Evidence map›Paper›PMID 39359158›Full record

ArticleBJPsych open2024

Associations between C-reactive protein and individual symptoms of depression in a lower-middle income country.

Elise Fellows, Brett D M Jones, John Hodsoll, Nusrat Husain, Ameer B Khoso, Allan H Young, Imran B Chaudhry, M Ishrat Husain

Abstract read
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Elise FellowsUniversity of Toronto Temerty Faculty of Medicine, Institute of Medical Science, Toronto, Canada.ORCID https://orcid.org/0009-0002-3649-3882
Brett D M JonesDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Canada.
John HodsollDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Nusrat HusainLancashire & South Cumbria NHS Foundation Trust, London, UK; and Division of Psychology and Mental Health, University of Manchester, UK.
Ameer B KhosoPakistan Institute of Living and Learning, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2026-7952
Allan H YoungCentre for Affective Disorders, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0003-2291-6952
Imran B ChaudhryDivision of Neuroscience and Experimental Psychology, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK; Dow University of Health Sciences, Karachi, Pakistan; and Ziauddin University Hospital, Karachi, Pakistan.
M Ishrat HusainDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Canada; and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.ORCID https://orcid.org/0000-0001-5771-5750

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on associations between inflammation and depressive symptoms largely originate from high income population settings, despite the greatest disease burden in major depressive disorder being attributed to populations in lower-middle income countries (LMICs).

aimsWe assessed the prevalence of low-grade inflammation in adults with treatment-resistant depression (TRD) in Pakistan, an LMIC, and investigated associations between peripheral C-reactive protein (CRP) levels and depressive symptoms.

methodThis is a secondary analysis of two randomised controlled trials investigating adjunctive immunomodulatory agents (minocycline and simvastatin) for Pakistani adults with TRD (

resultsHigh plasma CRP (≥3 mg/L) was detected in 87% (

conclusionsThe prevalence of inflammation in this LMIC sample with TRD was higher than that reported in high income countries. Insomnia and anxiety symptoms may represent possible targets for personalised treatment with immunomodulatory agents in people with elevated CRP. These findings require replication in independent clinical samples.

Indexed as

C-reactive proteininflammationlower-middle income countrymajor depressive disorderPakistan

Identifiers

PMID39359158
PMCPMC11536211

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.