Evidence map›Paper›PMID 31695383›Full record

ArticleNeuropsychiatric disease and treatment2019

The association between cortisol:C-reactive protein ratio and depressive fatigue is a function of CRP rather than cortisol.

Christopher F Sharpley, Vicki Bitsika, Mary E McMillan, Emmanuel Jesulola, Linda L Agnew

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 35% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. C-reactive protein and fatigue after subarachnoid haemorrhage.Brain, behavior, & immunity - health · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Review
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

5 authors at 1 institution in 1 country.

Christopher F SharpleyBrain-Behaviour Research Group, University of New England, Armidale, NSW 2351, Australia.
Vicki BitsikaBrain-Behaviour Research Group, University of New England, Armidale, NSW 2351, Australia.
Mary E McMillanBrain-Behaviour Research Group, University of New England, Armidale, NSW 2351, Australia.
Emmanuel JesulolaEmergency Department, Bathurst Base Hospital, Bathurst, NSW 2795, Australia.
Linda L AgnewBrain-Behaviour Research Group, University of New England, Armidale, NSW 2351, Australia.
University of New England · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHormonal and inflammatory factors have been suggested as potentially influencing depressive state and depressive symptoms, but rarely compared for their relative contribution to these states and to specific depressive symptoms. This study examined cortisol:C-reactive protein (CRP) ratio, plus cortisol and CRP separately, as correlates of global depression and fatigue-related depression. PATIENTS AND

methodsOne hundred and twenty-six community volunteers from rural Australia provided saliva and serum samples, and also completed a depression inventory.

resultsThere was a significant correlation between cortisol:CRP ratio and depression-related fatigue, and this resolved to the effects of CRP rather than cortisol. Most of the variance in this association came from patients who were "depressed", and there were no significant gender associations.

conclusionInflammation, rather than HPA-axis activity, was associated with depression-related fatigue, supporting a model that places inflammation as a contributor to one of the major symptoms and predictors of depression. Individualization of therapy for depression-related fatigue in chronically stressed or physically ill patients might benefit from future research into cytokine therapy.

Indexed as

cortisolCRPdepressionfatigue

Identifiers

PMID31695383
PMCPMC6717724
OpenAlexW2970466358

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.