Evidence map›Paper›PMID 42471447›Full record

ArticleMolecular psychiatry2026

Tau pathology and depression interact to accelerate driving decline in cognitively normal older adults.

Yiqi Zhu, David C Brown, Chen Chen, Ramkrishna K Singh, Semere Bekena, Beau M Ances, Eric J Lenze, David B Carr, Jean-Francios Trani, Ganesh M Babulal

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yiqi ZhuDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
David C BrownDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-2493-636X
Chen ChenDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Ramkrishna K SinghDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Semere BekenaDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Beau M AncesDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-3862-7397
Eric J LenzeSocial Work School, Adelphi University, Garden City, NY, USA.
David B CarrDepartment of Psychiatry, Washington University School of Medicine, St Louis, MO, USA.
Jean-Francios TraniDepartment of Medicine, Washington University in School of Medicine, St. Louis, MO, USA.
Ganesh M BabulalDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA. babulal.ganesh@mayo.edu.ORCID http://orcid.org/0000-0001-7966-3509

Funding

Preclinical Alzheimer Disease and DrivingR01AG056466 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2017 to 2021
$5.9M
The Impact of Depression and Preclinical Alzheimer Disease on Driving Among Older AdultsR01AG067428 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$4.0M
U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG056466U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG067428
6 · The paper itself

Abstract

Driving is a complex task that can be compromised by mood disorders and neurodegenerative conditions. Major depressive disorder (MDD) and Alzheimer's disease (AD) increase in prevalence with older age. Preclinical AD, identified through protein biomarkers, is strongly associated with an increased risk of developing AD. This study tracked the daily driving behaviors of older adults over an average period of 54 months and found participants with MDD and Positron Emission Tomography (PET) biomarker tau had a faster increase in risky driving behaviors, such as hard braking, and a slower decline in randomness of driving patterns, compared to healthy controls. Notably, participants with MDD were more likely to exhibit PET tau positivity than PET amyloid positivity, suggesting a potential interaction between MDD and tau pathology. These findings highlight the importance of monitoring older drivers for emerging functional vulnerability associated with mood disorders and neurodegeneration at an early stage.

Identifiers

PMID42471447

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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.