Evidence map›Paper›PMID 37855318›Full record

ArticleThe Journal of clinical endocrinology and metabolism2024

The Cross-sectional and Longitudinal Association Between Thyroid Function and Depression: A Population-Based Study.

Oscar Hernando Roa Dueñas, Amy Hofman, Annemarie I Luik, Marco Medici, Robin P Peeters, Layal Chaker

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Thyroid-Stimulating Hormone Levels and Depression in Older Adults: Cross-Sectional and Longitudinal Analyses in a Community-Dwelling Population.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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  5. Moderated mediating effects of perceived loneliness and economic burden between social support and mental health for lung cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Oscar Hernando Roa DueñasDepartment of Epidemiology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.ORCID 0000-0002-0752-2261
Amy HofmanDepartment of Epidemiology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.
Annemarie I LuikDepartment of Epidemiology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.
Marco MediciAcademic Center for Thyroid Diseases, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.ORCID 0000-0002-7271-7858
Robin P PeetersAcademic Center for Thyroid Diseases, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.ORCID 0000-0001-7732-9371
Layal ChakerDepartment of Epidemiology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.ORCID 0000-0001-7855-5418
Erasmus MC · NL

Funding

Erasmus Medical CenterEuropean CommissionMinistry of Education, Culture and ScienceResearch and Development
6 · The paper itself

Abstract

contextAn association of thyroid function with mood disorders has been widely suggested, but very few studies have examined this association longitudinally.

objectiveWe assessed the cross-sectional and longitudinal association between thyroid function and depression in a population-based cohort.

methodsA total of 9471 individuals were included in cross-sectional analyses, of whom 8366 had longitudinal data. At baseline, we assessed thyroid function using serum samples (thyrotropin [TSH], free thyroxine (FT4), and thyroid peroxidase antibodies) and depressive symptoms using the Centre for Epidemiologic Studies Depression (CES-D) scale. Incident depressive events (n = 1366) were continuously followed up with the CES-D and clinical interviews. We analyzed the cross-sectional association of thyroid function and thyroid disease with depressive symptoms using linear and logistic regression, and the longitudinal association with Cox proportional hazard models for depressive events.

resultsLower TSH levels and lower and higher FT4 levels were cross-sectionally associated with more depressive symptoms with a B value of -0.07 per 1 unit increase of natural log-transformed TSH (95% CI -0.11; -0.04). Furthermore, hypothyroidism was cross-sectionally associated with less depressive symptoms and hyperthyroidism with more depressive symptoms. Longitudinally, there was a U-shaped association between FT4 and incident depressive events but only in euthyroid participants.

conclusionWe show a cross-sectional association between thyroid (dys)function with depressive symptoms, and a U-shaped association between FT4 and incident depressive events in euthyroid individuals. Our findings suggest an association of thyroid function with the risk of developing depression, albeit small. Reverse causation and additional underlying factors may also contribute to the association.

Indexed as

Thyroid Function TestsThyroid GlandCross-Sectional StudiesDepressionHumansThyrotropinThyroxineThyrotropinThyroxinecross-sectionaldepressionFT4prospectivethyroid diseaseTSH

Identifiers

PMID37855318
PMCPMC11031221
OpenAlexW4387765687

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.