Skip to main content

Table 2 Associations of antidepressants with cognitive decline by antidepressant class and individual drugs

From: Antidepressant use and cognitive decline in patients with dementia: a national cohort study

Antidepressant class

β (95%CIs)

P

Non-use

Ref

 

 SSRIs

 − 0.39 (− 0.50, − 0.28)

 < .001

 SNRIs

0.24 (− 0.29, 0.77)

0.381

 TCAs

0.16 (− 0.36, 0.68)

0.543

 Others

 − 0.20 (− 0.35, − 0.05)

0.011

Non-use

Ref

 

 Citalopram (SSRI)

 − 0.41 (− 0.55, − 0.27)

 < .001

 Sertraline (SSRI)

 − 0.25 (− 0.43, − 0.06)

0.011

 Escitalopram (SSRI)

 − 0.76 (− 1.09, − 0.44)

 < .001

 Venlafaxine (SNRI)

0.09 (− 0.56, 0.74)

0.791

 Amitriptyline (TCA)

0.16 (− 0.36, 0.68)

0.543

 Mirtazapine (Other)

 − 0.19 (− 0.34, − 0.04)

0.014

SSRIs

Ref

 

 SNRIs

0.43 (− 0.10, 0.96)

0.114

 TCAsa

0.29 (− 0.27, 0.85)

0.316

 Others

0.18 (0.01, 0.34)

0.035

Sertraline (SSRI)

Ref

 

 Citalopram (SSRI)

0.28 (0.17, 0.39)

 < .001

 Escitalopram (SSRI)

 − 0.51 (− 0.89, − 0.12)

0.01

 Venlafaxine (SNRI)

0.14 (− 0.49, 0.77)

0.665

 Amitriptyline (TCA)a

 − 0.01 (− 0.69, 0.68)

0.986

 Mirtazapine (Other)

0.08 (− 0.16, 0.31)

0.509

  1. Adjused for age, sex, calendar year of diagnosis, the type of dementia, Mini-Mental State Examination score at diagnosis, coresident status, care unit, depression, fracture, Charlson Comorbidity Index score, medications (angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin receptor blockers (ARBs), β-blocking agents, calcium channel blockers, nonsteroidal anti-inflammatory drugs, diuretics, lipid-modifying agents, antiplatelets, antipsychotics, anxiolytics, and hypnotics)
  2. Abbreviations: SveDem the Swedish Registry for Cognitive/Dementia Disorders, CIs Confidence intervals, SSRIs Selective serotonin reuptake inhibitors, SNRIs Serotonin and norepinephrine reuptake inhibitors, TCAs Tricyclic antidepressants; Others other antidepressants
  3. aCompared between SSRIs and TCAs, between Sertraline (SSRI) and Amitriptyline (TCA) in low dose group (≤ 0.5 DDD)