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Depression—an underrecognized target for prevention of dementia in Alzheimer’s disease
Open accessAbstract
It is broadly acknowledged that the onset of dementia in Alzheimer’s disease (AD) may be modifiable by the management of risk factors. While several recent guidelines and multidomain intervention trials on prevention of cognitive decline address lifestyle factors and risk diseases, such as hypertension and diabetes, a special reference to the established risk factor of depression or depressive symptoms is systematically lacking. In this article we review epidemiological studies and biological mechanisms linking depression with AD and cognitive decline. We also emphasize the effects of antidepressive treatment on AD pathology including the molecular effects of antidepressants on neurogenesis, amyloid burden, tau pathology, and inflammation. We advocate moving depression and depressive symptoms into the focus of prevention of cognitive decline and dementia. We constitute that early treatment of depressive symptoms may impact on the disease course of AD and affect the risk of developing dementia and we propose the need for clinical trials.
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“NPS may accelerate the course of neurodegenerative diseases and are potential modifying risk factors for cognitive decline [21–25].”
From Psychotherapeutic interventions in individuals at risk for Alzheimer’s dementia: a systematic review (2022) · cites this paper as [21]
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Metadata
- Authors
- Dafsari, F. S., & Jessen, F.
- Affiliations
- University of Cologne (DE)
- Corresponding author
- Dafsari, Forugh S.
- Venue
- Translational Psychiatry
- Published
- 2020-05-20
- Volume
- 10
- Issue
- 1
- Pages
- 160-160
- ISSN
- 2158-3188 (ISSN-L)
- PMC
- PMC7239844
- OpenAlex
- W3028374504
- Cited by
- 312
- References
- 121
- Citations by year
- 2026: 38 · 2025: 65 · 2024: 68 · 2023: 56 · 2022: 44 · 2021: 33 · 2020: 6
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Translational Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- DZNE Pub (publishedVersion, other-oa)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- depression, Alzheimer's disease, dementia prevention, cognitive decline, depressive symptoms, antidepressants, neurogenesis, amyloid burden, tau pathology, neuroinflammation, risk factors, early treatment
- MeSH terms
- Alzheimer Disease, Depression, Humans, Life Style, Risk Factors, Cognitive Dysfunction
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