Evidence map›Paper›PMID 40345928›Full record

ArticleThe journal of prevention of Alzheimer's disease2025

Causal relationship and mediating role between depression and cognitive performance.

Xinyu Hao, Fuyang Cao, Ziyao Xu, Shaohua You, Tianyue Mi, Lei Wang, Yongxin Guo, Zhuoning Zhang, Jiangbei Cao, Jingsheng Lou and 5 more

Abstract read
In one paragraph

Article in The journal of prevention of Alzheimer's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

15 authors.

Xinyu HaoDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Fuyang CaoDepartment of Anesthesiology, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Ziyao XuDepartment of General surgery, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Shaohua YouDepartment of Pain, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Tianyue MiDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, USA.
Lei WangBiomedical Big Data Center, Zhongguancun Big Data Industry Alliance, Beijing, PR China.
Yongxin GuoDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Zhuoning ZhangDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Jiangbei CaoDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Jingsheng LouDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Yanhong LiuDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Xianyang ChenDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, USA.
Zhikang ZhouDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China.
Weidong MiDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China. Electronic address: wwdd1962@163.com.
Li TongDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, PR China. Electronic address: tongli301@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have increasingly emphasized the robust correlation between depression and cognitive function. However, it remains unclear whether this relationship is causal or merely coincidental. To address this uncertainty, we conducted two-sample bidirectional Mendelian randomization (MR) analyses to investigate the connection between depression and cognitive performance.

methodsWe sourced genome-wide association study (GWAS) data for depression (N

resultsThis MR analysis identified 8 independent significant SNPs associated with depression and 81 SNPs linked to cognitive performance. Our findings revealed that depression increases the risk of developing deteriorating cognitive performance (IVW β, -0.11; 95 % confidence interval (CI), -0.18 - -0.05; P

conclusionA two-way causal relationship between depression and cognitive performance, with pain and frailty being mediating factors, respectively. Future research should prioritize mechanistic studies, targeted interventions, and personalized approaches to disentangle and mitigate the bidirectional effects of depression and cognitive performance.

Indexed as

CognitionCognitive DysfunctionDepressionGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisPolymorphism, Single NucleotideBidirectionalCognitive performanceDepressionMediation effectMendelian randomizationTwo-sample

Identifiers

PMID40345928
PMCPMC12413711

What OpenQuestion holds

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Registered trials

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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.