Evidence map›Paper›PMID 40321198›Full record

ArticleNeurology. Clinical practice2025

Psychosis in Neurocognitive Disorder Among Ethnoculturally Diverse Older Persons.

Estevana Isaac, Carolyn Wei Zhu, Monica Rivera Mindt, Albert L Siu, Alex Federman, Kristine Yaffe, Barbara G Vickrey, Jenifer Voeks, Parul Agarwal, Derrick Brooks and 2 more

Erratum issuedAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Autoimmune neuropsychiatric disorders manifesting with psychosis.The Journal of clinical investigation · 2025
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Estevana IsaacDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID https://orcid.org/0000-0002-6771-5225
Carolyn Wei ZhuDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID https://orcid.org/0000-0002-2318-715X
Monica Rivera MindtDepartment of Psychology, Fordham University, Bronx, NY.
Albert L SiuDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID https://orcid.org/0000-0001-6330-8502
Alex FedermanDepartment of Medicine and Geriatric and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Kristine YaffeDepartment of Psychiatry, Neurology and Epidemiology, University of California of San Francisico.ORCID https://orcid.org/0000-0003-0919-3825
Barbara G VickreyDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID https://orcid.org/0000-0003-1878-1936
Jenifer VoeksDepartment of Neurology, Medical University of South Carolina, Charlottesville.ORCID https://orcid.org/0000-0002-5544-3322
Parul AgarwalDepartment of Population Health Sciences, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID https://orcid.org/0000-0002-7497-8162
Derrick BrooksClinical Psychiatrist, BBD Psychiatry Group, PLLC, Washington, DC; and.ORCID https://orcid.org/0009-0008-5596-9333
Ombolanle AyoDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY.
Mary SanoDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai and James J Peters VAMC, New York, NY.

Funding

Research Education ComponentP30AG066514 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Margaret Sewell · 2020 to 2026
$31.0M
Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ALBERT L SIU · 2010 to 2026
$21.9M
Research Training for the Care of Vulnerable Older Adults with Alzheimer’s Disease and Related Dementias and Other Chronic ConditionsT32AG066598 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Alex D Federman · 2020 to 2026
$2.3M
NIA NIH HHS P30 AG028741NIA NIH HHS P30 AG066514NIA NIH HHS T32 AG066598
6 · The paper itself

Abstract

Background and Objectives: There is longstanding evidence that the presence of psychosis in neurocognitive disorders (NCDs) is associated with faster cognitive and functional decline. The goal of this study was to examine how clinician-diagnosed psychosis differs among ethnoracial groups with NCDs (including early onset) and to explore whether these differences exist even for those without advanced dementia. Method: This is an IRB-approved retrospective analysis. Data are from the National Alzheimer's Coordinating Center Uniform Dataset from 42 Alzheimer's Disease Research Centers. Participants aged 40-95 years as of June 2023 with mild cognitive impairment (MCI) or dementia on baseline evaluation were included. Psychosis was defined as clinician-diagnosed visual or auditory hallucinations or delusions manifesting at the time of baseline evaluation. Ethnoracial groups were self-reported. Associations between ethnoracial groups and psychosis in NCDs were estimated using adjusted multivariable logistic regression with dichotomous measures of outcomes. Covariates included age, sex, years of education, severity of cognitive impairment (Clinical Dementia Rating scale), and presence or absence of any self-reported preexisting psychiatric illness. An analysis by age younger than 65 years was also conducted. Exploratory multivariable logistic regression analyses were performed for participants with milder stages of dementia (Clinical Dementia Rating 0.5 or 1) and for the subset of participants diagnosed with MCI. Results: A total of 22,854 participants were included. The mean age was 73 + 9.7 years, and 50% were women. A total of 8,352 (37%) had MCI and 14,502 (63%) had dementia. In adjusted analysis, American Indian/Alaska Native (AI/AN) (OR 2.70, 1.75-4.17, Discussion: Black-NL, Latino, and AI/AN individuals were more likely to be diagnosed with psychosis in NCDs when compared with White-NL participants. More research is needed to explore sociocultural, psychosocial, and neuropathologic factors involved.

Identifiers

PMID40321198
PMCPMC12048866

What OpenQuestion holds

Textmetadata
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.