Page last updated: 2024-10-23

aspirin and Depressive Disorder

aspirin has been researched along with Depressive Disorder in 14 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Depressive Disorder: An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.

Research Excerpts

ExcerptRelevanceReference
"High total plasma homocysteine (tHcy) is associated with increased risk of cardiovascular events and depression."7.78Aspirin decreases the risk of depression in older men with high plasma homocysteine. ( Alfonso, H; Almeida, OP; Flicker, L; Hankey, GJ; McCaul, K; Yeap, BB, 2012)
"Combining aspirin or nonsteroidal anti-inflammatory drugs with SSRIs for the treatment of interferon-associated neuropsychiatric side effects increases the risks of hemorrhage in patients with HCV who have developed cirrhosis and either portal hypertension or hepatic failure or both."6.20A critical review of selective serotonin reuptake inhibitor-associated bleeding: balancing the risk of treating hepatitis C-infected patients. ( Auriacombe, M; Chang, KM; Lewis, JD; Lynch, KG; Weinrieb, RM, 2003)
"To investigate whether continued use of non-aspirin NSAID, low-dose aspirin, high-dose aspirin, statins, allopurinol and angiotensin agents decreases the rate of incident depression using Danish nationwide population-based registers."3.91New drug candidates for depression - a nationwide population-based study. ( Andersen, PK; Berk, M; Ekstrøm, CT; Gerds, TA; Kessing, LV; Rytgaard, HC, 2019)
"High total plasma homocysteine (tHcy) is associated with increased risk of cardiovascular events and depression."3.78Aspirin decreases the risk of depression in older men with high plasma homocysteine. ( Alfonso, H; Almeida, OP; Flicker, L; Hankey, GJ; McCaul, K; Yeap, BB, 2012)
" All patients were prescribed a twice-per-day regimen of low dose aspirin to reduce their risk for myocardial infarction."3.69Major depression and medication adherence in elderly patients with coronary artery disease. ( Carney, RM; Eisen, SA; Freedland, KE; Jaffe, AS; Rich, MW, 1995)
"In many individuals with major neuropsychiatric disorders including depression, bipolar disorder and schizophrenia, their disease characteristics are consistent with a neuroprogressive illness."2.49Putative neuroprotective agents in neuropsychiatric disorders. ( Anderson, G; Berk, M; Dean, OM; Dodd, S; Maes, M; Moylan, S, 2013)
"Aspirin use was defined through self-report in the past 30 days and confirmed by a trained interviewer."1.48Aspirin and incident depressive symptoms: A longitudinal cohort study over 8 years. ( Carvalho, AF; Fernandes, BS; Fornaro, M; Koyanagi, A; Maggi, S; Mueller, C; Solmi, M; Stubbs, B; Thompson, T; Veronese, N, 2018)
"Although depressive disorders have been associated with increased risk of worse outcomes with cardiovascular diseases (CVDs), its relation with access to and quality of cardiovascular care is not well studied."1.48Impact of Depressive Disorder on Access and Quality of Care in Veterans With Prevalent Cardiovascular Disease. ( Butler, J; Lacey, M; Parikh, PB; Shroyer, AL; Srivastava, P, 2018)
"In patients with migraine, ECT may be expected to trigger a migraine attack, probably in the same way as spontaneous seizures."1.29Migraine after electroconvulsive therapy. ( Folkerts, H, 1995)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (21.43)18.2507
2000's3 (21.43)29.6817
2010's8 (57.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Wium-Andersen, IK1
Wium-Andersen, MK1
Jørgensen, MB1
Osler, M1
Veronese, N1
Koyanagi, A1
Stubbs, B1
Solmi, M1
Fornaro, M1
Fernandes, BS1
Mueller, C1
Thompson, T1
Carvalho, AF1
Maggi, S1
Srivastava, P1
Butler, J1
Shroyer, AL1
Lacey, M1
Parikh, PB1
Kessing, LV1
Rytgaard, HC1
Gerds, TA1
Berk, M2
Ekstrøm, CT1
Andersen, PK1
Bauer, IE1
Green, C1
Colpo, GD1
Teixeira, AL1
Selvaraj, S1
Durkin, K1
Zunta-Soares, GB1
Soares, JC1
Zafar, MU1
Paz-Yepes, M1
Shimbo, D1
Vilahur, G1
Burg, MM1
Chaplin, W1
Fuster, V1
Davidson, KW1
Badimon, JJ1
Almeida, OP1
Flicker, L1
Yeap, BB1
Alfonso, H1
McCaul, K1
Hankey, GJ1
Dodd, S1
Maes, M1
Anderson, G1
Dean, OM1
Moylan, S1
Weinrieb, RM1
Auriacombe, M1
Lynch, KG1
Chang, KM1
Lewis, JD1
Serebruany, VL1
Carney, RM1
Freedland, KE1
Eisen, SA1
Rich, MW1
Jaffe, AS1
Folkerts, H1
Shad, MU1
Harvey, AT1
Lucot, JB1
Juárez-Olguín, H1
Jung-Cook, H1
Flores-Pérez, J1
Lares-Asseff, I1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
ANGIOTENSIN AGENTS AND REDUCTION OF THE PRESCRIPTION OF ANTIDEPRESSANT DRUGS: A RETROSPECTIVE COHORT STUDY USING REAL-WORLD DATA[NCT04899206]120 participants (Anticipated)Observational [Patient Registry]2021-04-12Active, not recruiting
A Double-blind Randomized Placebo-controlled Study of Aspirin and N-acetyl Cysteine as Adjunctive Treatments for Bipolar Disorder Patients (SMRI 11T-009)[NCT01797575]Phase 238 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients Demonstrating a > 30% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. This 30% MADRS reduction was analyzed in addition to initial outcome measures of 50% MADRS reduction due to the smaller than expected study sample size. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 0 to week 8 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin2
N-Acetyl Cysteine (NAC)6
Placebo7

