Investigating whether a combination of higher CRP and depression is differentially associated with worse executive functioning in a cohort of 43,896 adults
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Many depressed individuals experience difficulties in executive functioning that contribute substantially to functional impairment. It is unknown whether a subtype of depression characterized by chronic inflammation is differentially associated with worse executive functioning. This study examined whether the combination of depression and higher C reactive protein (CRP) is differentially associated with worse executive functioning and whether this association is stronger in older adults. This cross-sectional study analyzed data collected from a population-representative sample of 43,896 adults aged 44.13 years (SD = 13.52) who participated in the baseline assessment of the Lifelines cohort study. Multivariate regression models tested whether depressed individuals (established via structured interview) exhibiting higher levels of inflammation (indexed via high-sensitivity CRP assay following an overnight fast) performed worse on a behavioral test of executive functioning. Depression (B = -3.66, 95% CI: -4.82, -2.49, p < .001) and higher log-transformed CRP (B = -0.67, 95% CI: -0.87,-0.47, p < .001) were associated with worse executive functioning, after adjustment for age, sex, educational attainment, body mass index, smoking status, exposure to stressful life events and chronic stressors, sedentary behavior, and number of chronic medical conditions. Depressed individuals with higher log-transformed CRP exhibited differentially poorer executive functioning (B = -1.09, 95% CI: -2.07,-0.11, p < .001). This association did not differ based on age (B = 0.01, 95% CI: -0.08, 0.10, p = .82). Executive functioning is poorer in depressed individuals with higher CRP, even in early adulthood. Interventions that reduce inflammation may improve cognitive functioning in depression.
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In 43,896 adults, depression and higher CRP levels were both associated with worse executive functioning, even after covariates adjustment.
“A cross-sectional study recruiting 43,896 adults examined the association between CRP levels and depression in terms of executive functioning [56]. MINI and Ruff Figural Fluency Test (RFFT) were administered to the sample. The study reported that depression and higher CRP levels were both associated with worse executive functioning, even after covariates adjustment.”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [56]
Depressed subjects with higher levels of CRP showed poorer executive functioning than the control individuals.
“Moreover, depressed subjects with higher levels of CRP showed poorer executive functioning than the control individuals [56].”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [56]
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- Authors
- Mac Giollabhui, N., Alloy, L. B., Schweren, L. J. S., & Hartman, C. A.
- Affiliations
- Temple University (US)
- University of Groningen (NL)
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 2021-08
- Volume
- 96
- Pages
- 127-134
- ISSN
- 0889-1591 (ISSN-L)
- PMC
- PMC8319077
- OpenAlex
- W3165158658
- Cited by
- 25
- References
- 87
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 4 · 2020: 1
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- PubMed Central (acceptedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- American Psychological Foundation
- Samenwerkingsverband Noord-Nederland
- National Institute of Mental Health (F31MH118808, MH101168, MH079369)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depression, C-reactive protein, executive function, chronic inflammation, cognitive impairment in depression, older adults, early adulthood, Lifelines cohort, high-sensitivity CRP
- MeSH terms
- Adult, Aged, C-Reactive Protein, Cross-Sectional Studies, Depression, Humans, Cohort Studies, Executive Function
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