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Effect of SSRIs on clinical progression in amnestic mild cognitive impairment stratified by Alzheimer's disease pathology
Yan Li, Wenying Liu, Xuechu Wang, Wei Qin, Zhaojun Liu, Diyang Lyu, Ying Li, Bingqiu Li et al.. Alzheimer s & Dementia, 2025-11-01
Topic: Amyloid, tau and blood-test diagnosis
Plain-language summary
SSRI treatment showed no significant effect on AD dementia progression (hazard ratio = 1.64, 95% confidence interval: 0.61 to 4.38) or cognitive trajectories, regardless of AD pathology. No significant differences in Aβ accumulation or cortical thickness were observed between SSRI users and non-users. External validation confirmed no significant SSRI effect on AD progression or cognitive decline. SSRI treatment was not associated with long-term cognitive effects in amnestic MCI, irrespective of underlying AD pathology. HIGHLIGHTS: SSRI treatment was not associated with long-term AD dementia risk in MCI. SSRI treatment had no impact on long-term cognitive performance changes in MCI. SSRI treatment did not affect Aβ accumulation or cortical thickness in MCI. SSRIs had no effect on MCI progression, regardless of underlying AD pathology.
What this study adds
Evidence grade: Moderate
This is a follow-up (cohort) study. This study found that SSRI treatment had no significant effect on progression to Alzheimer's disease dementia or cognitive trajectories in people with amnestic mild cognitive impairment, regardless of Alzheimer's pathology. SSRIs also did not affect amyloid accumulation or cortical thickness.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Li, Y., Liu, W., Wang, X., Qin, W., Liu, Z., Lyu, D., et al. (2025). Effect of SSRIs on clinical progression in amnestic mild cognitive impairment stratified by Alzheimer's disease pathology. Alzheimer s & Dementia. https://doi.org/10.1002/alz.70946
Vancouver
Li Y, Liu W, Wang X, Qin W, Liu Z, Lyu D, et al. Effect of SSRIs on clinical progression in amnestic mild cognitive impairment stratified by Alzheimer's disease pathology. Alzheimer s & Dementia. 2025. doi:10.1002/alz.70946. PMID: 41292493.
BibTeX
@article{li2025-41292493,
author = {Li, Yan and Liu, Wenying and Wang, Xuechu and Qin, Wei and Liu, Zhaojun and Lyu, Diyang and Li, Ying and Li, Bingqiu and others},
title = {{Effect of SSRIs on clinical progression in amnestic mild cognitive impairment stratified by Alzheimer's disease pathology}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz.70946},
pmid = {41292493},
url = {https://doi.org/10.1002/alz.70946}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- SSRI treatment showed no significant effect on AD dementia progression (hazard ratio = 1.64, 95% confidence interval: 0.61 to 4.38) or cognitive trajectories, regardless of AD pathology.
- No significant differences in Aβ accumulation or cortical thickness were observed between SSRI users and non-users.
- External validation confirmed no significant SSRI effect on AD progression or cognitive decline.
- SSRI treatment was not associated with long-term cognitive effects in amnestic MCI, irrespective of underlying AD pathology.
- HIGHLIGHTS: SSRI treatment was not associated with long-term AD dementia risk in MCI.
Why it matters
This study found that SSRI treatment had no significant effect on progression to Alzheimer's disease dementia or cognitive trajectories in people with amnestic mild cognitive impairment, regardless of Alzheimer's pathology. SSRIs also did not affect amyloid accumulation or cortical thickness.
Study details
- Study designlongitudinal study
- Evidence strengthModerate
How this study scored 47/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Jianping Jia: h-index 61 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | National University of Singapore: institution h-index 1,166 (OpenAlex) |
| Multicenter collaboration | 3 / 3 | OpenAlex lists 10 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41292493) |
| Free to read | 2 / 2 | Free to read |
| Total | 47 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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