Mental Health

Can Depression in Young Adulthood Lead to Dementia Later in Life?

By Corazon Victorino | Update Date: Jun 18, 2024 11:13 PM EDT

A new study has uncovered a reciprocal relationship between depression and memory decline among adults aged 50 and older. This research marks the first comprehensive investigation into the interconnected nature of these two conditions, highlighting significant implications for future treatments.

Led by senior investigator Dorina Cadar, Ph.D., from Brighton and Sussex Medical School, UK, the study analyzed data spanning 16 years from 8,268 participants. The findings reveal that individuals with higher levels of depressive symptoms experienced accelerated memory loss. Conversely, significant memory decline was also found to exacerbate depressive symptoms, demonstrating a bidirectional relationship between the two conditions.

Cadar emphasized the novel aspect of their work, underscoring that both depression and memory loss share common biological pathways involving neurotransmitter dysregulation, particularly serotonin, norepinephrine, and dopamine. These imbalances, she explained, can impair synaptic plasticity crucial for cognitive function and memory formation, particularly in brain regions like the hippocampus.

"Serotonin is involved in the modulation of mood and cognition, and its deficit can lead to reduced neurogenesis in the hippocampus, a brain region critical for memory consolidation," Cadar explained to Medical News Today.

According to David Merrill, M.D., Ph.D., director of the Brain Health Center at Pacific Neuroscience Institute, the study published in JAMA Network Psychiatry, challenges previous notions of treating depression and memory loss separately. He highlighted the shared neural circuits involved in mood regulation and memory formation, suggesting integrated treatment approaches could yield better outcomes.

"The circuitry and the cells and the synapses involved in memory formation have a profound overlap with the circuitry involved in moods, mood regulation, and mood formation," Merrill, who was not involved in the study, said.

He emphasized the importance of controlling for mood when studying memory. He highlighted the common origin of both depression and dementia, stating, "The substrate of the creation of both phenomena is coming out of the same thing."

The implications extend beyond clinical practice to potential lifestyle interventions. Merrill proposed physical activity as a promising intervention stating,"Exercise is probably the best single intervention for the aging body and the aging brain." He emphasized the importance of addressing depression early, as it can lead to social isolation and worsen cognitive decline over time.

Moving forward, the study advocates for integrated treatment strategies that consider both mood and memory health. This approach may involve interdisciplinary collaboration among psychologists, neurologists, and healthcare providers to develop holistic care plans tailored to individual needs.

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