Evidence map›Paper›PMID 41470021›Full record

ArticleJournal of Alzheimer's disease : JAD2026

Multiscale dispersion entropy of resting-state EEG in older adults with Alzheimer's disease, mild cognitive impairment, and remitted major depressive disorder.

Hamed Azami, Mary P McAndrews, Mostafa Rostaghi, Reza Zomorrodi, Heather Brooks, Daniel M Blumberger, Corinne E Fischer, Alastair Flint, Nathan Herrmann, Sanjeev Kumar and 6 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

16 authors.

Hamed AzamiCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Mary P McAndrewsDepartment of Psychology, University of Toronto, Toronto, ON, Canada.
Mostafa RostaghiModal Analysis Research Laboratory, Department of Mechanical Engineering, Semnan University, Semnan, Iran.
Reza ZomorrodiCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Heather BrooksCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Daniel M BlumbergerCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Corinne E FischerTemerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Alastair FlintDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Nathan HerrmannDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Sanjeev KumarCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Damien GallagherDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Linda MahDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Benoit H MulsantCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Bruce G PollockCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.
Tarek K RajjiCentre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada.ORCID 0000-0002-8324-2560
PACt-MD Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundMultiscale dispersion entropy (MDEnt) is a nonlinear EEG measure that quantifies brain complexity across time scales, reflecting both local and global brain dynamics. Previous research indicates lower complexity at short time scales in Alzheimer's disease (AD) compared to mild cognitive impairment (MCI) and healthy controls (HCs), with MCI also showing lower values than HCs. Major depressive disorder (MDD) has also been preliminarily linked to reduced complexity during acute episodes.ObjectiveTo assess whether MDEnt at short time scales can distinguish AD from MCI and HCs, and to examine complexity differences across additional groups, remitted MDD (rMDD) and rMDD + MCI, while exploring associations with cognitive performance.MethodsThe study included 316 older adults: 44 HCs, 46 with rMDD, 114 with MCI, 71 with rMDD + MCI, and 41 with AD. Resting-state, eyes-closed EEGs were analyzed using MDEnt at 24 ms (short) and 60 ms (long) time scales. Cognitive function was measured with the Montreal Cognitive Assessment and a composite cognitive score.ResultsShort time scale complexity was lowest in AD, followed by MCI, and highest in HCs; rMDD presence had no impact. Only AD showed reduced complexity at long time scales. Complexity at both time scales was significantly correlated with cognitive performance.ConclusionsThis study highlights the value of MDEnt to assess complexity at short time scale and differentiate individuals with AD, MCI, or HCs. Reduced complexity in these individuals may underlie their cognitive impairment. In contrast, our study suggests that any MDD impact on complexity is likely related to active depressive symptoms.

Indexed as

Alzheimer DiseaseBrainCognitive DysfunctionElectroencephalographyMajor Depressive DisorderAgedAged, 80 and overEntropyFemaleHumansMaleMiddle AgedNeuropsychological TestsRestAlzheimer’s diseasecomplexitymild cognitive impairmentmultiscale dispersion entropyremitted major depressive disorderresting-state EEG

Identifiers

PMID41470021
PMCPMC13487334

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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.