Get help now — free helplines

You can call any of these for free. You do not need a diagnosis, an appointment, or a crisis to call — questions and plain exhaustion are reasons enough.

  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

The query: title or abstract mentions "depression", "depressive", "depressed" or "antidepressant", matched case-insensitively against each record's title and abstract (its summary field) in alzhub's library of 29,780 study records, as of 2026-11-09. Every count on this page comes from that match. The matched list as JSON.

Three questions run through this research. Whether depression earlier in life raises the risk of dementia decades later. Whether late-life depression is an early symptom of a dementia already under way rather than a cause. And how to treat depression in people who already have dementia, where antidepressant trials have had mixed results and non-drug approaches are often preferred.

Caregivers are part of this literature too: depression is one of the most common and best-studied effects of caring for a person with dementia.

This page describes what published research in alzhub's library reports. It is not medical advice and does not apply to any one person: a doctor who knows the person's history is the only one who can say what a result or a treatment means for them.

What the studies report, in their own words

Whole sentences copied from the abstract or key findings of the highest-scoring matched studies, chosen because they mention the subject and give a figure. 8 of the 2,029 matched records are quoted; each links to its study page and from there to the paper.

“Eligible participants (n = 6,104, 64% female) were randomized 1:1 to a personalized schedule of online coaching in two to four modules (targeting physical activity, nutrition, cognitive activity and depression or anxiety) or a control group that received module-eligible information only.”
From the abstract of An online multidomain lifestyle intervention to prevent cognitive decline in at-risk older adults: a randomized controlled trial · Nature medicine · 2025 · randomized controlled trial ·
“Decreased social life and fewer in-person social interactions reported during the COVID-19 pandemic were occasionally associated with reduced quality of life and increased depression.”
From the key findings of Impact of the COVID-19 Pandemic on Older Adults: Rapid Review · JMIR aging · 2021 · meta-analysis ·
“Pooling data on more than 600,000 people, this meta-analysis found that people who reported feeling lonely had about a 30% higher risk of developing dementia overall, and even higher risk for vascular dementia specifically, even after accounting for depression and objective social isolation.”
From the abstract of A Meta-analysis of Loneliness and Risk of Dementia using Longitudinal Data from >600,000 Individuals · Nature Mental Health · 2024 · meta-analysis ·
“Word list delayed recall and Clinical Dementia Rating sum of boxes improved modestly as well, whereas word list total immediate recall, digit symbol coding, verbal fluency, Beck depression score, and Medical Outcomes 36-Item Short-Form physical and mental component summaries did not change significantly.”
From the key findings of Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial · JAMA · 2008 · randomized controlled trial ·
“Importance Previous estimates suggested that 1 in 3 cases of Alzheimer disease and related dementia (ADRDs) in the US are associated with modifiable risk factors, the most prominent being physical inactivity, depression, and smoking.”
From the key findings of Risk Factors Associated With Alzheimer Disease and Related Dementias by Sex and Race and Ethnicity in the US · JAMA neurology · 2022 · meta-analysis ·
“Higher MD adherence was associated with reduced risk or prevalence of Alzheimer's disease (odds ratios = 0.92), mild cognitive impairment (RR = 0.93), depression (RR = 0.96), and Parkinson's disease (RR = 0.90), with moderate certainty of evidence.”
From the abstract of Efficacy of Mediterranean diet for the prevention of neurological diseases: A systematic review and meta-analysis featured in the Italian National Guidelines "La Dieta Mediterranea" · Nutrition (Burbank, Los Angeles County, Calif.) · 2026 · systematic review ·
“Results The pilot study showed significant cognitive improvement (P<.001), reduced depression (P=.002), and decreased state anxiety (P=.001) post intervention.”
From the key findings of Tablet- and Group-Based Multicomponent Cognitive Stimulation for Older Adults With Mild Cognitive Impairment: Single-Group Pilot Study and Protocol for Randomized Controlled Trial · JMIR research protocols · 2025 · randomized controlled trial ·
“The primary outcome is the Beck Depression Inventory (BDI-II) score at 6 months (as a continuous variable).”
From the key findings of Integrated therapist and online CBT for depression in primary care (INTERACT): study protocol for a multi-centre randomised controlled trial · Trials · 2023 · randomized controlled trial ·

What kind of evidence it is

By study design

Design (as recorded)Studies
Systematic review or meta-analysis159
Randomised controlled trial72
Other clinical trial12
Cohort or longitudinal study274
Case-control study20
Cross-sectional study111
Other recorded design15
No design recorded1,366

The design is the one named in alzhub's record for the study; a record with none is counted as "no design recorded".

