https://scholars.lib.ntu.edu.tw/handle/123456789/520495
標題: | Long-term antidepressant use and the risk of type 2 diabetes mellitus: A population-based, nested case-control study in Taiwan | 作者: | CHI-SHIN WU SUSAN SHUR-FEN GAU Lai M.-S. |
公開日期: | 2014 | 卷: | 75 | 期: | 1 | 起(迄)頁: | 31-38 | 來源出版物: | Journal of Clinical Psychiatry | 摘要: | Objective: Antidepressant drugs might induce weight gain and increase diabetes risk. We examined the diabetes risk with long-term antidepressant use in a general population. Method: This study was a population-based, nested case-control study using Taiwan's National Health Insurance Research Database between 1998 and 2009. A total of 47,885 patients with type 2 diabetes mellitus (ICD-9 codes: 250.x; excluding 250.x 1 and 250.x 3) and 95,770 controls were identified. We used a conditional logistic regression model for data analysis and 1-year latent period before the diabetes diagnosis to account for the quantification of treatment duration of antidepressant (defined by Anatomic Therapeutic Chemical classification code N06A). Sensitivity analyses were performed using a propensity score matching method, as well as different lengths of latent periods. Results: Compared with nonusers, patients with cumulative antidepressant use (> 2 years) had an increased risk of diabetes (adjusted OR = 1.20; 95% CI, 1.05-1.37). Moreover, increasing mean daily dose or use of selective serotonin reuptake inhibitors or serotonin antagonist and reuptake inhibitors was associated with increased diabetes risk. The increased diabetes risk with long-term antidepressant therapy in patients aged 44 years or less (adjusted OR = 2.39; 95% CI, 1.46-3.90) was higher than that in older adults (adjusted OR = 1.15; 95% CI, 1.00-1.32). Conclusions: The findings suggest that long-term antidepressant use may be associated with an increased risk of type 2 diabetes mellitus, especially for young adults. Therefore, long-term antidepressant use should be evaluated more cautiously for its benefits and the potential risk of diabetes. ? Copyright 2014 Physicians Postgraduate Press, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84893153984&doi=10.4088%2fJCP.13m08421&partnerID=40&md5=49c7dfab667caa52de5d3ba439abe2d2 https://scholars.lib.ntu.edu.tw/handle/123456789/520495 |
ISSN: | 0160-6689 | DOI: | 10.4088/JCP.13m08421 | SDG/關鍵字: | amfebutamone; amitriptyline; antidepressant agent; citalopram; clomipramine; dosulepin; doxepin; duloxetine; escitalopram; fluoxetine; fluvoxamine; imipramine; maprotiline; melitracen; milnacipran; mirtazapine; paroxetine; serotonin antagonist; serotonin noradrenalin reuptake inhibitor; serotonin uptake inhibitor; sertraline; tetracyclic antidepressant agent; trazodone; tricyclic antidepressant agent; venlafaxine; adult; aged; article; controlled study; data analysis; data base; disease association; drug use; female; human; logistic regression analysis; long term care; major clinical study; male; middle aged; non insulin dependent diabetes mellitus; population based case control study; priority journal; propensity score; risk assessment; risk benefit analysis; sensitivity analysis; Taiwan; treatment duration; weight gain; young adult; Adult; Age Factors; Aged; Antidepressive Agents; Case-Control Studies; Diabetes Mellitus, Type 2; Humans; Middle Aged; Odds Ratio; Registries; Risk; Serotonin Antagonists; Serotonin Uptake Inhibitors; Taiwan; Time Factors; Young Adult |
顯示於: | 流行病學與預防醫學研究所 |
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