Evidence map›Paper›PMID 41795669›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Longitudinal associations of psychological distress with subsequent cognitive decline and dementia: a multi-cohort study.

Jean Stafford, Serhiy Dekhtyar, Tom C Russ, Archana Singh-Manoux, Jane Maddock, Kate Walters, Vasiliki Orgeta, Neil Davies, James B Kirkbride, Marcus Richards and 2 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. 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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Jean StaffordAdvanced Care Research Centre, Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-0144-9200
Serhiy DekhtyarAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, and Stockholm University, Stockholm, Sweden.
Tom C RussAlzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, UK.
Archana Singh-ManouxDivision of Psychiatry, Faculty of Brain Sciences, UCL, London, UK.
Jane MaddockDivision of Surgery and Interventional Science, London, UK.
Kate WaltersResearch Department of Primary Care and Population Health, Faculty of Population Health Sciences, UCL, London, UK.
Vasiliki OrgetaDivision of Psychiatry, Faculty of Brain Sciences, UCL, London, UK.
Neil DaviesDivision of Psychiatry, Faculty of Brain Sciences, UCL, London, UK.
James B KirkbrideDivision of Psychiatry, Faculty of Brain Sciences, UCL, London, UK.
Marcus RichardsUnit for Lifelong Health and Ageing at UCL, Faculty of Population Health Sciences, University College London (UCL), London, UK.
Robert HowardDivision of Psychiatry, Faculty of Brain Sciences, UCL, London, UK.
Praveetha PatalayUnit for Lifelong Health and Ageing at UCL, Faculty of Population Health Sciences, University College London (UCL), London, UK.

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
Health behaviors over the adult lifecourse and cognitive agingR01AG034454 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2009 to 2013
$1.5M
Alzheimer's SocietyNHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196NIA NIH HHS R01 AG034454
6 · The paper itself

Abstract

introductionPsychological distress has been linked with cognitive impairment. However, whether the relationship is causal, reflects preclinical dementia neuropathology, or confounding by common causes remains unclear.

methodsIn five UK longitudinal studies, we examined associations of psychological distress with subsequent cognition using linear and mixed effects models, and dementia using logistic regression. We examined variation by age-at-assessment, severity, and distress persistence, combining study-specific estimates using two-stage individual participant data meta-analysis.

resultsPooling across studies (N = 24,564), greater baseline psychological distress was associated with lower subsequent cognitive level (β = -0.03 [95% confidence interval [CI]: -0.06; -0.01]; I DISCUSSION: Findings highlight the relevance of psychological distress in later cognitive outcomes, with potential future implications for dementia prevention and identifying high-risk groups.

Indexed as

Cognitive DysfunctionDementiaPsychological DistressStress, PsychologicalAgedCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedUnited Kingdomcognitiondementiaepidemiologymental healthmulti‐cohortpsychological distress

Identifiers

PMID41795669
PMCPMC12967666

What OpenQuestion holds

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LicenceCC BY
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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.