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Objective: Cognitive screening tests can identify potential dementia by indicating a concerning level of cognitive impairment. The older populations for whom this is most relevant are more likely to experience chronic pain, which also impairs cognitive function, but pain's impact on cognitive screening tests specifically remains unknown., Method: We conducted a systematic review and meta-analysis (SR/MA) following PRISMA guidelines evaluating cognitive screening scores in studies involving participants with chronic pain compared with a pain-free control group. Our question was whether the presence of chronic pain (self-reported or based on diagnosis) was associated with poorer performance on these screens, and to identify the heterogeneity across groups and screens., Results: The 51 studies identified yielded 62 effect size estimates. The pooled g was 0.76 (95% confidence interval 0.57 to 0.95). Heterogeneity was high for the full model (= 93.16%) with some reductions in sub-analyses. Around half of the studies were identified as being at a low risk of bias. There was no evidence of publication bias., Conclusions: As a whole, this analysis suggests medium to large effect sizes on cognitive screen performance when people are living with chronic pain. We suggest that clinicians should consider the effect of chronic pain when cognitive screens are employed to investigate dementia. Further research could clarify the effect pain has on different screen sub-domains to aid their effective use with these populations.

Episodic experience is argued to be rich in temporal information, but it remains unclear whether temporal information is directly coded in the event memory or is reconstructed at retrieval. The two experiments reported here emphasise the role of reconstructive processes of autobiographical context in establishing the date of memories. Younger and older participants were presented with famous public events, although only the latter had actually lived through them. Participants were asked to make forced-choice judgements about the date of the event and other event-related facts. Overall, while the older group showed better fact knowledge of the events, this did not translate into better dating performance. This older group showed similar dating performance across events with high and low factual knowledge. In contrast, the younger group's dating accuracy was determined by their level of knowledge. This suggests that older individuals who have direct episodic experience of an event may perform the task in a qualitatively different manner, eschewing semantic facts in favour of other sources of information. Crucially, this process does not appear to enhance performance. A second experiment addressed the issue of whether older participants date events based on general qualities of the event memory (e.g., vividness), the availability of other event-related semantic facts, or autobiographical context. It was found that the ability to place an event in autobiographical context is related to dating accuracy, but not to other aspects of memory.