Evidence map›Paper›PMID 34130356›Full record

ArticleInternational journal of geriatric psychiatry2021

A 6-year prospective clinical cohort study on the bidirectional association between frailty and depressive disorder.

Richard C Oude Voshaar, Menelaos Dimitriadis, Rob H S vandenBrink, Ivan Aprahamian, Marcus K Borges, Radboud M Marijnissen, Emiel O Hoogendijk, Didi Rhebergen, Hans W Jeuring

Open access · hybridAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  3. Moderators of treatment response in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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

9 authors at 5 institutions in 2 countries.

Richard C Oude VoshaarDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-1501-4774
Menelaos DimitriadisDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Rob H S vandenBrinkDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Ivan AprahamianDepartment of Internal Medicine, Geriatrics Division, Faculty of Medicine of Jundiaí, Jundiaí, Brazil.ORCID 0000-0003-3806-7895
Marcus K BorgesDepartment and Institute of Psychiatry, São Paulo, University of São Paulo, Brazil.ORCID 0000-0001-8441-9519
Radboud M MarijnissenDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Emiel O HoogendijkDepartment of Epidemiology and Biostatistics, Amsterdam UMC - Location VU University Medical Center, Amsterdam, The Netherlands.ORCID 0000-0001-9660-5108
Didi RhebergenDepartment of Psychiatry, Netherlands & GGZ Ingeest Specialized Mental Health Care, Amsterdam UMC - Location VU University Medical Center, Amsterdam, The Netherlands.
Hans W JeuringDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLFaculdade de Medicina de Jundiaí · BRGGZ inGeest · NLUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDepressive disorder has been conceptualised as a condition of accelerated biological ageing. We operationalised a frailty index (FI) as marker for biological ageing aimed to explore the bidirectional, longitudinal association between frailty and either depressive symptoms or depressive disorder.

methodsA cohort study with 6-year follow-up including 377 older (≥60 years) outpatients with a DSM-IV-defined depressive disorder and 132 never-depressed controls. Site visits at baseline, 2 and 6-year follow-up were conducted and included the CIDI 2.0 to assess depressive disorder and relevant covariates. Depressive symptom severity and mortality were assessed every 6 months by mail and telephone. A 41-item FI was operationalised and validated against the 6-year morality rate by Cox regression (HR

resultsCox regression showed that a higher FI was associated with a lower chance of remission among depressed patients (HR

conclusionsThe sum score of depression rating scales is likely confounded by frailty. Depressive disorder, according to DSM-IV criteria, is associated with accelerated biological ageing. This argues for the development of multidisciplinary geriatric care models incorporating frailty to improve the overall outcome of late-life depression.

Indexed as

Depressive DisorderFrailtyAgedCohort StudiesFrail ElderlyGeriatric AssessmentHumansProspective Studiesageingbiological ageingdepressive disorderfrailtyfrailty index

Identifiers

PMID34130356
PMCPMC8596411
OpenAlexW3167183278

What OpenQuestion holds

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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.