The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Risk of incident dementia in late-life depression treated with antidepressants: A nationwide population cohort study
Abstract
Background: Antidepressants are frequently used to treat depression in patients with dementia. In addition, late-life depression is associated with the incidence of subsequent cognitive impairment or dementia. However, the association between exposure to antidepressants in late-life depression and the development of incident dementia remains understudied. Methods: Through a population-based retrospective cohort design, data were extracted from the Taiwan National Health Insurance Research Dataset of medical claims registered from 1998–2013. We collected data of individuals who had received a new diagnosis of depression between 2000 and 2007. We excluded those who received a diagnosis of depression and were given antidepressants before 2000 and those younger than 60 years. The primary outcome was the occurrence of incident dementia. The time from the prescription of antidepressants or the diagnosis of depression until the outcome or the end of 2013 was calculated as the time to event. A total of 563,918 cases were included and were divided into either antidepressant users or antidepressant nonusers. Cox proportional hazards models were used to calculate the hazard ratio and 95% confidence interval. Results: Exposure to antidepressants did not increase the risk of dementia in patients with late-life depression at either a low exposure dosage (hazard ratio: 1.06, 95% confidence interval: 0.91–1.23) or a high exposure dosage (hazard ratio: 1.07, 95% confidence interval: 0.95–1.20). To confirm the validity of our results, we performed a sensitivity analysis and subgroup analysis, and the post-hoc results were consistent with the main results. Conclusion: Antidepressants did not increase the risk of incident dementia in patients with late-life depression.
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The absence of a consistent association with dementia risk, cognitive decline, and brain atrophy is in concordance with earlier findings.
“The absence of a consistent association with dementia risk, cognitive decline, and brain atrophy is in concordance with earlier findings. 15-17”
From Antidepressant use in relation to dementia risk, cognitive decline, and brain atrophy (2024) · cites this paper as [17]
Citations
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Antidepressant use in relation to dementia risk, cognitive decline, and brain atrophy
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Metadata
- Authors
- Su, J.-A., Chang, C.-C., Yang, Y.-H., Chen, K.-J., Li, Y.-P., & Lin, C.-Y.
- Affiliations
- Chang Gung University of Science and Technology (TW)
- Chi Mei Medical Center (TW)
- Chang Gung University (TW)
- Chang Gung Memorial Hospital (TW)
- National Tainan Institute of Nursing (TW)
- Hong Kong Polytechnic University (HK)
- Corresponding author
- Lin, Chung-Ying
- Venue
- Journal of Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2020-08-27
- Volume
- 34
- Issue
- 10
- Pages
- 1134-1142
- ISSN
- 0269-8811 (ISSN-L)
- 1461-7285
- OpenAlex
- W3081112480
- Cited by
- 22
- References
- 11
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 10 · 2023: 6 · 2022: 1 · 2021: 1
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Chang Gung Memorial Hospital (CGRPG6J0011)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- antidepressants, geriatric depression, incident dementia, dementia risk, cognitive impairment, drug safety, antidepressant dosage, older adults
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Antidepressive Agents, Dementia, Depression, Dose-Response Relationship, Drug, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Taiwan, Time Factors, Cohort Studies, Incidence
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