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Current Psychiatry Reports

, 17:78 | Cite as

Sex Differences in Depression: Does Inflammation Play a Role?

  • Heather M. Derry
  • Avelina C. Padin
  • Jennifer L. Kuo
  • Spenser Hughes
  • Janice K. Kiecolt-Glaser
Women's Mental Health (CN Epperson, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Women's Mental Health

Abstract

Women become depressed more frequently than men, a consistent pattern across cultures. Inflammation plays a key role in initiating depression among a subset of individuals, and depression also has inflammatory consequences. Notably, women experience higher levels of inflammation and greater autoimmune disease risk compared to men. In the current review, we explore the bidirectional relationship between inflammation and depression and describe how this link may be particularly relevant for women. Compared to men, women may be more vulnerable to inflammation-induced mood and behavior changes. For example, transient elevations in inflammation prompt greater feelings of loneliness and social disconnection for women than for men, which can contribute to the onset of depression. Women also appear to be disproportionately affected by several factors that elevate inflammation, including prior depression, somatic symptomatology, interpersonal stressors, childhood adversity, obesity, and physical inactivity. Relationship distress and obesity, both of which elevate depression risk, are also more strongly tied to inflammation for women than for men. Taken together, these findings suggest that women’s susceptibility to inflammation and its mood effects may contribute to sex differences in depression. Depression continues to be a leading cause of disability worldwide, with women experiencing greater risk than men. Due to the depression-inflammation connection, these patterns may promote additional health risks for women. Considering the impact of inflammation on women’s mental health may foster a better understanding of sex differences in depression, as well as the selection of effective depression treatments.

Keywords

Inflammation Depression Women Relationships Obesity Childhood adversity 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Heather M. Derry, Jennifer L. Kuo, and Spenser Hughes declare that they have no conflict of interest.

Avelina C. Padin has received a grant from the NIH.

Janice K. Kiecolt-Glaser has received grants from the NIH.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Sources of Funding

Work on this manuscript was supported in part by NIH grants CA172296, CA186251, and CA186720 and a Pelotonia Predoctoral Fellowship from the Ohio State University Comprehensive Cancer Center.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Heather M. Derry
    • 1
    • 2
  • Avelina C. Padin
    • 1
    • 2
  • Jennifer L. Kuo
    • 1
    • 2
  • Spenser Hughes
    • 1
    • 2
  • Janice K. Kiecolt-Glaser
    • 1
    • 2
    • 3
  1. 1.Institute for Behavioral Medicine ResearchThe Ohio State University College of MedicineColumbusUSA
  2. 2.Department of PsychologyThe Ohio State UniversityColumbusUSA
  3. 3.Department of Psychiatry and Behavioral HealthThe Ohio State University College of MedicineColumbusUSA

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