Evidence map›Paper›PMID 28424070›Full record

ArticleBMC medicine2017

Antidepressant use and cognitive decline in community-dwelling elderly people - The Three-City Cohort.

Isabelle Carrière, Joanna Norton, Amandine Farré, Marilyn Wyart, Christophe Tzourio, Pernelle Noize, Karine Pérès, Annie Fourrier-Réglat, Karen Ritchie, Marie Laure Ancelin

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Geriatric Depression and Cognitive Impairment-An Update.Indian journal of psychological medicine · 2021
    Review
  8. Article
  9. Latent Classes of Cognitive Functioning Among Depressed Older Adults Without Dementia.Journal of the International Neuropsychological Society : JINS · 2019
    Article
  10. Antidepressant Use and Cognitive Outcomes in Very Old Women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Isabelle CarrièreInserm U1061, Neuropsychiatry: epidemiological and clinical research, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France. isabelle.carriere@inserm.fr.
Joanna NortonInserm U1061, Neuropsychiatry: epidemiological and clinical research, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France.
Amandine FarréInserm U1061, Neuropsychiatry: epidemiological and clinical research, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France.
Marilyn WyartDepartment of Psychiatry, CHU Caremeau, Nîmes, France.
Christophe TzourioUniv. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219, F-33000, Bordeaux, France.
Pernelle NoizeUniv. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219, F-33000, Bordeaux, France.
Karine PérèsUniv. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219, F-33000, Bordeaux, France.
Annie Fourrier-RéglatUniv. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219, F-33000, Bordeaux, France.
Karen RitchieInserm U1061, Neuropsychiatry: epidemiological and clinical research, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France.
Marie Laure AncelinInserm U1061, Neuropsychiatry: epidemiological and clinical research, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France.
Inserm · FRUniversité de Montpellier · FRBordeaux Population Health · FRCentre Hospitalier Universitaire de Nîmes · FRUniversité de Bordeaux · FRUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is very common in late-life depression, principally affecting executive skills and information processing speed. The aim of the study was to examine the effect of antidepressant treatment on cognitive performances over a 10-year period.

methodsThe community-based cohort included 7381 participants aged 65 years and above. Five cognitive domains (verbal fluency, psychomotor speed, executive function, visuospatial skills and global cognition) were assessed up to five times over 10 years of follow-up. Treatment groups included participants under a specific antidepressant class at both baseline and the first follow-up and their follow-up cognitive data were considered until the last consecutive follow-up with a report of antidepressant use of the same class. Linear mixed models were used to compare baseline cognitive performance and cognitive decline over time according to antidepressant treatment. The models were adjusted for multiple confounders including residual depressive symptoms assessed by the Center for Epidemiologic Studies-Depression scale.

resultsAt baseline, 4.0% of participants were taking antidepressants. Compared to non-users, tricyclic antidepressant users had lower baseline performances in verbal fluency, visual memory and psychomotor speed, and selective serotonin reuptake inhibitor users in verbal fluency and psychomotor speed. For the two other cognitive abilities, executive function and global cognition, no significant differences were found at baseline irrespective of the antidepressant class. Regarding changes over time, no significant differences were observed in comparison with non-users whatever the cognitive domain, except for a slight additional improvement over the follow-up in verbal fluency skills for tricyclic antidepressant users.

conclusionsIn this large elderly general population cohort, we found no evidence for an association between antidepressant use and post-treatment cognitive decline over 10 years of follow-up in various cognitive domains.

Indexed as

AgedAged, 80 and overAntidepressive AgentsCognitive DysfunctionCohort StudiesFemaleHumansMaleAntidepressive AgentsAntidepressantsCognitionCohort studyElderly people

Identifiers

PMID28424070
PMCPMC5397783
OpenAlexW2606047594

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.