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Mood disorders increase mortality mainly through dementia: A community-based prospective cohort study
Hoyoung An1, Hee Won Yang2, Dae Jong Oh3,4
1Seongnam Sarang Hospital, Seongnam, South Korea.
The Australian and New Zealand Journal of Psychiatry
|August 23, 2021
Summary
Depressive and bipolar disorders significantly increase mortality risk, primarily by elevating dementia risk. Preventing dementia may be key to reducing mortality in mood disorder patients.
Area of Science:
- Neuroscience
- Psychiatry
- Epidemiology
Background:
- Mood disorders, including depressive and bipolar disorders, are associated with increased mortality.
- The relationship between mood disorders, dementia, and mortality requires further investigation.
Purpose of the Study:
- To examine the direct and indirect effects of depressive and bipolar disorders on 6-year mortality risk.
- To determine if dementia risk mediates the association between mood disorders and mortality.
Main Methods:
- A community-based prospective cohort study of 5101 Koreans.
- Cox proportional hazard analysis and structural equation modeling were used to estimate risks and effects.
Main Results:
- Depressive and bipolar disorders were linked to higher 6-year mortality (51% and 85% increases) and dementia risk (82% and 127% increases).
- Structural equation modeling indicated that the impact of mood disorders on mortality was largely mediated by dementia risk.
- Direct effects of mood disorders on mortality were not statistically significant.
Conclusions:
- Depressive and bipolar disorders elevate risks for both mortality and dementia.
- Dementia acts as a significant mediator in the pathway from mood disorders to mortality.
- Interventions targeting dementia prevention may effectively reduce mortality in individuals with mood disorders.
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