Cited by 277Antioxidant Activity and Oxidative StressTryptophan and brain disordersStress Responses and Cortisol

Depression and Oxidative Stress: Results From a Meta-Analysis of Observational Studies

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Palta, Priya, Samuel, Laura J., Miller, Edgar R., Szanton, Sarah L.·2014·Psychosomatic Medicine

Abstract

OBJECTIVE: To perform a systematic review and meta-analysis that quantitatively tests and summarizes the hypothesis that depression results in elevated oxidative stress and lower antioxidant levels. METHODS: We performed a meta-analysis of studies that reported an association between depression and oxidative stress and/or antioxidant status markers. PubMed and EMBASE databases were searched for articles published from January 1980 through December 2012. A random-effects model, weighted by inverse variance, was performed to pool standard deviation (Cohen's d) effect size estimates across studies for oxidative stress and antioxidant status measures, separately. RESULTS: Twenty-three studies with 4980 participants were included in the meta-analysis. Depression was most commonly measured using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria. A Cohen's d effect size of 0.55 (95% confidence interval = 0.47-0.63) was found for the association between depression and oxidative stress, indicating a roughly 0.55 of 1-standard-deviation increase in oxidative stress among individuals with depression compared with those without depression. The results of the studies displayed significant heterogeneity (I(2) = 80.0%, p < .001). A statistically significant effect was also observed for the association between depression and antioxidant status markers (Cohen's d = -0.24, 95% confidence interval = -0.33 to -0.15). CONCLUSIONS: This meta-analysis observed an association between depression and oxidative stress and antioxidant status across many different studies. Differences in measures of depression and markers of oxidative stress and antioxidant status markers could account for the observed heterogeneity. These findings suggest that well-established associations between depression and poor heath outcomes may be mediated by high oxidative stress.

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Authors
Palta, P., Samuel, L. J., Miller, E. R., & Szanton, S. L.
Affiliations
University of North Carolina at Chapel Hill (US)
Corresponding author
Palta, Priya
Venue
Psychosomatic Medicine
Published
2014-01
Volume
76
Issue
1
Pages
12-19
ISSN
0033-3174 (ISSN-L)
OpenAlex
W1977886842
Cited by
277
References
34
Citations by year
2026: 12 · 2025: 25 · 2024: 25 · 2023: 25 · 2022: 22 · 2021: 24 · 2020: 35 · 2019: 25 · 2018: 14 · 2017: 22 · 2016: 16 · 2015: 22 · 2014: 9
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (T32AG000247)
  • National Institute of Nursing Research (F31NR012087)
  • National Institute of Diabetes and Digestive and Kidney Diseases (T32DK062707)
Topics
  • Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
depression, oxidative stress, antioxidant status, oxidative stress biomarkers
MeSH terms
Depression, Humans, Oxidative Stress, Observational Studies as Topic

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