The relationship between high sensitive C-Reactive protein levels and treatment response in patients with major depression Majör depresyonda hassas c-Reaktif protein düzeyleri ve tedavi ile i̇lişkisi


Yanik M., EREL Ö., Altindaǧ A., Kati M.

Klinik Psikofarmakoloji Bulteni, vol.14, no.1, pp.9-13, 2004 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 2004
  • Journal Name: Klinik Psikofarmakoloji Bulteni
  • Journal Indexes: Scopus
  • Page Numbers: pp.9-13
  • Keywords: Acute phase response, C-reactive protein, Depression, High sensitive C reactive protein, hs-CRP
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

Objective: Many previous studies conducted about the levels of C-reactive protein (CRP) in patients with ajar depression presented contradictory results which ight be a result of limitations in measurement of serum levels of CRP. However, even minor alterations of CRP levels can be determined with using recently developed high sensitive CRP (hs-CRP) measurement method. Till now, there have not been any studies investigating for CRP levels in major depressive patients using hs-CRP method. The aim of this study was to determine serum hs-CRP levels in patients with major depression who were treated with various antidepressants and to compare with those of healthy controls. Methods: Twenty-three patients who are diagnosed clinically as major depression and 26 healthy controls were included in this study. The severity of the depression was quantified with 17-item Hamilton Depression Rating Scale (HAM-D). Serum hs-CRP levels were measured before and after antidepressant treatment of eight weeks. Results: Serum hs-CRP levels were found as 0.75 ± 0.34 mg/dl and 0.76 ± 0.48 mg/dl before and after treatment respectively in major depression group. The difference was not statistically significant according to paired samples T test (p>0.05). The level of healthy group was 0.71 ± 0.49 mg/dl and the difference between control group and major depression group was also insignificant (p>0.05). Discussion: The results of this study showed that serum CRP levels in major depressive patients as measured with hs-CRP measurement method - a 30 fold more sensitive method for CRP serum levels than the methods used in previous studies-do not show any significant differences from healthy control group and do not change in quantity with various antidepressant treatments.