Elevated Stress-Hemoconcentration in Major Depression Is Normalized by Antidepressant Treatment: Secondary Analysis from a Randomized, Double-Blind Clinical Trial and Relevance to Cardiovascular Disease Risk
2008

Stress and Blood Changes in Major Depression

Sample size: 146 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wong Ma-Li, Dong Chuanhui, Esposito Karin, Thakur Sarika, Liu Weiqing, Elashoff Robert M., Licinio Julio

Primary Institution: University of Miami

Hypothesis

Subjects with MDD would exhibit hematological and hemorheologic measures compatible with stress-hemoconcentration, and that these measures would improve with successful antidepressant treatment.

Conclusion

Antidepressant treatment improves hemorheologic measures of stress-hemoconcentration in individuals with mild to moderate major depressive disorder.

Supporting Evidence

  • MDD subjects had significantly increased hemorheologic measures compared to controls.
  • Measures of stress-hemoconcentration improved significantly after 8 weeks of antidepressant treatment.
  • Improvements in blood measures were correlated with decreased severity of depression.

Takeaway

People with depression have thicker blood due to stress, but taking antidepressants can help make their blood thinner again.

Methodology

Secondary analysis of data from a randomized, double-blind trial comparing antidepressant treatment response in MDD subjects and controls.

Potential Biases

Potential bias due to the exclusion of certain groups and the focus on a single ethnic group.

Limitations

The study did not directly measure fluid and food intake, and smoking habits were not collected for all participants.

Participant Demographics

146 Mexican-American outpatients aged 19–65 with mild to moderate major depression.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95%CI=0.77–0.93

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0002350

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