Evidence map›Paper›PMID 24442097›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2014

Inflammatory and metabolic dysregulation and the 2-year course of depressive disorders in antidepressant users.

Nicole Vogelzangs, Aartjan T F Beekman, Arianne K B van Reedt Dortland, Robert A Schoevers, Erik J Giltay, Peter de Jonge, Brenda W J H Penninx

Registry-linked trialAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06306209 (Inflammatory Control of Antidepressant Efficacy), which is not on this map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06306209 unknown statusnot on this mapstarted 2021, after this paper: background citation

Inflammatory Control of Antidepressant Efficacy: a Pharmaco-epigenetic Approach

TypeobservationalSponsorIRCCS San RaffaeleRan2021 to 2025Enrolled80ConditionsMood Disorders, Major Depressive DisorderArmsTreatment as usual (TAU), i.e., pharmacotherapy plus clinical management
3 · Its place in the literature

Who cites it

59 citing papers in PubMed.

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  5. Association of NOS3 rs1799983 Polymorphism with Cognitive Function in Patients with First Episode Depression.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
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  17. Treatment-resistant depression: definition, prevalence, detection, management, and investigational interventions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nicole Vogelzangs1] Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands [2] Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
Aartjan T F BeekmanDepartment of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Arianne K B van Reedt DortlandDepartment of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Robert A SchoeversDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Erik J GiltayDepartment of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Peter de JongeDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Brenda W J H Penninx1] Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands [2] Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scarce evidence suggests that inflammatory and metabolic dysregulation predicts poor response to antidepressants, which could result in worse depression outcome. This study prospectively examined whether inflammatory and metabolic dysregulation predicted the 2-year course of depressive disorders among antidepressant users. Data were from the Netherlands Study of Depression and Anxiety, including 315 persons (18-65 years) with a current depressive disorder (major depressive disorder, dysthymia) at baseline according to the DSM-IV criteria and using antidepressants. Inflammatory (C-reactive protein, interleukin-6 (IL-6), tumor-necrosis factor-α) and metabolic (waist circumference, triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure, fasting glucose) factors were measured at baseline. Primary outcome for course of depression was indicated by whether or not a DSM-IV depressive disorder diagnosis was still/again present at 2-year follow-up, indicating chronicity of depression. Elevated IL-6, low HDL cholesterol, hypertriglyceridemia, and hyperglycemia were associated with chronicity of depression in antidepressant users. Persons showing ⩾ 4 inflammatory or metabolic dysregulations had a 1.90 increased odds of depression chronicity (95% CI = 1.12-3.23). Among persons who recently (ie, at most 3 months) started antidepressant medication (N = 103), having ⩾ 4 dysregulations was associated with a 6.85 increased odds of depression chronicity (95% CI = 1.95-24.06). In conclusion, inflammatory and metabolic dysregulations were found to predict a more chronic course of depressive disorders among patients using antidepressants. This could suggest that inflammatory and metabolic dysregulation worsens depression course owing to reduced antidepressant treatment response and that alternative intervention treatments may be needed for depressed persons with inflammatory and metabolic dysregulation.

Indexed as

AdolescentAdultAgedAntidepressive AgentsBlood PressureCohort StudiesC-Reactive ProteinCytokinesDepressive DisorderFemaleHumansInflammationLipoproteins, HDLMaleMetabolic DiseasesMiddle AgedAntidepressive AgentsC-Reactive ProteinCytokinesLipoproteins, HDL

Identifiers

PMID24442097
PMCPMC4023159

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.