By year

YearStudiesShare
2026106
2025230
202452
202368
2022106
202188
202097
201981
201884
201768
2016 and earlier1,048

Other counts within the matched set

Peer-reviewed articles1,965
Marked open access in the record552
Rated "high" evidence strength in alzhub's summary356
Rated "moderate" evidence strength in alzhub's summary399
Rated "low" evidence strength in alzhub's summary1,264
No evidence-strength rating10
Records stating a participant count801
Median participants (those records)261
Largest participant count3,142,673

Within the 2,029 matched studies

Studies…CountRule
…that mention an antidepressant198the abstract also contains "antidepressant", "SSRI", "sertraline", "citalopram" or "mirtazapine"
…about late-life depression111the abstract also contains "late-life depression"
…that mention caregivers325the abstract also contains "caregiver" or "carer"
…that report a hazard ratio97the abstract also contains "hazard ratio" or "HR"

The 10 highest-scoring matched studies

Title matches first, then by alzhub's usefulness score, which rates a study's design, journal, evidence and recency, not whether its result is good news.

  1. Integrated therapist and online CBT for depression in primary care (INTERACT): study protocol for a multi-centre randomised controlled trial Trials · 2023 · randomized controlled trial · 434 participants · · Peer-reviewed
  2. Cerebral small vessel disease and risk of incident stroke, dementia and depression, and all-cause mortality: A systematic review and meta-analysis Neuroscience and biobehavioral reviews · 2018 · systematic review · 16,458 participants · · Peer-reviewed
  3. Effect of computerized cognitive training on mood, cognition, and serum brain-derived neurotrophic factor level in late-life depression - a pilot randomized controlled trial Frontiers in psychiatry · 2023 · randomized controlled trial · 28 participants · · Peer-reviewed
  4. Cognitive training interventions and depression in mild cognitive impairment and dementia: a systematic review and meta-analysis of randomized controlled trials Age and ageing · 2020 · 2,551 participants · · Peer-reviewed
  5. Hippocampal atrophy in first episode depression: a meta-analysis of magnetic resonance imaging studies Journal of affective disorders · 2011 · meta-analysis · 191 participants · · Peer-reviewed
  6. Mediterranean diet, stroke, cognitive impairment, and depression: A meta-analysis Annals of neurology · 2013 · meta-analysis · · Peer-reviewed
  7. Treatment-resistant late-life depression prevalence and clinical/sociodemographic correlates: An electronic health records study Journal of affective disorders · 2025 · cohort study · 8,171 participants · · Peer-reviewed
  8. Late-life depression and risk of vascular dementia and Alzheimer's disease: systematic review and meta-analysis of community-based cohort studies The British journal of psychiatry : the journal of mental science · 2013 · systematic review · 23 participants · · Peer-reviewed
  9. Meta-Analysis of 89 Structural MRI Studies in Posttraumatic Stress Disorder and Comparison With Major Depressive Disorder The American journal of psychiatry · 2018 · meta-analysis · 113 participants · · Peer-reviewed
  10. Prevalence of Depression in Patients With Mild Cognitive Impairment: A Systematic Review and Meta-analysis JAMA psychiatry · 2017 · 892 participants · · Peer-reviewed

Systematic reviews and meta-analyses in the set

159 of the matched records are recorded as a systematic review, meta-analysis or umbrella review; the highest-scoring not already listed above:

Newest matched studies

Journals with the most matched studies

JournalStudies
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry54
Journal of the American Geriatrics Society50
Neurology50
International journal of geriatric psychiatry44
Journal of Alzheimer's disease : JAD41

Questions

Does depression cause dementia?
Depression is associated with a higher risk of later dementia in many cohort studies, but it is also an early symptom of dementia, and the two share causes such as vascular disease and inflammation. The studies here report the size of the association and how it changes with the timing of depression.
How many studies on depression and dementia does alzhub hold?
2,029 of the 29,780 study records in alzhub's library match the query "title or abstract mentions "depression", "depressive", "depressed" or "antidepressant""; 490 of them name it in the title. Counted from the records when this page was built.
What kinds of study are they?
159 systematic review or meta-analysis, 72 randomised controlled trials, 12 other clinical trials, 274 cohort or longitudinal studys, 20 case-control studys, 111 cross-sectional studys; 1,366 record no design.
What is the most recent study in the set?
"Repetitive negative thinking is associated with amyloid accumulation over 3 years in cognitively healthy adults" (medRxiv, 2026), the newest by publication date among the matched records.
Which journals publish most on it?
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry (54); Journal of the American Geriatrics Society (50); Neurology (50), counted across the matched records.

Read on

Library subjects these studies are filed under

All answer pages →