Evidence map›Paper›PMID 40681934›Full record

ArticleMemory & cognition2026

Inference generation in older adults: Comparing pictorial and textual comprehension in the context of cognitive decline.

Ekaterina Varkentin, Irina R Brich, Ulrike Sünkel, Anna-Katharina von Thaler, Gerhard W Eschweiler, Markus Huff

Abstract readComparative Study
In one paragraph

Article in Memory & cognition, 2026. 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
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Ekaterina VarkentinPerception and Action Lab, Leibniz-Institut für Wissensmedien, Schleichstraße 6, 72076, Tübingen, Germany. e.varkentin@iwm-tuebingen.de.
Irina R BrichPerception and Action Lab, Leibniz-Institut für Wissensmedien, Schleichstraße 6, 72076, Tübingen, Germany.
Ulrike SünkelTübingen Center for Mental Health (TüCMH), Department of Psychiatry and Psychotherapy, Tübingen University Hospital, Tübingen, Germany.
Anna-Katharina von ThalerDepartment of Neurology, Kiel University, University Medical Centre Schleswig-Holstein, Kiel, Germany.
Gerhard W EschweilerTübingen Center for Mental Health (TüCMH), Department of Psychiatry and Psychotherapy, Tübingen University Hospital, Tübingen, Germany.
Markus HuffPerception and Action Lab, Leibniz-Institut für Wissensmedien, Schleichstraße 6, 72076, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Narrative comprehension, a cognitive skill essential for social participation, relies on a range of abilities, including memory and inference-making. While aging-related cognitive changes are well-documented, research on narrative comprehension in aging populations yields mixed findings, underscoring the importance of this study. This preregistered study examines how age, education, and presentation format (i.e., the narrative's codality: pictorial vs. textual) influence inference generation in older adults (N = 143, ages 62-86 years). Participants were presented with pictorial and textual stories consisting of three panels, with the second panel replaced with a blank panel. Their task was to comprehend the stories and determine whether the inferences provided for the missing event were correct or incorrect. Results reveal that pictorial narratives were better comprehended than textual ones; however, this advantage attenuates with increasing age. Contrary to expectations, narrative comprehension was largely resilient to age-related declines, as neither age nor education significantly impaired performance. Exploratory analyses tested the influence of protective (e.g., physical and mental activity, companionship) and risk factors (e.g., depression, anxiety, chronic pain, stress, and poor sleep) but found no significant impact on comprehension. Notably, narrative comprehension correlated with memory performance but not with other cognitive abilities, underscoring its specificity within the broader cognitive domain. These findings highlight the stability of narrative comprehension across media and aging, while also suggesting a narrowing pictorial advantage with age. Implications for existing cognitive theories and future research directions are discussed.

Indexed as

AgingCognitive DysfunctionComprehensionNarrationThinkingAgedAged, 80 and overFemaleHumansMaleMiddle AgedAgeCodalityInferencingNarrative comprehensionPreventive factorsRisk factors

Identifiers

PMID40681934
PMCPMC12864196

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.