Number of Patients Demonstrating a > 30% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. This 30% MADRS reduction was analyzed in addition to initial outcome measures of 50% MADRS reduction due to the smaller than expected study sample size. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 9 to week 16 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC4
Aspirin3
N-Acetyl Cysteine (NAC)3
Placebo4

Number of Patients Demonstrating a > 50% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 0 to week 8 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin2
N-Acetyl Cysteine (NAC)5
Placebo6

Number of Patients Demonstrating a > 50% Decrease in Depression Scores on the Montgomery-Åsberg Depression Rating Scale (MADRS)

The MADRS is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. The questionnaire includes questions on the following symptoms: 1. Apparent sadness; 2. Reported sadness; 3. Inner tension; 4. Reduced sleep; 5. Reduced appetite; 6. Concentration difficulties; 7. Lassitude; 8. Inability to feel; 9. Pessimistic thoughts; and 10. Suicidal thoughts. (NCT01797575)
Timeframe: Received drug for 8 weeks during week 9 to week 16 of the study

InterventionParticipants (Count of Participants)
Aspirin and NAC3
Aspirin1
N-Acetyl Cysteine (NAC)3
Placebo4

Inflammation as Indicated by C-reactive Protein (CRP) Levels

C-reactive protein (CRP) levels are blood test markers of inflammation. Higher CRP corresponds with higher levels of inflammation. CRP is measured in milligrams per liter. (NCT01797575)
Timeframe: baseline, week 8, week 16

,,,
Interventionmilligrams per liter (Mean)
CRP at BaselineCRP at Week 8CRP at Week 16
Aspirin6.856.8210.76
Aspirin and NAC5.117.029.39
N-acetyl-cysteine17.6541.0917.69
Sugar Pill17.307.413.10

Inflammation as Indicated by Interleukin 6 (IL-6) Levels

Interleukin 6 (IL-6) is an interleukin that acts as a pro-inflammatory cytokine and an anti-inflammatory myokine. IL-6 is measured in picograms (pg) per milliliter (mL). Elevated interleukin-6 indicates potential immune system dysregulation and increased inflammation. (NCT01797575)
Timeframe: baseline, week 8, week 16

,,,
Interventionpicograms per milliliter (Mean)
IL-6 at BaselineIL-6 at Week 8IL-6 at Week 16
Aspirin1.27.78.90
Aspirin and NAC.851.761.72
N-acetyl-cysteine3.223.532.6
Sugar Pill2.31.871.71

Reviews

3 reviews available for aspirin and Depressive Disorder

ArticleYear
Putative neuroprotective agents in neuropsychiatric disorders.
    Progress in neuro-psychopharmacology & biological psychiatry, 2013, Apr-05, Volume: 42

    Topics: Animals; Aspirin; Bipolar Disorder; Depressive Disorder; Humans; Lithium; Mental Disorders; Nerve Gr

