Thyroid disease

The Cross-sectional and Longitudinal Association Between Thyroid Function and Depression: A Population-Based Study

J Clin Endocrinol MetabPublished Population-based cohort study

An erratum to this article was published (J Clin Endocrinol Metab, 19 Apr 2024 ↗)

Authors' conclusion

We show a cross-sectional association between thyroid (dys)function with depressive symptoms, and a U-shaped association between FT4 and incident depressive events in euthyroid individuals. Our findings suggest an association of thyroid function with the risk of developing depression, albeit small. Reverse causation and additional underlying factors may also contribute to the association.

Study context

Population
Population-based cohort; baseline TSH, free thyroxine (FT4), TPOAb and depressive symptoms (Centre for Epidemiologic Studies Depression (CES-D) scale)8,366 with longitudinal data
Participants
9,471 participants
Outcome
Depressive symptoms (CES-D) cross-sectionally; incident depressive events longitudinally
Methodological detailscross-sectional and longitudinal analyses
  • Cross-sectional and longitudinal analyses

Main finding

As reported in the abstract

Cross-sectional association of thyroid function with depressive symptoms · baseline

B per 1 unit increase of natural log-transformed TSH

−0.07

95% CI −0.11; −0.04

Observational data: associations, not effects.

Further findings

Incident depressive events (longitudinal)

Incident depressive events
1366
U-shaped association between FT4 and incident depressive events, only in euthyroid participants

Original publication

The Cross-sectional and Longitudinal Association Between Thyroid Function and Depression: A Population-Based Study. J Clin Endocrinol Metab. Published 19 October 2023. doi:10.1210/clinem/dgad620

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