Evidence map›Paper›PMID 40835677›Full record

SynthesisTranslational psychiatry2025

Depression and health outcomes: An umbrella review of systematic reviews and meta-analyses of observational studies.

Xiaojuan Chen, Xiaoning Liu, Fengjuan Li, Haitian He, Xinying Li, Tianhang Qin, Bin Jiang, Yuge Chen, Yanqi Wang, Yuhao Su and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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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

17 authors.

Xiaojuan ChenSchool of Public Health, Shantou University, Shantou, Guangdong, China.
Xiaoning LiuDepartment of Respiratory and Critical Care Medicine, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fengjuan LiSchool of Public Health, Shantou University, Shantou, Guangdong, China.
Haitian HeDepartment of Urology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.
Xinying LiSchool of Public Health, Shantou University, Shantou, Guangdong, China.
Tianhang QinInstitute of Software Chinese Academy of Sciences, Beijing, Guangdong, China.
Bin JiangDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Yuge ChenDepartment of Gynecology and Obstetrics, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Yanqi WangSchool of Public Health, Shantou University, Shantou, Guangdong, China.
Yuhao SuSchool of Public Health, Shantou University, Shantou, Guangdong, China.
Xiaojie WangDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Lei LiangDepartment of Gynecology and Obstetrics, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Huiling HuaDepartment of Respiratory and Critical Care Medicine, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Jun WuDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Jianping MaDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong, China.
Fulan HuDepartment of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Medical School, Shenzhen, China.
Pei QinDepartment of Behavioural Science and Health, University College London, London, UK. p.qin@ucl.ac.uk.ORCID http://orcid.org/0000-0003-2303-0379

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, most studies of depression are limited to a single disease endpoint.

aimsThis study aimed to conduct an umbrella review to comprehensively assess the association between depression and health outcomes.

methodUntil December 17, 2024, we conducted a systematic search of systematic reviews and meta-analyses in PubMed, Embase, and Web of Science. We reanalyzed the summary effects and 95% confidence intervals for each study using random models. We assessed the methodological quality and evidence quality of the research with A Measurement Tool to Assess Systematic Reviews 2 and Grade of Recommendations, Assessment, Development and Evaluation, classifying studies into four categories based on evidence classification criteria.

resultsWe selected a total of 72 articles from 27,150 resulting in 114 meta-analyses and 109 health outcomes. Depression exposure was associated with 23 mortality, 21 cardiovascular outcomes, 15 offspring outcomes, 9cancer outcomes, 9 neurological outcomes, 5 endocrine outcomes, 5 dental outcomes, 3 digestive outcomes, and 19 other health outcomes. Moderate-quality evidence linked depression to specific mortality in bladder cancer (Class IV), all-cause mortality in myocardial infarction (Class III), mortality within 2 years of initial assessment in coronary artery disease (Class IV), major adverse cardiovascular events after percutaneous coronary intervention (Class III), irritable bowel syndrome (insignificant), fear of falling (Class III), and frailty (Class III).

conclusionsDepression has a significant impact on health outcomes, primarily mortality and cardiovascular outcomes. However, more definitive conclusions still require randomized controlled trials or prospective studies for validation.

Indexed as

Cardiovascular DiseasesDepressionDepressive DisorderHumansMeta-Analysis as TopicObservational Studies as TopicSystematic Reviews as Topic

Identifiers

PMID40835677
PMCPMC12368087

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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.