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@ARTICLE{Perna:143472,
author = {L. Perna$^*$ and H. W. Wahl and J. Weberpals$^*$ and L.
Jansen$^*$ and U. Mons$^*$ and B. Schöttker$^*$ and H.
Brenner$^*$},
title = {{I}ncident depression and mortality among people with
different types of dementia: results from a longitudinal
cohort study.},
journal = {Social psychiatry and psychiatric epidemiology},
volume = {54},
number = {7},
issn = {1433-9285},
address = {Heidelberg},
publisher = {Springer},
reportid = {DKFZ-2019-01060},
pages = {793-801},
year = {2019},
abstract = {The aim of this study was to investigate the independent
and combined association of incident depression and dementia
with mortality and to explore whether the magnitude of the
association varies according to different types of dementia,
including Alzheimer's disease and vascular dementia.The
study was based on a population-based longitudinal cohort
consisting of 9940 participants at baseline and followed for
over 14 years. The sample used for the analyses included
6114 participants with available information on diagnosis of
incident dementia and depression. For survival analyses, Cox
regression models with incident dementia (n = 293;
$5\%)$ and incident depression (n = 746; $12\%)$ as
time-dependent variables were used.Cox models adjusted for
relevant confounders indicated that comorbidity of incident
vascular dementia and incident depression was associated
with a much higher mortality risk (HR 6.99; $95\%$ CI
3.84-12.75) than vascular dementia in the absence of
depression (HR 2.80; $95\%$ CI 1.92-4.08). In contrast,
estimates for comorbidity of Alzheimer's disease and
depression were slightly lower than those for Alzheimer in
absence of depression (HR 3.56; $95\%$ CI 1.83-6.92 and HR
4.19; $95\%$ CI 2.97-5.90, respectively). Incident
depression in the absence of incident dementia was only
weakly associated with mortality.These findings indicate
that depression and vascular dementia might have synergistic
effects on mortality. The results have relevant public
health implications for prevention, routine screening for
and early treatment of depression among older people,
especially those at risk of vascular dementia.},
cin = {C070 / C120},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30840093},
doi = {10.1007/s00127-019-01683-0},
url = {https://inrepo02.dkfz.de/record/143472},
}