The Association Between C-Reactive Protein Levels and Depression: Results from the Northern Finland 1966 Birth Cohort Study
Abstract
Background To investigate whether depressive episodes (previous, current single, and recurrent) are associated in both genders with highly sensitive C-reactive protein (hs-CRP) levels, earlier recommended for risk assessment of cardiovascular disease. The impact of the severity of current single and recurrent depressive episodes on this putative association was also investigated.Methods The genetically homogeneous Northern Finland 1966 Birth Cohort was followed until age 31, when, in a cross-sectional setting (n = 5269), the highly sensitive enzyme immunoassay (hs-EIA) method was used to measure CRP concentration. Depressive episodes were defined through mailed questionnaires, including Hopkins Symptom Checklist-25 (HSCL-25) and information on self-reported, doctor-diagnosed depression.Results After adjusting for confounders, logistic regression analyses showed that in male subjects, elevated hs-CRP levels (> or =1.0 mg/L) increased the probability for severe current and recurrent depressive episodes 1.7-fold and 3.1-fold, respectively. Correspondingly, an hs-CRP level of >3.0 mg/L increased the probability for recurrent depression up to 4.1-fold. In female subjects, no statistically significant associations were found.Conclusions Our results support the hypothesis that an activation of systemic inflammatory processes may contribute to the pathophysiology of severe depression in men. Further investigations are needed regarding the impact of our findings on diagnostic/treatment strategies concerning severe and, especially recurrent, depression in men.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
This association was not found in women.
“This association was not found in women [66].”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [66]
In 5269 participants, elevated CRP levels in males might increase the probability for severe current and recurrent depressive episodes.
“From the genetically homogeneous Northern Finland 1966 Birth Cohort, 5269 participants (2641 male and 2828 female) were assessed with the Hopkins Symptom Checklist-25 (HSCL-25) and were measured CRP levels, by reporting that elevated CRP levels in males might increase the probability for severe current and recurrent depressive episodes.”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [66]
Cites
Pearson, T. A., Mensah, G. A., Alexander, R. W., Anderson, J. L., Cannon, R. O., Criqui, M., Fadl, Y. Y., Fortmann, S. P., Hong, Y., Myers, G. L., et al. (2003) · Circulation · doi:10.1161/01.cir.0000052939.59093.45 · Cited by 6,401 · see citing works
SCL-90: an outpatient psychiatric rating scale--preliminary report.
Derogatis, L. R., Lipman, R. S., & Covi, L. (1973) · PubMed · Cited by 3,815 · see citing works
Köenig, W., Sund, M., Fröhlich, M., Fischer, H.-G., Löwel, H., Döring, A., Hutchinson, W. L., & Pepys, M. B. (1999) · Circulation · doi:10.1161/01.cir.99.2.237 · Cited by 1,952 · see citing works
Katon, W. J. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00273-7 · Cited by 1,216 · see citing works
Evidence for an immune response in major depression: A review and hypothesis
Maes, M. (1995) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(94)00101-m · Cited by 1,003 · see citing works
Wisse, B. E. (2004) · Journal of the American Society of Nephrology · doi:10.1097/01.asn.0000141966.69934.21 · Cited by 927 · see citing works
Race and Gender Differences in C-Reactive Protein Levels
Khera, A., McGuire, D. K., Murphy, S. A., Stanek, H. G., Das, S. R., Vongpatanasin, W., Wians, F. H., Grundy, S. M., & de Lemos, J. A. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.04.051 · Cited by 773 · see citing works
Blood Pressure and Inflammation in Apparently Healthy Men
Chae, C. U., Lee, R. T., Rifai, N., & Ridker, P. M. (2001) · Hypertension · doi:10.1161/01.hyp.38.3.399 · Cited by 716 · see citing works
Association between physical activity and mental disorders among adults in the United States
Goodwin, R. D. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00042-2 · Cited by 675 · see citing works
Ford, D. E., & Erlinger, T. P. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.9.1010 · Cited by 544 · see citing works
Penninx, B. W. J. H., Kritchevsky, S. B., Yaffe, K. S., Newman, A. B., Simonsick, E. M., Rubin, S. M., Ferrucci, L., Harris, T. B., & Pahor, M. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01811-5 · Cited by 530 · see citing works
Nicotine Dependence and Major Depression: New Evidence From a Prospective Investigation
Breslau, N. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820130033006 · Cited by 443 · see citing works
Are the Obese at Greater Risk for Depression?
