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DEPRESSION IN REPRODUCTIVE-AGE WOMEN: ASSESSMENT OF INFECTIOUS, ENDOCRINOLOGICAL, AND IMMUNOLOGICAL CORRELATES FROM AN EVOLUTIONARY PERSPECTIVE Amber N. Carrier May 11,2012 Depression is one of the most frequent causes of disability worldwide. It can affect the psychological, social, and physical wellbeing of those that suffer from it, the majority of which are women. Depression has been linked to immune activation as well as serotonin depletion through a reduction in its precursor, tryptophan. Chlamydia trachomatis infection and estrogen can influence both the immune system and tryptophan levels, thereby biochemically inducing a depressive state. If this is the case, the use of exogenous estrogen through oral contraceptive pills (OCPs) could increase depressive symptoms, while the use of antibiotics to treat C. trachomatis infection could decrease depression. This thesis examined whether depression status in subjects was correlated with infection and medication use. Women were screened for depression at their annual gynecological exam, during which time they would receive an STI screen as standard of care. The study was conducted at the University of Louisville GYN/OB Foundation clinic and Campus Health Services from 2009-2011. Subjects were given a Beck Depression Inventory (BDI) to assess depressive symptoms and asked to keep a calendar

Depression in reproductive-age women : assessment of infectious, endocrinological, and immunological correlates from an evolutionary perspective.