{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:00:52Z","timestamp":1791856852350,"version":"4.3.4"},"reference-count":38,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Individuals who are amyloid-positive with subjective cognitive decline and clinical features increasing the likelihood of preclinical Alzheimer disease (SCD+) are at higher risk of developing dementia. Some individuals with SCD+ undergo amyloid-positron emission tomography (PET) as part of research studies and frequently wish to know their amyloid status; however, the disclosure of a positive amyloid-PET result might have psychological risks.<\/jats:p><\/jats:sec>Objective<\/jats:title>To assess the psychological outcomes of the amyloid-PET result disclosure in individuals with SCD+ and explore which variables are associated with a safer disclosure in individuals who are amyloid positive.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This prospective, multicenter study was conducted as part of The Amyloid Imaging to Prevent Alzheimer Disease Diagnostic and Patient Management Study (AMYPAD-DPMS) (recruitment period: from April 2018 to October 2020). The setting was 5 European memory clinics, and participants included patients with SCD+ who underwent amyloid-PET. Statistical analysis was performed from July to October 2022.<\/jats:p><\/jats:sec>Exposures<\/jats:title>Disclosure of amyloid-PET result.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>Psychological outcomes were defined as (1) disclosure related distress, assessed using the Impact of Event Scale\u2013Revised (IES-R; scores of at least 33 indicate probable presence of posttraumatic stress disorder [PTSD]); and (2) anxiety and depression, assessed using the Hospital Anxiety and Depression scale (HADS; scores of at least 15 indicate probable presence of severe mood disorder symptoms).<\/jats:p><\/jats:sec>Results<\/jats:title>After disclosure, 27 patients with amyloid-positive SCD+ (median [IQR] age, 70 [66-74] years; gender: 14 men [52%]; median [IQR] education: 15 [13 to 17] years, median [IQR] Mini-Mental State Examination [MMSE] score, 29 [28 to 30]) had higher median (IQR) IES-R total score (10 [2 to 14] vs 0 [0 to 2]; P<\/jats:italic>\u2009&amp;lt;\u2009.001), IES-R avoidance (0.00 [0.00 to 0.69] vs 0.00 [0.00 to 0.00]; P<\/jats:italic>\u2009&amp;lt;\u2009.001), IES-R intrusions (0.50 [0.13 to 0.75] vs 0.00 [0.00 to 0.25]; P<\/jats:italic>\u2009&amp;lt;\u2009.001), and IES-R hyperarousal (0.33 [0.00 to 0.67] vs 0.00 [0.00 to 0.00]; P<\/jats:italic>\u2009&amp;lt;\u2009.001) scores than the 78 patients who were amyloid-negative (median [IQR], age, 67 [64 to 74] years, 45 men [58%], median [IQR] education: 15 [12 to 17] years, median [IQR] MMSE score: 29 [28 to 30]). There were no observed differences between amyloid-positive and amyloid-negative patients in the median (IQR) HADS Anxiety (\u20131.0 [\u20133.0 to 1.8] vs \u20132.0 [\u20134.8 to 1.0]; P<\/jats:italic>\u2009=\u2009.06) and Depression (\u20131.0 [\u20132.0 to 0.0] vs \u20131.0 [\u20133.0 to 0.0]; P<\/jats:italic>\u2009=\u2009.46) deltas (score after disclosure\u2009\u2013\u2009scores at baseline). In patients with amyloid-positive SCD+, despite the small sample size, higher education was associated with lower disclosure-related distress (\u03c1\u2009=\u2009\u20130.43; P<\/jats:italic>\u2009=\u2009.02) whereas the presence of study partner was associated with higher disclosure-related distress (W<\/jats:italic>\u2009=\u20097.5; P<\/jats:italic>\u2009=\u2009.03). No participants with amyloid-positive SCD+ showed probable presence of PTSD or severe anxiety or depression symptoms at follow-up.<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>The disclosure of a positive amyloid-PET result to patients with SCD+ was associated with a bigger psychological change, yet such change did not reach the threshold for clinical concern.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2022.50921","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T16:15:26Z","timestamp":1673626526000},"page":"e2250921","source":"Crossref","is-referenced-by-count":40,"title":["Analysis of Psychological Symptoms Following Disclosure of Amyloid\u2013Positron Emission Tomography Imaging Results to Adults With Subjective Cognitive Decline"],"prefix":"10.1001","volume":"6","author":[{"given":"Camilla","family":"Caprioglio","sequence":"first","affiliation":[{"name":"Laboratory of Neuroimaging of Aging (LANVIE), University of Geneva, Geneva, Switzerland"},{"name":"Geneva Memory Center, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Ribaldi","sequence":"additional","affiliation":[{"name":"Laboratory of Neuroimaging of Aging (LANVIE), University of Geneva, Geneva, Switzerland"},{"name":"Geneva Memory Center, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie N. C.","family":"Visser","sequence":"additional","affiliation":[{"name":"Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm\/Solna, Sweden"},{"name":"Department of Medical Psychology, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers (UMC)\u2013Location VUmc, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Minguillon","sequence":"additional","affiliation":[{"name":"Barcelona\u00dfeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain"},{"name":"IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyduine E.","family":"Collij","sequence":"additional","affiliation":[{"name":"Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers (UMC)\u2013Location VUmc, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oriol","family":"Grau-Rivera","sequence":"additional","affiliation":[{"name":"Barcelona\u00dfeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain"},{"name":"IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Zeyen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Molinuevo","sequence":"additional","affiliation":[{"name":"Barcelona\u00dfeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain"},{"name":"H. 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