Evidence map›Paper›PMID 36183356›Full record

ReviewPsychiatry and clinical neurosciences2022

Towards an understanding of the pathological basis of senile depression and incident dementia: Implications for treatment.

Ito Kawakami, Jun-Ichi Iga, Sho Takahashi, Yi-Ting Lin, Hiroshige Fujishiro

Abstract readReview
In one paragraph

Review in Psychiatry and clinical neurosciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Neuromodulation and cognition in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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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

5 authors.

Ito KawakamiDepartment of Psychiatry, Juntendo University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1989-2398
Jun-Ichi IgaDepartment of Neuropsychiatry, Ehime University Graduate School of Medicine, Matsuyama, Japan.
Sho TakahashiDepartment of Disaster and Community Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0002-2970-6408
Yi-Ting LinDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Hiroshige FujishiroDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Aichi, Japan.ORCID https://orcid.org/0000-0001-9822-5432

Funding

Japan Agency for Medical Research and Development JP22dk0207053Japan Society for the Promotion of Science 20K16660Japan Society for the Promotion of Science 22K07597Naito Foundation
6 · The paper itself

Abstract

Senile depression (SD) is a heterogeneous syndrome. Several clinical profiles are more likely to appear in SD than in early-life depression, but it remains unclear whether the pathophysiology is different. The prevalence of dementia increases with aging, and the underlying pathophysiological processes in the preclinical phase begin even before cognitive deficits or neurological signs appear. SD may be either a risk factor for developing dementia or a prodromal stage of dementia. The inconsistent findings regarding the association between SD and incident dementia may be attributable to the neuropathological heterogeneity underlying SD. Most studies have focused on patients with the clinical diagnosis of Alzheimer disease (AD) as an outcome, but several clinicopathological studies suggest that primary age-related tauopathy and argyrophilic grain disease may account for a proportion of cases clinically misdiagnosed as AD in the elderly population. Furthermore, most AD cases have additional neuropathologic changes such as cerebrovascular disease and Lewy body disease. Here, we review the neuropathological findings linking SD to incident dementia, focusing on common age-related neuropathologies. In particular, the roles of disturbance of neural circuity, imbalance of monoaminergic systems, dysregulation of the hypothalamic-pituitary-adrenal axis, and elevated neuroinflammatory status are discussed. Finally, we review the current treatment of SD in the context of age-related neuropathological changes.

Indexed as

Alzheimer DiseaseHypothalamo-Hypophyseal SystemAgedAgingBrainDepressionHumansPituitary-Adrenal SystemAlzheimer diseaseLewy body diseaseneuropathologysenile depressiontau

Identifiers

PMID36183356
PMCPMC10092575

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.