---
title: These Six Depression Symptoms May Increase Dementia Risk
description: Just six common symptoms of depression were responsible for the link between depression in middle-age and future dementia.
image: https://alert.psychnews.org/hubfs/Imported_Blog_Media/professional_man_iStock-1475625136.jpg
---

 12/17/25 8:55 AM

# These Six Depression Symptoms May Increase Dementia Risk

![Picture of Psychiatric News Alert](https://alert.psychnews.org/hs-fs/hubfs/Psych%20News%20Email%20Banners/PN-Blue-Box_rgb.png?width=50&name=PN-Blue-Box_rgb.png) [ Psychiatric News Alert ](https://alert.psychnews.org/author/psychiatric-news-alert)

Share: [facebook-f icon ](http://www.facebook.com/share.php?u=https://alert.psychnews.org/these-six-depression-symptoms-may-increase-dementia-risk) [linkedin-in icon ](http://www.linkedin.com/shareArticle?mini=true&url=https://alert.psychnews.org/these-six-depression-symptoms-may-increase-dementia-risk) [Twitter icon ](https://twitter.com/intent/tweet?url=https://alert.psychnews.org/these-six-depression-symptoms-may-increase-dementia-risk) [pinterest-p icon ](http://pinterest.com/pin/create/link/?url=https://alert.psychnews.org/these-six-depression-symptoms-may-increase-dementia-risk) [envelope icon ](mailto:?body=https://alert.psychnews.org/these-six-depression-symptoms-may-increase-dementia-risk)

![professional_man_iStock-1475625136](https://alert.psychnews.org/hs-fs/hubfs/Imported_Blog_Media/professional_man_iStock-1475625136.jpg?width=220&height=147&name=professional_man_iStock-1475625136.jpg)Just six common symptoms of depression were responsible for the link between depression in middle-age and future dementia, according to a 23-year prospective [study](https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00331-1/fulltext) issued by the *Lancet Psychiatry*.

 

**Why It’s Relevant**

Treating depression as a unitary construct might hinder the identification of patient subgroups who are most at risk of developing dementia. A more nuanced understanding of **symptom-specific associations** might help clinicians pinpoint which middle-aged patients are most at risk.

 

**What Was Done**

Researchers examined responses from 5,811 middle-aged civil service workers (72% men, 92% White, average age 56) who took the 30-item General Health Questionnaire (GHQ-30) as part of this longitudinal study.

 

At baseline, 1,248 participants (22%) had elevated depressive symptoms (GHQ-30 score ≥5). Over the 23-year follow-up, 586 individuals (10%) developed dementia.

 

**By the Numbers**

Overall, having an elevated GHQ-30 score at baseline was associated with a 27% increased risk of dementia. In analyses adjusted for age, sex, and ethnicity, **six of the 30 symptoms** were associated with long-term dementia risk in individuals **under 60**:

- “Losing confidence in myself”: 51% greater risk of dementia
- “Not able to face up to problems”: 49%
- “Not feeling warmth and affection for others”: 44%
- “Nervous and strung-up all the time”: 34%
- “Not satisfied with the way tasks are carried out”: 33%
- “Difficulties concentrating”: 29%

**What’s More**

Among individuals who were older than 60 at baseline, these six symptoms accounted for about half of one’s dementia risk.

 

**The Other Side**

The study was based on observational data, so researchers were unable to infer causation. Furthermore, the depression measure was based on self-report and limited to 30 items, which might not fully capture the breadth and severity of depressive symptoms.

 

**Takeaway Message**

“Our findings, if replicated, could help clinicians distinguish between middle-aged patients whose depression reflects an elevated dementia risk and those whose symptoms are more likely due to other causes, supporting clinical evaluation and more tailored treatments,” the researchers wrote.

 

**Related Information**

“[Depression as a Risk Factor for Dementia: A Meta-Analysis](https://psychiatryonline.org/doi/10.1176/appi.neuropsych.20230043)”

 

**Source**

Philipp Frank, et al. Specific midlife depressive symptoms and long-term dementia risk: a 23-year UK prospective cohort study. *Lancet Psychiatry*. Published December 15, 2025. doi: [doi.org/10.1016/S2215-0366(25)00331-1](https://doi.org/10.1016/S2215-0366(25)00331-1)

 

(Image: Getty Images/iStock/Prostock-Studio)

 

[depression](https://alert.psychnews.org/tag/depression), [dementia](https://alert.psychnews.org/tag/dementia), [middle age](https://alert.psychnews.org/tag/middle-age), [symptoms](https://alert.psychnews.org/tag/symptoms), [overconfidence](https://alert.psychnews.org/tag/overconfidence), [nervous](https://alert.psychnews.org/tag/nervous), [concentrating](https://alert.psychnews.org/tag/concentrating)

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