Psychoneuroimmunology of depression: clinical implications
Abstract
Psychoneuroimmunology is a field that investigates the interactions between the brain and the immune system. One important goal of this field of research is to translate basic research in order to understand how behavior affects health and resistance to disease in humans. This review evaluates the impact of depression on morbidity and mortality risk and asks whether neuroimmune mechanisms contribute to this association. Examples are drawn from three diseases: cardiovascular disease, infectious disease, and rheumatoid arthritis. Finally, the potential for biobehavioral interventions to impact psychological adaptation and the course of immune related disease is discussed.
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Higher plasma IL-6 levels are associated with adverse health habits: higher in smokers, less physical activity, impaired sleep, higher BMI.
“Other researchers have demonstrated that higher plasma IL-6 levels are associated with adverse health habits: values are higher in smokers than nonsmokers, in individuals who report less physical activity, in those whose sleep is impaired, and in those with a higher BMI, all behaviors that are adversely affected by stress (14, 34, 37, 50-52).”
From Chronic stress and age-related increases in the proinflammatory cytokine IL-6. (2003) · cites this paper as [52]
Depressive symptoms further exacerbate inflammation and contribute to the pathogenesis of various diseases of aging, many of which involve excessive cytokine activity.
“These symptoms are thought to further exacerbate inflammation and, in doing so, contribute to the pathogenesis of various diseases of aging (6–8), many of which involve excessive cytokine activity (9, 10).”
From Clustering of depression and inflammation in adolescents previously exposed to childhood adversity (2012) · cites this paper as [8]
Inflammation has been implicated in the development or etiology of depression across various populations and study designs.
“A wealth of evidence has implicated inflammation in the development of depression.”
From The role of inflammation in core features of depression: Insights from paradigms using exogenously-induced inflammation. (2018) · cites this paper as Irwin, 2002
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- Authors
- Irwin, M.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Irwin, Michael
- ORCID
- Irwin, Michael
- Venue
- Brain, Behavior, and Immunity
- Publisher
- Elsevier BV
- Published
- 2002-02
- Volume
- 16
- Issue
- 1
- Pages
- 1-16
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W1987890594
- Cited by
- 160
- References
- 102
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 8 · 2022: 2 · 2020: 5 · 2019: 7 · 2018: 8 · 2017: 2 · 2016: 1 · 2015: 9 · 2014: 5 · 2013: 2 · 2012: 8
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01aa010215-02)
- National Institute on Alcohol Abuse and Alcoholism (AA13239, AA10215, R01AA013239)
- National Institute on Aging (AG 18367, R01AG018367)
- National Institute of Mental Health (MH-55253, T32-MH-18399, R01MH055253, T32MH018399)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR/AG41867)
- National Center for Complementary and Integrative Health (AT00255, R21AT000255)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Keywords
- depression, psychoneuroimmunology, neuroimmune mechanisms, morbidity and mortality risk, cardiovascular disease, infectious diseases, rheumatoid arthritis, biobehavioral interventions, psychological adjustment, immune-related diseases
- MeSH terms
- Behavior Therapy, Depressive Disorder, Humans, Nervous System, Biomarkers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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