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Depression and dementia: Cause, consequence or coincidence?
Open accessAbstract
The relationship between depression and dementia is complex and still not well understood. A number of different views exist regarding how the two conditions are linked as well as the underlying neurobiological mechanisms at work. This narrative review examined longitudinal and cross sectional studies in the existing literature and determined the evidence supporting depression being a risk factor, a prodrome, a consequence, or an independent comorbidity in dementia. Overall there is convincing evidence to support both the notion that early life depression can act as a risk factor for later life dementia, and that later life depression can be seen as a prodrome to dementia. There is also evidence to support both conditions showing similar neurobiological changes, particularly white matter disease, either indicating shared risk factors or a shared pattern of neuronal damage. These findings highlight the need to examine if effective treatment of depressive episodes has any effect in reducing the prevalence of dementia, as well as clinicians being vigilant for late life depression indicating the incipient development of dementia, and therefore carefully following up these individuals for future cognitive impairment.
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Depression can be a symptom or consequence of dementia.
“Overall, there is accumulating evidence indicating two consensuses that early-life depression is a risk factor for later life dementia, and depression can be a symptom or consequence of dementia [5-8].”
From Risk analysis of use of different classes of antidepressants on subsequent dementia: A nationwide cohort study in Taiwan (2017) · cites this paper as [8]
Early-life depression is a risk factor for later-life dementia.
“Overall, there is accumulating evidence indicating two consensuses that early-life depression is a risk factor for later life dementia, and depression can be a symptom or consequence of dementia [5-8].”
From Risk analysis of use of different classes of antidepressants on subsequent dementia: A nationwide cohort study in Taiwan (2017) · cites this paper as [8]
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Metadata
- Authors
- Bennett, S., & Thomas, A. J.
- Affiliations
- Newcastle University (GB)
- Corresponding author
- Thomas, Alan J.
- Venue
- Maturitas
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 79
- Issue
- 2
- Pages
- 184-190
- ISSN
- 0378-5122 (ISSN-L)
- OpenAlex
- W2097522066
- Cited by
- 569
- References
- 3
- Citations by year
- 2026: 34 · 2025: 61 · 2024: 75 · 2023: 64 · 2022: 60 · 2021: 60 · 2020: 74 · 2019: 48 · 2018: 35 · 2017: 21 · 2016: 24 · 2015: 9 · 2014: 3
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Maturitas (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- depression, dementia, geriatric depression, dementia risk factors, comorbidities, white matter disease, neurobiological mechanisms, cognitive impairment
- MeSH terms
- Cognition Disorders, Cross-Sectional Studies, Dementia, Depression, Depressive Disorder, Humans, Risk Factors, Comorbidity, Prevalence, Treatment Outcome
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