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Association of high-sensitivity C-reactive protein with de novo major depression
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Background: Although there is cross-sectional evidence that changes in the immune system contribute to the pathophysiology of depression, longitudinal data capable of elucidating cause and effect relationships are lacking. Aims: We aimed to determine whether subclinical systemic inflammation, as measured by serum high-sensitivity C-reactive protein (hsCRP) concentration, is associated with an increased risk of de novo major depressive disorder. Method: Major depressive disorder was diagnosed using a clinical interview (SCID–I/NP). This is a retrospective cohort study; from a population-based sample of 1494 randomly selected women recruited at baseline during the period 1994–7, 822 were followed for a decade and provided measures of both exposure and outcome. Of these women, 644 (aged 20–84 years) had no prior history of depression at baseline and were eligible for analysis. Results: During 5827 person-years of follow-up, 48 cases of de novo major depressive disorder were identified. The hazard ratio (HR) for depression increased by 44% for each standard deviation increase in log-transformed hsCRP (ln-hsCRP) (HR = 1.44, 95% CI 1.04–1.99), after adjusting for weight, smoking and use of non-steroidal anti-inflammatory drugs. Further adjustment for other lifestyle factors, medications and comorbidity failed to explain the observed increased risk for depression. Conclusions: Serum hsCRP is an independent risk marker for de novo major depressive disorder in women. This supports an aetiological role for inflammatory activity in the pathophysiology of depression.
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“Higher levels of inflammation increase the chance of developing new-onset depression. 138 , 139”
From Major depressive disorder: hypothesis, mechanism, prevention and treatment (2024) · cites this paper as [139]
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“A retrospective cohort study evaluating the association between CRP levels and increased risk of de novo MDD, recruiting 1494 women randomly selected and assessed through the Structured Clinical Interview for DS-IV-TR Research Version, Non-Patient edition (SCID-I/NP), reported a hazard ratio for depression increased by 44% for each standard deviation increase in log-transformed hs-CRP, indicating”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [93]
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Metadata
- Authors
- Pasco, J. A., Nicholson, G. C., Williams, L. J., Jacka, F. N., Henry, M. J., Kotowicz, M. A., Schneider, H. G., Leonard, B. E., & Berk, M.
- Affiliations
- Barwon Health (AU)
- The Alfred Hospital (AU)
- Ollscoil na Gaillimhe – University of Galway (IE)
- Corresponding author
- Pasco, Julie A.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-11
- Volume
- 197
- Issue
- 5
- Pages
- 372-377
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2004252086
- Cited by
- 321
- References
- 55
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 21 · 2023: 21 · 2022: 20 · 2021: 16 · 2020: 31 · 2019: 25 · 2018: 13 · 2017: 22 · 2016: 32 · 2015: 24 · 2014: 22 · 2013: 22 · 2012: 19
- FWCI
- 6.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (acceptedVersion, cc-by-nc-nd)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc)
- Research Repository UCD (University College Dublin) (cc-by-nc)
- Funders
- Medical Research Council
- National Health and Medical Research Council
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- high-sensitivity C-reactive protein, major depressive disorder, systemic inflammation, risk factors for depression, women, inflammatory markers, depression pathophysiology, nonsteroidal anti-inflammatory drugs
- MeSH terms
- Adult, Aged, Aged, 80 and over, Body Weight, C-Reactive Protein, Major Depressive Disorder, Epidemiologic Methods, Female, Humans, Inflammation, Life Style, Middle Aged, Body Mass Index, Age of Onset, Young Adult
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