Evidence map›Paper›PMID 41691199›Full record

ArticleBMC psychiatry2026

Association of comorbid depressive and anxiety symptoms with cognitive impairment and dementia in Chinese elderly people.

Wenxuan Zhao, Yangyang Li, Linming Yue, Xiaohong Pang, Wenyan Yang, Jinming Zhang, Ling Yan, Shiyue Sun

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Wenxuan Zhao *The Second Hospital of Jinhua, Jinhua, Zhejiang, 321016, China.
Yangyang Li *Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Linming YueShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Xiaohong PangShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Wenyan YangShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Jinming ZhangShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
Ling YanChina Medical University, Shenyang, Liaoning, 110122, China. yanling@cmu.edu.cn.
Shiyue SunShengjing Hospital of China Medical University, Shenyang, Liaoning, 110122, China. sunshiyue1229@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is a globally prevalent public health disorder following rapid population aging. Although depression can trigger cognitive decline, few studies have focused on how anxiety and its comorbidity with depression can affect cognitive decline development.

methodsCognitive impairment was recognized based on the Mini-Mental State Examination (MMSE), while dementia was diagnosed with self-/proxy-reported evaluations. The 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) and the 7-item Generalized Anxiety Disorder Scale (GAD-7) were employed for evaluating depressive and anxiety symptoms. The impact of comorbidity on cognitive outcomes was assessed with logistic and linear regression models.

resultsThe study involved 13,792 adults (age ≥ 65 years; mean age: 84.2 ± 11.5 years) from the Chinese Longitudinal Healthy Longevity Survey. Among them, comorbid depressive and anxiety symptoms occurred in 7.7% of older adults. Prevalence was 9.2% for cognitive impairment and 1.4% for dementia. Compared to individuals with only depressive or anxiety symptoms, those with both symptoms exhibited a higher probability of developing cognitive impairment (adjusted OR: 2.07, 95% CI: 1.44, 2.97) and dementia (adjusted OR: 2.55, 95% CI: 1.39, 4.69), with adults aged ≥ 80 years exhibiting a stronger association. Additionally, women, particularly the oldest-old, were at a higher risk of comorbidity-associated dementia. We also observed an identical correlation for MMSE scores, where psychiatric comorbidity correlated significantly with lower scores. The interaction between individual characteristics and depression and anxiety showed no significant effects on cognitive impairment or dementia.

conclusionsComorbidity of depression and anxiety shows an association with dementia and cognitive impairment in Chinese older adults, particularly in oldest-old individuals. Early screening and interventions targeting psychiatric comorbidity may delay dementia progression in this population. CLINICAL TRIAL NUMBER : Not applicable.

Indexed as

AnxietyCognitive DysfunctionDementiaDepressionAgedAged, 80 and overChinaComorbidityEast Asian PeopleFemaleHumansLongitudinal StudiesMalePrevalenceAnxietyCognitive impairmentComorbidDementiaDepressiveOlder

Identifiers

PMID41691199
PMCPMC13011456

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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.