Evidence map›Paper›PMID 40541668›Full record

ArticleBrain, behavior, and immunity2025

Cortical thickness and low-grade inflammation moderate the association between depressive symptoms and cognitive function in early widowhood: A preliminary study.

E Lydia Wu-Chung, Kristen M Kennedy, Luis D Medina, Paul E Schulz, Frederick L Oswald, Cobi J Heijnen, Stephanie L Leal, Bryan T Denny, Christopher P Fagundes

Abstract read
In one paragraph

Article in Brain, behavior, and immunity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

9 authors.

E Lydia Wu-ChungDepartment of Psychology, University of Pittsburgh, United States. Electronic address: lydiawuchung@pitt.edu.
Kristen M KennedyCenter for Vital Longevity, University of Texas at Dallas, United States.
Luis D MedinaDepartment of Psychology, University of Houston, United States.
Paul E SchulzDepartment of Neurology, McGovern Medical School of UTHealth Houston, United States; Neurocognitive Disorders Center, McGovern Medical School of UTHealth Houston, United States.
Frederick L OswaldDepartment of Psychological Sciences, Rice University, United States.
Cobi J HeijnenDepartment of Psychological Sciences, Rice University, United States.
Stephanie L LealDepartment of Integrative Biology and Physiology, University of California at Los Angeles, United States.
Bryan T DennyDepartment of Psychological Sciences, Rice University, United States.
Christopher P FagundesDepartment of Psychological Sciences, Rice University, United States; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, United States; Department of Psychiatry, Baylor College of Medicine, United States; Institute of Health Resilience and Innovation, Rice University, United States.

Funding

Neural mechanisms of enhancing emotion regulation in bereaved spousesR21AG061597 · NIA · RICE UNIVERSITY · PI DENNY, BRYAN THOMAS, FAGUNDES, CHRISTOPHER PAUL · 2020 to 2021
$445k
From stress to dementia risk: An examination of psychological, immunological, and neurobiological mechanisms underlying increased risk for Alzheimer’s disease and related dementias in widow(er)sF31AG074648 · NIA · RICE UNIVERSITY · PI WU-CHUNG, E. LYDIA · 2022 to 2024
$116k
NIA NIH HHS F31 AG074648NIA NIH HHS R21 AG061597
6 · The paper itself

Abstract

Spousal bereavement is a major life stressor that significantly increases the risk of dementia. However, it remains unclear how the bereavement experience accelerates cognitive aging. In the broader neurocognitive aging literature, depression and cognitive function are closely linked, such that depression is sometimes accompanied by cognitive impairments. Individual differences in depression-related cognitive function may depend on low-grade inflammation and cortical atrophy, two phenomena implicated in cognitive dysfunction and dementia risk. No study to date has examined how psychobiological health relates to cognition in early widowhood. Among recently bereaved spouses, we examined (1) whether depressive symptom severity accounted for variations in cognitive performance and (2) whether the association between depressive symptoms and cognitive function depended on one's biological profile. In a sample of 68 bereaved spouses, depressive symptom severity, cortical thickness in 8 a priori regions, serum proinflammatory composite (IL-6, sIL-6R, TNF-⍺, sTNFRI, and sTNFRII), and a battery of cognitive tests were evaluated at 6 months post-loss. Using multiple linear regression to test hypotheses, we observed a significant negative association between depressive symptoms and performance on global cognitive function, cognitive inhibition, visuospatial processing, and working memory. The interaction between depressive symptoms and the cortical signature composite on global cognition was statistically significant: Depressive symptoms were negatively associated with global cognitive function, only for widow(er)s with average and less than average cortical gray matter. The interaction between depressive symptoms and low-grade inflammation on cognitive inhibition was also statistically significant: Depressive symptoms were negatively associated with cognitive inhibition only for those with average and higher than average levels of the serum inflammatory composite. This suggests that widow(er)s experiencing higher levels of depressive symptoms were more likely to have poorer cognitive function, especially if they presented with a more adverse biological profile (i.e., higher cytokine levels and less cortical gray matter than average); in contrast, for widow(er)s with less adverse biological profiles, there was no evidence for an association between depressive symptoms and cognitive function. This exploratory study identifies psychobiological correlates of cognitive function in early widowhood, offering insight into risk factors for abnormal cognitive aging after profound interpersonal loss.

Indexed as

Cerebral CortexCognitionDepressionInflammationWidowhoodAgedBereavementBrain Cortical ThicknessCognitive DysfunctionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsSpousesAgingBereavementBrainCognitionCortical thinningDepressionGray matterInflammationInhibitionStressful life events

Identifiers

PMID40541668
PMCPMC13472649

What OpenQuestion holds

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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.