Roberts, R. E., Kaplan, G. A., Shema, S. J., & Strawbridge, W. J. (2000) · American Journal of Epidemiology · doi:10.1093/aje/152.2.163 · Cited by 423 · see citing works
Symptoms of Emotional Distress in a Family Planning Service: Stability over a Four-Week Period
Winokur, A., Winokur, D. F., Rickels, K., & Cox, D. S. (1984) · British Journal of Psychiatry · doi:10.1192/bjp.144.4.395 · Cited by 390 · see citing works
Groups at risk in low birth weight infants and perinatal mortality.
Rantakallio, P. T. (1969) · PubMed · Cited by 384 · see citing works
The longitudinal study of the Northern Finland birth cohort of 1966
Rantakallio, P. T. (1988) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.1988.tb00180.x · Cited by 373 · see citing works
Association Between Depression and Elevated C-Reactive Protein
Danner, M., Kasl, S. V., Abramson, J. L., & Vaccarino, V. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000041542.29808.01 · Cited by 341 · see citing works
Kop, W. J., Gottdiener, J. S., Tangen, C. M., Fried, L. P., McBurnie, M. A., Walston, J. D., Newman, A. B., Hirsch, C. H., & Tracy, R. P. (2002) · The American Journal of Cardiology · doi:10.1016/s0002-9149(01)02264-0 · Cited by 325 · see citing works
Lespérance, F., Frasure‐Smith, N., Théroux, P., & Irwin, M. R. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.2.271 · Cited by 305 · see citing works
Estrogen, serotonin, and mood disturbance: where is the therapeutic bridge?
Joffe, H., & Cohen, L. S. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00169-3 · Cited by 284 · see citing works
Epidemiology of depression: Prevalence, risk factors and treatment situation
Lehtinen, V., & Joukamaa, M. I. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb05794.x · Cited by 197 · see citing works
Mood disorders and medical illness: a major public health problem
Evans, D. L., & Charney, D. S. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00639-5 · Cited by 172 · see citing works
Roy, A. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810290040007 · Cited by 133 · see citing works
Aziz, N., Fahey, J. L., Detels, R., & Butch, A. W. (2003) · Clinical and Vaccine Immunology · doi:10.1128/cdli.10.4.652-657.2003 · Cited by 127 · see citing works
Jilma, B., Dirnberger, E., Löscher, I., Rumplmayr, A., Hildebrandt, J., Eichler, H.-G., Kapiotis, S., & Wagner, O. F. (1997) · Journal of Laboratory and Clinical Medicine · doi:10.1016/s0022-2143(97)90060-3 · Cited by 117 · see citing works
Influence of depressive mood on the association of CRP and obesity in 3205 middle aged healthy men
Ladwig, K., Marten‐Mittag, B., Löwel, H., Döring, A., & Köenig, W. (2003) · Brain Behavior and Immunity · doi:10.1016/s0889-1591(03)00056-4 · Cited by 114 · see citing works
Taponen, S., Martikainen, H. K., Järvelin, M., Sovio, U., Laitinen, J. H., Pouta, A. M., Hartikainen, A., McCarthy, M. I., Franks, S., Paldanius, M., et al. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031720 · Cited by 111 · see citing works
Fink, P., Jensen, J. B., Borgqúist, L., Brevik, J. I., Dalgard, O. S., Sandager, I., Engberg, M., Hansson, L. I., Holm, M., Joukamaa, M. I., et al. (1995) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1995.tb09605.x · Cited by 110 · see citing works
Atopy and depression: results from the Northern Finland 1966 Birth Cohort Study
Timonen, M., Jokelainen, J. J., Hakko, H. H., Silvennoinen‐Kassinen, S., Meyer‐Rochow, V. B., Herva, A., & Räsänen, P. K. (2003) · Molecular Psychiatry · doi:10.1038/sj.mp.4001274 · Cited by 108 · see citing works
Self-citationWilliams, M. J. A., Williams, S., Milne, B. J., Hancox, R. J., & Poulton, R. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802713 · Cited by 77 · see citing works
Oral contraceptive use and increased plasma concentration of C-reactive protein
Dreon, D. M., Slavin, J. L., & Phinney, S. D. (2003) · Life Sciences · doi:10.1016/s0024-3205(03)00425-9 · Cited by 75 · see citing works
Hyer, L. A., Carson, M. F., Nixon, D., Tamkin, A. S., & Saucer, R. T. (1987) · International Journal of the Addictions · doi:10.3109/10826088709027483 · Cited by 45 · see citing works
Das, U. N. (2004) · PubMed · Cited by 31 · see citing works
Bognar, G. (2007) · Health Care Analysis · doi:10.1007/s10728-007-0066-4 · Cited by 26 · see citing works
Well-being and health. Background to the northern Finland 1966 birth cohort research.