2013
A critical review of selective serotonin reuptake inhibitor-associated bleeding: balancing the risk of treating hepatitis C-infected patients.
    The Journal of clinical psychiatry, 2003, Volume: 64, Issue:12

    Topics: Analgesics; Antidepressive Agents; Antiviral Agents; Aspirin; Depressive Disorder; Drug Interactions

2003
Selective serotonin reuptake inhibitors and increased bleeding risk: are we missing something?
    The American journal of medicine, 2006, Volume: 119, Issue:2

    Topics: Aspirin; Clopidogrel; Depressive Disorder; Drug Interactions; Hemorrhage; Humans; Platelet Aggregati

2006

Trials

2 trials available for aspirin and Depressive Disorder

ArticleYear
A Double-Blind, Randomized, Placebo-Controlled Study of Aspirin and N-Acetylcysteine as Adjunctive Treatments for Bipolar Depression.
    The Journal of clinical psychiatry, 2018, 12-04, Volume: 80, Issue:1

    Topics: Acetylcysteine; Adult; Aged; Analysis of Variance; Anti-Inflammatory Agents, Non-Steroidal; Aspirin;

2018
A critical review of selective serotonin reuptake inhibitor-associated bleeding: balancing the risk of treating hepatitis C-infected patients.
    The Journal of clinical psychiatry, 2003, Volume: 64, Issue:12

    Topics: Analgesics; Antidepressive Agents; Antiviral Agents; Aspirin; Depressive Disorder; Drug Interactions

2003

Other Studies

10 other studies available for aspirin and Depressive Disorder

ArticleYear
Anti-inflammatory treatment and risk for depression after first-time stroke in a cohort of 147 487 Danish patients.
    Journal of psychiatry & neuroscience : JPN, 2017, Volume: 42, Issue:5

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Antidepressive Agents; Aspirin; Denmark; Depressive D

2017
Aspirin and incident depressive symptoms: A longitudinal cohort study over 8 years.
    International journal of geriatric psychiatry, 2018, Volume: 33, Issue:2

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Depressive Disorder; Female; Fibrinolytic Ag

2018
Impact of Depressive Disorder on Access and Quality of Care in Veterans With Prevalent Cardiovascular Disease.
    The American journal of cardiology, 2018, 06-15, Volume: 121, Issue:12

    Topics: Age Distribution; Aged; Angina Pectoris; Antihypertensive Agents; Aspirin; Cardiovascular Diseases;

2018
New drug candidates for depression - a nationwide population-based study.
    Acta psychiatrica Scandinavica, 2019, Volume: 139, Issue:1

    Topics: Adult; Aged; Allopurinol; Angiotensins; Anti-Inflammatory Agents, Non-Steroidal; Antidepressive Agen

2019
Anxiety is a better predictor of platelet reactivity in coronary artery disease patients than depression.
    European heart journal, 2010, Volume: 31, Issue:13

    Topics: Adenosine Diphosphate; Aged; Angina, Unstable; Anxiety Disorders; Aspirin; Clopidogrel; Cross-Sectio

2010
Aspirin decreases the risk of depression in older men with high plasma homocysteine.
    Translational psychiatry, 2012, Aug-14, Volume: 2

    Topics: Aged; Aged, 80 and over; Antidepressive Agents; Aspirin; Australia; Cross-Sectional Studies; Depress

2012
Major depression and medication adherence in elderly patients with coronary artery disease.
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 1995, Volume: 14, Issue:1

    Topics: Aged; Aspirin; Coronary Disease; Depressive Disorder; Dose-Response Relationship, Drug; Female; Huma

1995
Migraine after electroconvulsive therapy.
    Convulsive therapy, 1995, Volume: 11, Issue:3

    Topics: Antidepressive Agents; Aspirin; Combined Modality Therapy; Depressive Disorder; Dose-Response Relati

1995
A possible pharmacokinetic interaction between fluoxetine and acetylsalicylic acid.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:12

    Topics: Adult; Arthralgia; Aspirin; Depressive Disorder; Drug Hypersensitivity; Drug Interactions; Fluoxetin

1997
Adverse effects of imipramine are increased by interaction with ASA in depressed patients.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2000, Volume: 22, Issue:1

    Topics: Adult; Antidepressive Agents, Tricyclic; Aspirin; Depressive Disorder; Drug Interactions; Female; Hu

2000