.
Layla BanihashemiDepartment of Psychiatry, University of Pittsburgh, United States of America; Department of Bioengineering, University of Pittsburgh, United States of America.
Dana L TudorascuDepartment of Psychiatry, University of Pittsburgh, United States of America.
Meryl A ButtersDepartment of Psychiatry, University of Pittsburgh, United States of America.
Tharick PascoalDepartment of Psychiatry, University of Pittsburgh, United States of America; Department of Neurology, University of Pittsburgh, United States of America.
Brian LoprestiDepartment of Psychiatry, University of Pittsburgh, United States of America.
Carmen AndreescuDepartment of Psychiatry, University of Pittsburgh, United States of America. Electronic address: andrcx@upmc.edu.

Funding

The RAW Brain - The Effect of Rumination, Anxiety and Worry on Aging and Dementia RiskR01MH108509 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Carmen Andreescu · 2016 to 2026
$10.6M
Pharmacologic MRI Predictors of Treatment Response in Late-Life DepressionR01MH076079 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, ANDREESCU, CARMEN · 2006 to 2022
$7.1M
Recurrence markers, cognitive burden and neurobiological homeostasis in latelife depression (REMBRANDT) - SupplementR01MH121619 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDREESCU, CARMEN · 2020 to 2024
$5.1M
Population Neuroscience of Aging and Alzheimer's Disease (PNA)T32AG055381 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano, Andrea L Rosso · 2018 to 2026
$2.7M
Machine Learning Models for Identifying Neural Predictors of TMS Treatment Response in MDDK01MH122741 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARIM, HELMET TALIB · 2021 to 2025
$852k
CRF EFFECTS IN THE DORSAL RAPHE NUCLEUSF32MH012274 · NIMH · MCP HAHNEMANN UNIVERSITY · PI KIRBY, LYNN G · 1998 to 1999
–
NIA NIH HHS T32 AG055381NIMH NIH HHS F32 MH012274NIMH NIH HHS K01 MH122741NIMH NIH HHS R01 MH076079NIMH NIH HHS R01 MH108509NIMH NIH HHS R01 MH121619
6 · The paper itself

Abstract

Worry is a transdiagnostic symptom common to many neurocognitive disorders of aging, including early stages of Alzheimer's disease and related dementias (ADRD). Severe worry is associated with amyloid burden in cognitively intact older adults, yet the mechanisms underlying this association are not well understood. We hypothesize that this relationship involves altered brain and cardiovascular reactivity to acute stressors, a brain-body phenotype that also increases risk for cardiovascular disease. Twenty cognitively normal older adults (age 60 to 80) with varying levels of worry severity underwent positron emission tomography using Pittsburgh Compound-B and functional magnetic resonance imaging. We examined associations of worry severity and amyloid burden with cardiovascular reactivity, brain activation, and brain connectivity using a cognitive stressor task. Worry severity was not associated with global amyloid burden, but was associated with greater resting levels of cardiovascular physiology and lower systolic blood pressure reactivity. Worry severity also was associated with altered stressor-evoked activation and effective connectivity in brain circuits implicated in stress processing, emotion perception, and physiological regulation. These associations showed small to medium effect sizes. These preliminary findings introduce key components of a model that may link severe worry to ADRD risk via stressor-evoked brain-body interactions.

Indexed as

AnxietyBrainMagnetic Resonance ImagingPositron-Emission TomographyStress, PsychologicalAgedAged, 80 and overAmyloidAniline CompoundsBlood PressureFemaleHumansMaleMiddle AgedThiazoles2-(4'-(methylamino)phenyl)-6-hydroxybenzothiazoleAmyloidAniline CompoundsThiazolesAmyloidCardiovascular reactivityfMRIPsychological stressWorry

Identifiers

PMID39151757
PMCPMC13378132

What OpenQuestion holds

Textmetadata
LicenceTDM
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.