Evidence map›Paper›PMID 42295275›Full record

ArticleNeuropsychology2026

Depression and anxiety modify cognitive concerns associated with amyloid and early clinical impairment.

Shana D Stites, Rosalie Schumann, Yidan Shi, Dawn Mechanic-Hamilton, David A Wolk, Alzheimer’s Disease Neuroimaging Initiative

Abstract read
In one paragraph

Article in Neuropsychology, 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. Review
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.

Shana D StitesDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania.ORCID 0000-0003-3994-4343
Rosalie SchumannDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania.
Yidan ShiDivision of Biostatistics, Department of Population Health, New York University Grossman School of Medicine.ORCID 0000-0002-3190-6724
Dawn Mechanic-HamiltonDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania.ORCID 0000-0002-8728-2420
David A WolkDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania.ORCID 0000-0002-3554-3481
Alzheimer’s Disease Neuroimaging Initiative

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI MICHAEL W WEINER · 2016 to 2026
$226.7M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
RECRUITMENT COREU19AG010483 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDMAN, HOWARD · 2013 to 2020
$80.6M
SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1991 to 2020
$49.1M
UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
Research Education ComponentP30AG072979 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVID A WOLK · 2021 to 2026
$24.8M
STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B, KOHLER, HANS-PETER · 1999 to 2024
$14.0M
Research Centers Collaborative Network RenewalU24AG058556 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KRITCHEVSKY, STEPHEN B., LEDERMAN, STEPHANIE · 2018 to 2025
$7.5M
Study of Cognitive Symptoms and Future Time Perspective in Preclinical Alzheimer's DiseaseK23AG065442 · NIA · UNIVERSITY OF PENNSYLVANIA · PI STITES, SHANA D. · 2020 to 2024
$886k
Development of a Mobile Cognitive App for Detecting and Monitoring Change in Preclinical Alzheimer's DiseaseK23AG065499 · NIA · UNIVERSITY OF PENNSYLVANIA · PI MECHANIC-HAMILTON, DAWN J · 2020 to 2024
$884k
Alzheimer's AssociationNational Institutes of Health; National Institute on AgingNIA NIH HHS K23 AG065442NIA NIH HHS K23 AG065499NIA NIH HHS P30 AG010124NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG012836NIA NIH HHS P30 AG072979NIA NIH HHS U01 AG006786NIA NIH HHS U01 AG024904NIA NIH HHS U19 AG010483NIA NIH HHS U19 AG024904NIA NIH HHS U24 AG058556
6 · The paper itself

Abstract

objectiveCognitive concerns (CCs) are common for patients with Alzheimer's disease (AD) dementia. We explore anxiety, depression, and clinical impairment as moderators of CCs in early AD. Understanding these associations may help inform efforts to advance early identification of disease progression in AD.

methodData sources, selected based on requirements for availability of biomarker data and clinical assessment data, generated a pooled sample of adults ages 65+ with known amyloid status and cognitive function ranging from unimpaired (Clinical Dementia Rating global score [CDR-GS] = 0,

resultsHigher CCs were associated with early clinical impairment (estimated change in median [β] = 15.5). CCs were higher with higher versus lower anxiety, except in unimpaired persons with elevated amyloid. In this latter group of unimpaired persons with elevated amyloid, CCs were higher with higher versus lower depression.

conclusionIn combination elevated amyloid, anxiety, and depression may offer data to guide clinical interpretation of CCs in early clinical impairment. The findings advance understanding of mood effects in early AD and inform specific measurement considerations. Future longitudinal studies are needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAnxietyCognitive DysfunctionDepressionAgedAged, 80 and overDisease ProgressionFemaleHumansMaleAmyloid beta-Peptides

Identifiers

PMID42295275
PMCPMC13290126

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.