The relationship between subtypes of depression and cardiovascular disease: a systematic review of biological models

被引：0
作者：
B T Baune
M Stuart
A Gilmour
H Wersching
W Heindel
V Arolt
K Berger
机构：
[1] Discipline of Psychiatry,Department of Psychiatry and Psychotherapy
[2] School of Medicine,undefined
[3] University of Adelaide,undefined
[4] Discipline of Psychiatry,undefined
[5] School of Medicine,undefined
[6] James Cook University,undefined
[7] Institute of Epidemiology and Social Medicine,undefined
[8] University of Muenster,undefined
[9] Institute of Clinical Radiology,undefined
[10] University Hospital Muenster,undefined
[11] University of Muenster,undefined
来源：
Translational Psychiatry | 2012年 / 2卷
关键词：
biological mechanisms; cardiovascular disease; endothelial dysfunction; inflammation; subtypes of depression;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：e92 / e92
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