Evidence map›Paper›PMID 29458196›Full record

ArticleBrain, behavior, and immunity2018

Within-subject associations between inflammation and features of depression: Using the flu vaccine as a mild inflammatory stimulus.

Kate R Kuhlman, Theodore F Robles, Larissa N Dooley, Chloe C Boyle, Marcie D Haydon, Julienne E Bower

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05654441 (Low-grade Inflammatory Challenge and Social Behavior), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% of its field
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.

NCT05654441 phase4completednot on this mapstarted 2022, after this paper: background citation

Low-grade Inflammatory Challenge and Social Behavior

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2022 to 2023Enrolled104ConditionsPsychology, Social, Inflammation, Defeat, Social, Interaction, SocialArmsInfluenza vaccine, Placebo
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Examining the impact of total sleep duration on daily affect among short-sleeping adolescents: an experimental study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
    Trial
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  7. Negative affect and peripheral inflammation: The role of cognitive reappraisal and expressive suppression.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  8. Review
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  10. Review
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  13. Neuroinflammation in the Amygdala Is Associated With Recent Depressive Symptoms.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2023
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  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kate R KuhlmanDepartment of Psychology and Social Behavior, University of California Irvine, Irvine, CA 92697, United States; Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA 90095, United States. Electronic address: krkuhlman@ucla.edu.
Theodore F RoblesUniversity of California Los Angeles, Department of Psychology, Los Angeles, CA 90095, United States.
Larissa N DooleyUniversity of California Los Angeles, Department of Psychology, Los Angeles, CA 90095, United States.
Chloe C BoyleUniversity of California Los Angeles, Department of Psychology, Los Angeles, CA 90095, United States.
Marcie D HaydonUniversity of California Los Angeles, Department of Psychology, Los Angeles, CA 90095, United States.
Julienne E BowerCousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA 90095, United States; University of California Los Angeles, Department of Psychology, Los Angeles, CA 90095, United States.
University of California, Los Angeles · USUniversity of California, Irvine · US

Funding

PREVENTION RESEARCH TRAINING:URBAN CHILDREN'S MENT HLTHT32MH015750 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHRISTINE DUNKEL SCHETTER · 1985 to 2026
$6.2M
Behavioral and inflammatory responses to stress: Implications for depression in youth exposed to adversityK08MH112773 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KUHLMAN, KATE RYAN · 2017 to 2021
$862k
NIMH NIH HHS K08 MH112773NIMH NIH HHS T32 MH015750
6 · The paper itself

Abstract

backgroundInflammation plays a role in mood and behavior that may be relevant to identifying risk factors and treatment for depression and other stress-related illnesses. The purpose of this study was to examine whether fluctuations in inflammation following a mild immune stimulus were associated with changes in daily reported features of depression for up to a week in a healthy sample of young adults.

methodsForty-one undergraduate students completed daily diaries of mood, feelings of social disconnection, sleep, and physical symptoms for one week before and after receiving the seasonal influenza vaccine. Circulating plasma interleukin-6 (IL-6) was measured via blood samples taken immediately before and one day after vaccination.

resultsThere was a significant increase in circulating IL-6 from pre- to post-intervention (p = .008), and there was significant variability in the magnitude of IL-6 change. Greater increases in IL-6 were associated with greater mood disturbance on post-vaccine days, specifically depressed mood and cognitive symptoms.

conclusionsMinor increases in inflammation were associated with corresponding increases in features of depression, and these associations occurred in the absence of any physical symptoms. The influenza vaccine could be used to probe causal relationships with a high degree of ecological validity, even in high-risk and vulnerable populations, to better understand the role of inflammation in the pathogenesis of depression.

Indexed as

AdolescentAffectDepressionFemaleHumansIllness BehaviorInflammationInfluenza VaccinesInterleukin-6MaleYoung AdultInfluenza VaccinesInterleukin-6DepressionIL-6InflammationInfluenza vaccineInterleukin-6MoodSickness behavior

Identifiers

PMID29458196
PMCPMC5857469
OpenAlexW2790622040

What OpenQuestion holds

Textmetadata
LicenceTDM
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.