Original Investigation

Olfactory Impairment and Depression

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2026.1758

July 09, 2026 at 11:00 AM EDT

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What is the association between objective and subjective olfactory impairment and depression in population-based studies, and does it differ across subgroups?In this systematic review and meta-analysis involving 23 studies representing 17 independent cohorts for a total of 187 056 individuals, subjective olfactory impairment was associated with higher odds of depression, whereas objective olfactory impairment showed a weaker odds ratio that was attenuated after adjustment for publication bias. In subgroup analysis, objective impairment remained associated with depression among older adults and individuals with anosmia.Subjective olfactory impairment is consistently associated with depression, while objective impairment shows associations mainly in aging and anosmic subgroups, suggesting partly distinct underlying mechanisms.

Corresponding Author: Henry Bode, MD, Department of Psychiatry and Psychotherapeutic Medicine, University Hospital St Pölten, Dunant-Platz 1, Kremser Landstraße 40, 3100 St Pölten, Austria (henry.bode@ki.se).

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