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Table 4 Subgroup analysis of antidepressants and cognitive decline

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

Variables

All dementias

(n = 18 740)

AD and mixed

(n = 11 415)a

VaD

(n = 2194)

LBD

(n = 587)a

FTD

(n = 201)

Other dementias

(n = 4 343)

β (95%CI)

Sex

 Men

 − 0.49 (− 0.63, − 0.36)b,c

 − 0.53 (− 0.71, − 0.34)b

 − 0.39 (− 0.74, − 0.04)b

 − 0.36 (− 1.01, 0.29)

0.76 (− 1.18, 2.70)

 − 0.44 (− 0.73, − 0.16)b,c

 Women

 − 0.14 (− 0.26, − 0.02)b

 − 0.10 (− 0.26, 0.05)

 − 0.13 (− 0.48, 0.23)

0.60 (− 0.52, 1.73)

1.84 (− 0.15, 3.83)

 − 0.25 (− 0.49, − 0.01)b

Age at dementia diagnosis, y

 < 78 years

 − 0.30 (− 0.43, − 0.17)b

 − 0.21 (− 0.37, − 0.05)b

 − 0.57 (− 0.99, − 0.15b

 − 0.15 (− 0.88, 0.57)

1.61 (0.05, 3.17)b

 − 0.55 (− 0.86, − 0.23)b

 ≥ 78 years

 − 0.26 (− 0.39, − 0.13)b

 − 0.30 (− 0.48, − 0.11)b

 − 0.11 (− 0.46, 0.23)

 − 0.10 (− 1.21, 1.00)

0.29 (− 2.50, 3.08)

 − 0.21 (− 0.45, 0.02)

Coresident status

 Cohabiting

 − 0.29 (− 0.41, − 0.17)b

 − 0.27 (− 0.42, − 0.13)b

 − 0.30 (− 0.65, 0.05)

 − 0.37 (− 1.08, 0.34)

1.03 (− 0.65, 2.71)

 − 0.28 (− 0.52, − 0.03)b

 Living alone

 − 0.30 (− 0.45, − 0.15)b

 − 0.27 (− 0.48, − 0.06)b

 − 0.21 (− 0.63, 0.21)

0.71 (− 0.38, 1.80)

1.59 (− 0.52, 3.70)

 − 0.41 (− 0.69, − 0.12)b

Type of diagnostic unit

 Specialist care

 − 0.23 (− 0.37, − 0.10)b

 − 0.22 (− 0.37, − 0.07)b

 − 0.58 (− 1.06, − 0.11)b

 − 0.12 (− 0.77, 0.53)

1.33 (− 0.04, 2.69)

 − 0.41 (− 0.92, 0.09)

 Primary care

 − 0.30 (− 0.42, − 0.17)b

 − 0.33 (− 0.52, − 0.13)b

 − 0.13 (− 0.43, 0.16)

 − 0.26 (− 2.03, 1.50)

 − 1.17 (− 4.02, 1.69)

 − 0.32 (− 0.53, − 0.11)b

Nursing home

 No

 − 0.30 (− 0.39, − 0.21)b

 − 0.29 (− 0.41, − 0.17)b

 − 0.26 (− 0.52, 0.00)b

0.00 (− 0.58 − 0.59)

1.33 (− 0.09, 2.75)

 − 0.36 (− 0.57, − 0.16)b

 Yes

 − 0.27 (− 0.67, 0.13)

 − 0.02 (− 0.65, 0.60)

 − 0.37 (− 1.31, 0.58)

 − 1.37 (− 3.75, 1.01)

NA

 − 0.23 (− 0.90, 0.44)

Calendar year of diagnosis

 2007–2012

 − 0.31 (− 0.44, − 0.19)b

 − 0.25 (− 0.40, − 0.10)b

 − 0.49 (− 0.83, − 0.14)b

 − 0.26 (− 0.97, 0.45)

1.24 (− 0.41, 2.88)

