Evidence map›Paper›PMID 40979891›Full record

ArticlePLOS mental health2025

The association between depressive symptoms and antibody response following SARS-CoV-2 vaccination among central North Carolina residents.

Caitlin A Cassidy, Jessie K Edwards, Annika K Gunderson, Haley Abernathy, Haley E Garrett, Elise King, Cherese N Beatty Parker, Anne P Starling, Emily J Ciccone, Ross M Boyce and 2 more

Abstract read
In one paragraph

Article in PLOS mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Caitlin A CassidyDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Jessie K EdwardsDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Annika K GundersonDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Haley AbernathyDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Haley E GarrettDepartment of Genetics, School of Medicine, The University of North Carolina at Chapel Hill, NC.
Elise KingDivision of Infectious Diseases, School of Medicine, The University of North Carolina at Chapel Hill, NC.
Cherese N Beatty ParkerDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
Anne P StarlingDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Emily J CicconeDivision of Infectious Diseases, School of Medicine, The University of North Carolina at Chapel Hill, NC.
Ross M BoyceDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Bonnie E Shook-SaDepartment of Biostatistics, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, NC.
Allison E AielloDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Improved analysis of experiments and observational studies in HIVR01AI157758 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephen R Cole, Jessie Edwards · 2020 to 2026
$5.0M
Training in Infectious Disease Epidemiology (TIDE)T32AI070114 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Brian W Pence · 2007 to 2026
$4.0M
NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI157758NIAID NIH HHS T32 AI070114
6 · The paper itself

Abstract

A large body of research suggests that stress can affect how the immune system responds to vaccines. The impact of mental health disorders on humoral antibody response following immunization is not well understood, particularly for the COVID-19 vaccines. Leveraging a population-based longitudinal cohort assessing SARS-CoV-2 incidence in central North Carolina, we sought to investigate the relationship between mental health and immune response to vaccination. The 106 participants responded to biweekly surveys and contributed monthly serum samples that underwent SARS-CoV-2 spike antibody testing via enzyme-linked immunosorbent assay (ELISA). Utilizing weighted generalized linear models, we measured the association between depressive symptoms as recorded on the CESD-20 and quantitative antibody levels after COVID-19. Overall, we found modest differences in post-vaccination IgG between participants with depression and those without. Individuals with depressive symptoms had smaller initial antibody responses after vaccination (mean difference = -3.55, 95% CI = (-12.01, 4.90)). These results suggest that mental health disorders may affect immune response to vaccination.

Indexed as

antibodyCOVID-19depressive symptomsSARS-CoV-2

Identifiers

PMID40979891
PMCPMC12448651

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Registered trials

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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.