Evidence map›Paper›PMID 40899733›Full record

ArticleInternational journal of geriatric psychiatry2025

Neural Basis of Anxiety in Dementia With Lewy Bodies.

Naohiro Kimura, Yoshihiro Chadani, Ryo Kawai, Ryoko Fujito, Hideki Kanemoto, Ryuichi Takahashi, Tetsuo Kashibayashi, Shunichiro Shinagawa, Kenji Tagai, Kazunari Ishii and 2 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of geriatric psychiatry, 2025. 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. Observational
  2. Neural Basis of Anxiety in Dementia With Lewy Bodies.International journal of geriatric psychiatry · 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

12 authors.

Naohiro KimuraDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, Japan.
Yoshihiro ChadaniDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, Japan.
Ryo KawaiDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, Japan.
Ryoko FujitoDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, Japan.
Hideki KanemotoDepartment of Psychiatry, The University of Osaka Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0003-3662-1469
Ryuichi TakahashiDementia-related Disease Medical Center, Hyogo Prefectural Rehabilitation Hospital at Nishi-Harima, Tatsuno, Japan.ORCID https://orcid.org/0000-0002-6243-7852
Tetsuo KashibayashiDementia-related Disease Medical Center, Hyogo Prefectural Rehabilitation Hospital at Nishi-Harima, Tatsuno, Japan.
Shunichiro ShinagawaDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Kenji TagaiDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Kazunari IshiiDepartment of Radiology, Kindai University Faculty of Medicine, Osakasayama, Japan.ORCID https://orcid.org/0000-0001-6601-952X
Manabu IkedaDepartment of Psychiatry, The University of Osaka Graduate School of Medicine, Suita, Japan.
Hiroaki KazuiDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Nankoku, Japan.

Funding

Japan Agency for Medical Research and Development JP21dk0207056
6 · The paper itself

Abstract

objectiveThe association between core clinical features and anxiety and the neural basis of anxiety in patients with dementia with Lewy bodies (DLB) are unknown. Therefore, this study examined the core clinical features associated with anxiety in DLB and identified the brain regions associated with anxiety using statistical imaging analysis.

methodsThis study was conducted using a part of the data from "The Japan multicenter study: Behavioral and psychological symptoms Integrated Research in Dementia-Retrospective Neuroimaging part". Overall, 40 patients with probable DLB whose clinical dementia rating score was either 0.5 or 1 were included in this study. Anxiety was evaluated using the Neuropsychiatric Inventory (NPI). The incidence of each of the 4 core features was compared between patients with and without anxiety, and the brain regions associated with anxiety were examined using single-photon emission computed tomography data.

resultsPatients with DLB with anxiety had a significantly higher percentage of fluctuating cognition than those without anxiety. The NPI anxiety score was significantly negatively correlated with regional cerebral blood flow in the right supramarginal gyrus in patients with DLB.

conclusionAnxiety in DLB is associated with fluctuating cognition. It is also likely that the brain regions associated with anxiety in DLB are potentially influenced by the neurofunctional characteristics of DLB, in which the parietal lobes are more likely to be impaired.

Indexed as

AnxietyBrainLewy Body DiseaseAgedAged, 80 and overCerebrovascular CirculationFemaleHumansJapanMaleNeuropsychological TestsRetrospective StudiesTomography, Emission-Computed, Single-Photonanxietybehavioral and psychological symptoms of dementiadementia with Lewy bodiesfluctuating cognitionright supramarginal gyrusstatistical parametric mappingsupportive clinical features

Identifiers

PMID40899733
PMCPMC12406763

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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.