Sorri, M., & Järvelin, M. (1998) · PubMed · Cited by 24 · see citing works
Depression and Hormonal Contraception—Reply
Stewart, F. H. (2001) · JAMA · doi:10.1001/jama.286.6.671 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis.
Howren, M. B., Lamkin, D. M., & Suls, J. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181907c1b · Cited by 2,766 · see citing works
Osimo, E. F., Baxter, L. J., Lewis, G., Jones, P. B., & Khandaker, G. M. (2019) · Psychological Medicine · doi:10.1017/s0033291719001454 · Cited by 774 · see citing works
Depression and sickness behavior are Janus-faced responses to shared inflammatory pathways
Maes, M., Berk, M., Goehler, L., Song, C., Anderson, G., Gałecki, P., & Leonard, B. (2012) · BMC Medicine · doi:10.1186/1741-7015-10-66 · Cited by 629 · see citing works
Gimeno, D., Kivimäki, M., Brunner, E. J., Elovainio, M., De Vogli, R., Steptoe, A., Kumari, M., Lowe, G. D. O., Rumley, A., Marmot, M. G., et al. (2009) · Psychological Medicine · doi:10.1017/s0033291708003723 · Cited by 561 · see citing works
Is depression an inflammatory disorder?
Raison, C. L., & Miller, A. H. (2011) · Current Psychiatry Reports · doi:10.1007/s11920-011-0232-0 · Cited by 524 · see citing works
Elevated C-Reactive Protein Levels, Psychological Distress, and Depression in 73 131 Individuals
Wium-Andersen, M. K., Ørsted, D. D., Nielsen, S. F., & Nordestgaard, B. G. (2013) · JAMA Psychiatry · doi:10.1001/2013.jamapsychiatry.102 · Cited by 489 · see citing works
Lopresti, A. L., Maker, G. L., Hood, S. D., & Drummond, P. D. (2014) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2013.09.017 · Cited by 371 · see citing works
Depression and type 2 diabetes: Inflammatory mechanisms of a psychoneuroendocrine co-morbidity
Stuart, M. J., & Baune, B. T. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2011.10.001 · Cited by 257 · see citing works
A psychoneuroimmunological review on cytokines involved in antidepressant treatment response
Janssen, D. G. A., Caniato, R. N., Verster, J. C., & Baune, B. T. (2010) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.1103 · Cited by 240 · see citing works
Dietary fiber and its associations with depression and inflammation
Swann, O. G., Kilpatrick, M., Breslin, M., & Oddy, W. H. (2020) · Nutrition Reviews · doi:10.1093/nutrit/nuz072 · Cited by 185 · see citing works
Karlović, D., Serretti, A., Vrkić, N., Martinac, M., & Marčinko, D. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.12.007 · Cited by 175 · see citing works
C-Reactive protein as a biomarker for major depressive disorder?
Orsolini, L., Pompili, S., Tempia Valenta, S., Salvi, V., & Volpe, U. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23031616 · Cited by 171 · see citing works
Divergent associations of adaptive and maladaptive emotion regulation strategies with inflammation
Appleton, A. A., Buka, S. L., Loucks, E. B., Gilman, S. E., & Kubzansky, L. D. (2013) · Health Psychology · doi:10.1037/a0030068 · Cited by 157 · see citing works
Serum markers support disease-specific glial pathology in major depression
Schroeter, M. L., Abdul-Khaliq, H., Krebs, M., Diefenbacher, A., & Blasig, I. E. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.03.005 · Cited by 152 · see citing works
Liukkonen, T., Räsänen, P., Jokelainen, J., Leinonen, M., Järvelin, M.-R., Meyer-Rochow, V. B., & Timonen, M. (2011) · European Psychiatry · doi:10.1016/j.eurpsy.2011.02.001 · Cited by 127 · see citing works
Treatment response and cognitive impairment in major depression: Association with C-reactive protein
Chang, H. H., Lee, I. H., Gean, P. W., Lee, S.-Y., Chi, M. H., Yang, Y. K., Lu, R.-B., & Chen, P. S. (2012) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2011.07.239 · Cited by 120 · see citing works
Psychological stress and depression: risk factors for IBD
Bernstein, C. N. (2016) · Digestive Diseases · doi:10.1159/000442929 · Cited by 107 · see citing works
Dunjic-Kostic, B., Ivkovic, M., Radonjic, N. V., Petronijevic, N. D., Pantovic, M., Damjanovic, A., Poznanovic, S. T., Jovanovic, A., Nikolic, T., & Jasovic-Gasic, M. (2013) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2012.11.009 · Cited by 99 · see citing works
Liukkonen, T., Räsänen, P., Ruokonen, A., Laitinen, J., Jokelainen, J., Leinonen, M., Meyer-Rochow, V. B., & Timonen, M. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318157cb96 · Cited by 83 · see citing works
