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The complex relationship between depression and dementia
Open accessAbstract
Dementia and depression are mental health problems that are commonly encountered in neuropsychiatric practice in the elderly. Approximately, half of the patients with late-onset depression have cognitive impairment. The prevalence of depression in dementias has been reported to be between 9 and 68%. Depression has been both proposed to be a risk factor for dementia as well as a prodrome of dementia. This article is a selective literature review of the complex relationship between the two conditions covering definitions, epidemiology, related concepts, treatment, and emerging biomarkers. The methodological issues and the mechanisms underlying the relationship are also highlighted. The relationship between the two disorders is far from conclusive.
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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 [7]
The “Mechanisms Underlying the Relationship” section reports that a past history of depression is associated with increased dementia risk, even when depression occurred more than 10 years before dementia onset. It does not specifically establish early-life depression as a risk factor, and it describes the risk-factor explanation as a possibility. The Abstract says the relationship remains far from conclusive, rather than a consensus. (LLM, conf=0.85)
Experimental — accuracy not yet measuredDepression 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 [7]
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Citations
Cites
The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., & Gornbein, J. (1994) · Neurology · doi:10.1212/wnl.44.12.2308 · Cited by 7,568
Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J., & DeKosky, S. (2002) · JAMA · doi:10.1001/jama.288.12.1475 · Cited by 2,049
Clinically defined vascular depression
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.4.562 · Cited by 557
Perspectives on Depression, Mild Cognitive Impairment, and Cognitive Decline
Steffens, D. C., Otey, E., Alexopoulos, G. S., Butters, M. A., Cuthbert, B., Ganguli, M., Geda, Y. E., Hendrie, H. C., Krishnan, R. R., Kumar, A., et al. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.2.130 · Cited by 274
Sertraline for the treatment of depression in Alzheimer disease
Rosenberg, P. B., Martin, B. K., Frangakis, C., Mintzer, J. E., Weintraub, D., Porsteinsson, A. P., Schneider, L. S., Rabins, P. V., Munro, C. A., Meinert, C. L., et al. (2010) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181c796eb · Cited by 250
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Metadata
- Authors
- Varghese, M., & Muliyala, K.
- Affiliations
- National Institute of Mental Health and Neurosciences (IN)
- Corresponding author
- Varghese, Mathew
- ORCID
- Varghese, Mathew
- Venue
- Annals of Indian Academy of Neurology
- Published
- 2010
- Volume
- 13
- Issue
- 6
- Pages
- 69
- ISSN
- 0972-2327 (ISSN-L)
- PMC
- PMC3039168
- OpenAlex
- W1986145806
- Cited by
- 119
- References
- 5
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 11 · 2023: 9 · 2022: 14 · 2021: 14 · 2020: 16 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 4
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Annals of Indian Academy of Neurology (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depression, dementia, late-onset depression, cognitive impairment, dementia risk factors, prodromal dementia, older adults, biomarkers, depression treatment
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