 − 0.32 (− 0.58, − 0.07)b

 2013–2018

 − 0.31 (− 0.47, − 0.15)b

 − 0.26 (− 0.47, − 0.06)b

 − 0.23 (− 0.64, 0.18)

 − 0.03 (− 0.97, 0.91)

1.11 (− 1.28, 3.50)

 − 0.45 (− 0.75, − 0.15)b

MMSE score at indexdate

 0–9

 − 1.51 (− 2.82, − 0.20)b

 − 2.42 (− 4.81, − 0.04)b

 − 2.11 (− 5.96, 1.74)

NA

 − 2.11 (− 5.96, 1.74)

 − 0.48 (− 2.84, 1.87)

 10–19

 − 0.29 (− 0.53, − 0.06)b

 − 0.37 (− 0.70, − 0.05)b

 − 0.07 (− 0.68, 0.54)

0.27 (− 1.10, 1.64)

2.48 (− 0.69, 5.66)

 − 0.15 (− 0.57, 0.27)

 20–24

 − 0.28 (− 0.41, − 0.14)b

 − 0.21 (− 0.39, − 0.03)b

 − 0.17 (− 0.55, 0.21)

 − 0.37 (− 1.14, 0.40)

 − 0.62 (− 2.21, 0.98)

 − 0.41 (− 0.69, − 0.14)b

 25–30

 − 0.19 (− 0.34, − 0.05)b

 − 0.17 (− 0.34, 0.01)

 − 0.39 (− 0.82, 0.04)

0.23 (− 0.80, 1.26)

1.42 (− 0.72, 3.57)

 − 0.25 (− 0.55, 0.05)

Antipsychotics

 No

 − 0.31 (− 0.40, − 0.21)b

 − 0.29 (− 0.41, − 0.17)b

 − 0.22 (− 0.48, 0.03)

 − 0.21 (− 0.83, 0.40)

1.43 (0.05, 2.80)b

 − 0.37 (− 0.57, − 0.17)b

 Yes

 − 0.24 (− 0.89, 0.41)

0.01 (− 1.01, 1.03)

 − 1.69 (− 3.00, − 0.38)b

0.36 (− 1.09, 1.80)

 − 3.91 (− 15.63, 7.82)

 − 0.43 (− 1.61, 0.74)

Anxiolytics

 No

 − 0.36 (− 0.46, − 0.26)b,c

 − 0.32 (− 0.45, − 0.19)b

 − 0.32 (− 0.59, − 0.06)b

 − 0.22 (− 0.83, 0.39)

1.33 (− 0.07, 2.72)

 − 0.47 (− 0.69, − 0.25)b,c

 Yes

 − 0.12 (− 0.37, 0.12)

 − 0.17 (− 0.49, 0.15)

 − 0.32 (− 1.13, 0.50)

0.23 (− 1.23, 1.69)

 − 1.08 (− 4.71, 2.56)

0.05 (− 0.39, 0.49)

Hypnotics

 No

 − 0.36 (− 0.47, − 0.25)b

 − 0.30 (− 0.44, − 0.17)b

 − 0.38 (− 0.70, − 0.05)b

 − 0.42 (− 1.10, 0.27)

1.21 (− 0.41, 2.84)

 − 0.42 (− 0.66, − 0.19)b

 Yes

 − 0.23 (− 0.41, − 0.04)b

 − 0.30 (− 0.55, − 0.06)b

 − 0.16 (− 0.70, 0.39)

0.34 (− 0.75, 1.44)

1.05 (− 1.17, 3.27)

 − 0.24 (− 0.60, 0.12)

  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, AD Alzheimer’s disease, Mixed Mixed dementia, VaD Vascular dementia, LBD Parkinson’s disease with dementia and dementia with Lewy bodies, FTD Frontotemporal dementia, NA Not available
  3. aFurther adjusted for ChEIs and memantine
  4. bP < .05
  5. cP for interaction of sex and anxiolytics with antidepressant < .05