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Type: Journal article
Title: The relationship between subtypes of depression and cardiovascular disease: A systematic review of biological models
Author: Baune, B.
Stuart, M.
Gilmour, A.
Wersching, H.
Heindel, W.
Arolt, V.
Berger, K.
Citation: Translational Psychiatry, 2012; 2(3):1-18
Publisher: Nature Publishing Group
Issue Date: 2012
ISSN: 2158-3188
Statement of
BT Baune, M Stuart, A Gilmour, H Wersching, W Heindel, V Arolt and K Berger
Abstract: A compelling association has been observed between cardiovascular disease (CVD) and depression, suggesting individuals with depression to be at significantly higher risk for CVD and CVD-related mortality. Systemic immune activation, hypothalamic–pituitary–adrenal (HPA) axis hyperactivity, arterial stiffness and endothelial dysfunction have been frequently implicated in this relationship. Although a differential epidemiological association between CVD and depression subtypes is evident, it has not been determined if this indicates subtype specific biological mechanisms. A comprehensive systematic literature search was conducted using PubMed and PsycINFO databases yielding 147 articles for this review. A complex pattern of systemic immune activation, endothelial dysfunction and HPA axis hyperactivity is suggestive of the biological relationship between CVD and depression subtypes. The findings of this review suggest that diagnostic subtypes rather than a unifying model of depression should be considered when investigating the bidirectional biological relationship between CVD and depression. The suggested model of a subtype-specific biological relationship between depression and CVDs has implications for future research and possibly for diagnostic and therapeutic processes.
Keywords: biological mechanisms; cardiovascular disease; endothelial dysfunction; inflammation; subtypes of depression
Rights: © 2012 Macmillan Publishers Limited
RMID: 0020117439
DOI: 10.1038/tp.2012.18
Appears in Collections:Psychiatry publications

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