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Inflammation and Depression: A Public Health Perspective.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Chu, Alexander L 
Hickman, Matthew 
Steel, Nicholas 
Jones, Peter B 
Davey Smith, George 

Abstract

The multifaceted role of low-grade systemic inflammation in depression and physical illnesses like cardiovascular disease highlights complex interactions between the body, brain and mind. While current research on inflammation and depression has largely focused on exploring possible disease mechanisms and therapeutic potential, we seek to broaden the current discussion by introducing a public health perspective. In this Viewpoint, we propose that inflammation and its contributing sources could represent important targets for public health strategies aimed at improving both mental and physical health. We discuss potential universal, selective and indicated primary prevention strategies for inflammation-related depression. We consider potential approaches to secondary prevention, including scope for anti-inflammatory treatment and CRP testing for guiding treatment allocation and prognosis. Preventive strategies discussed here could also be relevant for other inflammation-mediated mental health conditions.

Description

Keywords

Depression, Immunopsychiatry, Inflammation, Mental Health, Prevention, Public Health, Depression, Humans, Inflammation, Mental Disorders, Prognosis, Public Health

Journal Title

Brain Behav Immun

Conference Name

Journal ISSN

0889-1591
1090-2139

Volume Title

95

Publisher

Elsevier BV

Rights

All rights reserved
Sponsorship
Wellcome Trust (201486/Z/16/Z)
Medical Research Council (MC_PC_17213)
MQ: Transforming Mental Health (MQDS17\40)
Medical Research Council (MR/S037675/1)
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (RP PG-0616-20003)