Self-citationHamer, M., Molloy, G. J., de Oliveira, C., & Demakakos, P. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2009.01.005 · Cited by 82 · see citing works
Glaus, J., von Känel, R., Lasserre, A. M., Strippoli, M.-P. F., Vandeleur, C. L., Castelao, E., Gholam-Rezaee, M., Marangoni, C., Wagner, E.-Y. N., Marques-Vidal, P., et al. (2018) · Depression and Anxiety · doi:10.1002/da.22710 · Cited by 64 · see citing works
Association of depressive symptoms and metabolic syndrome in men
Viinamäki, H., Heiskanen, T., Lehto, S. M., Niskanen, L., Koivumaa‐Honkanen, H., Tolmunen, T., Honkalampi, K., Saharinen, T., Haatainen, K., & Hintikka, J. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01333.x · Cited by 68 · see citing works
Association between Depression and C-Reactive Protein
Ma, Y., Chiriboga, D. E., Pagoto, S. L., Rosal, M. C., Li, W., Merriam, P. A., Hébert, J. R., Whited, M. C., & Ockene, I. S. (2011) · Cardiology Research and Practice · doi:10.4061/2011/286509 · Cited by 61 · see citing works
Fancourt, D., & Steptoe, A. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2019.10.004 · Cited by 57 · see citing works
Harley, J., Luty, S., Carter, J., Mulder, R., & Joyce, P. (2010) · Journal of Psychopharmacology · doi:10.1177/0269881109102770 · Cited by 53 · see citing works
Inflammatory phenotype of depression symptom structure: A network perspective
Moriarity, D. P., van Borkulo, C., & Alloy, L. B. (2021) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.12.005 · Cited by 45 · see citing works
Raison, C. L. (2016) · Current Topics in Behavioral Neurosciences · doi:10.1007/7854_2016_26 · Cited by 36 · see citing works
Velupillai, Y. N., Packard, C. J., Batty, G. D., Bezlyak, V., Burns, H., Cavanagh, J., Deans, K., Ford, I., McGinty, A., Millar, K., et al. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-126 · Cited by 36 · see citing works
Depressive symptoms and levels of C-reactive protein: A population-based study
Pikhart, H., Hubacek, J. A., Kubinova, R., Nicholson, A., Peasey, A., Capkova, N., Poledne, R., & Bobak, M. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0422-1 · Cited by 34 · see citing works
Lee, S., Oh, S. S., Jang, S.-I., & Park, E.-C. (2019) · Scientific Reports · doi:10.1038/s41598-018-36402-3 · Cited by 29 · see citing works
Chaiton, M., O’Loughlin, J., Karp, I., & Lambert, M. (2010) · International Journal of Behavioral Medicine · doi:10.1007/s12529-010-9078-9 · Cited by 29 · see citing works
Jung, Y.-E., & Kang, K. Y. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104397 · Cited by 29 · see citing works
Luukinen, H., Jokelainen, J., & Hedberg, P. (2010) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365510903410548 · Cited by 25 · see citing works
Self-citationRelationship between CRP and depression: A genetically sensitive study in Sri Lanka
Zavos, H. M. S., Zunszain, P. A., Jayaweera, K., Powell, T. R., Chatzivasileiadou, M., Harber-Aschan, L., Adikari, A., Pannala, G., Siribaddana, S., Badini, I., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.003 · Cited by 15 · see citing works
- Authors
- Liukkonen, T., Silvennoinen-Kassinen, S., Jokelainen, J., Räsänen, P., Leinonen, M., Meyer-Rochow, V. B., & Timonen, M.
- Affiliations
- Savonlinna Central Hospital (FI)
- Oulu University Hospital (FI)
- University of Oulu (FI)
- Corresponding author
- Liukkonen, Timo
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2006-10
- Volume
- 60
- Issue
- 8
- Pages
- 825-830
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2081918929
- Cited by
- 163
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 11 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 13 · 2012: 12
- FWCI
- 4.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- C-reactive protein, depression, recurrent depression, severe depression, systemic inflammation, sex differences, Northern Finland Birth Cohort 1966, cardiovascular risk markers, depression pathophysiology
- MeSH terms
- Adult, Alcohol Drinking, Alcoholism, Blood Pressure, C-Reactive Protein, Cholesterol, Cross-Sectional Studies, Depressive Disorder, Enzyme-Linked Immunosorbent Assay, Female, Finland, Humans, Inflammation, Life Style, Male, Recurrence, Risk Factors, Sex Factors, Smoking, Cohort Studies, Logistic Models
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 ›
Are you an author, or do you see a problem with this page? Request a review