Research Article

The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder

Volume: 17 Number: April, May, June 2026 June 25, 2026

The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder

Abstract

Objective: Major depressive disorder (MDD) is a psychiatric illness characterized by severe functional impairment arising from biopsychosocial interactions. Understanding biological indicators has gained increasing importance in the diagnosis and treatment of depression. This study aimed to investigate the relationship between hemoglobin (Hb) levels and depression severity in individuals diagnosed with MDD. Methods: This retrospective, cross-sectional study included 80 patients diagnosed with MDD according to DSM-5 criteria who were hospitalized in a psychiatry clinic between 2023 and 2025. Sociodemographic and clinical data were obtained retrospectively from patient files. Depression severity was assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). The relationship between Hb level and depression severity was analyzed using Spearman correlation, and associations with depression severity were evaluated using multiple linear regression analysis. Results: The mean age of participants was 38.13 ± 12.76 years, and 66. 25% were female. The mean MADRS score was 30.24 ± 7.50, and the mean Hb level was 12.97 ± 2.12 g/dL. Correlation analysis revealed a significant negative relationship between Hb level and depression severity (ρ = –0.278, p = 0.013). Regression analysis suggested that Hb level may be associated with depression severity(B = –1.47, p = 0.002). Conclusion: The findings suggest that lower Hb levels may be associated with greater depression severity. These results may indicate a potential relationship between hematological parameters and the biological aspects of depression. However, due to the retrospective cross-sectional design of the study, no causal inferences can be made regarding the relationship between Hb levels and depressive symptoms. Future prospective studies with larger samples may help to further clarify the association between Hb levels, anemia-related parameters, and depression severity.

Keywords

References

  1. 1. World Health Organization. Global burden of disease: 2004 update. Geneva: WHO; 2008.
  2. 2. Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Front Psychiatry. 2018;9:450. https://doi.org/10.3389/fpsyt.2018.00450
  3. 3. Hansson L. Quality of life in depression and anxiety. Int Rev Psychiatry. 2002;14(3):185–189.
  4. 4. Ipsiroglu OS, Pandher PK, Hill O, et al. Iron deficiency and restless sleep/wake behaviors in neurodevelopmental disorders and mental health conditions. Nutrients. 2024;16(18):3064.
  5. 5. Ahmed T, Lamoureux-Lamarche C, Berbiche D, Vasiliadis HM. The association between anemia and depression in older adults and the role of treating anemia. Brain Behav. 2023;13(5):e2973. https://doi. org/10.1002/brb3.2973
  6. 6. Vulser H, Wiernik E, Hoertel N, et al. Association between depression and anemia in otherwise healthy adults. Acta Psychiatr Scand. 2016;134(2):150–160. https://doi.org/10.1111/acps.12595
  7. 7. Chung MH, Chang WP. Correlation between hemoglobin levels and depression in late-stage cancer patients with irritability as mediating variable. Eur J Oncol Nurs. 2023;67:102414. https://doi.org/10.1016/j. ejon.2023.102414
  8. 8. Shafi M, Taufiq F, Mehmood H, et al. Relation between depressive disorder and iron deficiency anemia among adults reporting to a secondary healthcare facility: a hospital-based case-control study. J Coll Physicians Surg Pak. 2018;28(6):456–459.

Details

Primary Language

English

Subjects

Psychiatry

Journal Section

Research Article

Publication Date

June 25, 2026

Submission Date

March 4, 2026

Acceptance Date

June 1, 2026

Published in Issue

Year 2026 Volume: 17 Number: April, May, June 2026

APA
Aydın, S., Eser, B., & Akar, S. (2026). The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 17(April, May, June 2026). https://doi.org/10.31067/acusaglik.1902063
AMA
1.Aydın S, Eser B, Akar S. The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder. Acibadem Univ Saglik Bilim Derg. 2026;17(April, May, June 2026). doi:10.31067/acusaglik.1902063
Chicago
Aydın, Sare, Burcu Eser, and Soner Akar. 2026. “The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients With Major Depressive Disorder”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 (April, May, June 2026). https://doi.org/10.31067/acusaglik.1902063.
EndNote
Aydın S, Eser B, Akar S (June 1, 2026) The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 April, May, June 2026
IEEE
[1]S. Aydın, B. Eser, and S. Akar, “The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder”, Acibadem Univ Saglik Bilim Derg, vol. 17, no. April, May, June 2026, June 2026, doi: 10.31067/acusaglik.1902063.
ISNAD
Aydın, Sare - Eser, Burcu - Akar, Soner. “The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients With Major Depressive Disorder”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17/April, May, June 2026 (June 1, 2026). https://doi.org/10.31067/acusaglik.1902063.
JAMA
1.Aydın S, Eser B, Akar S. The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder. Acibadem Univ Saglik Bilim Derg. 2026;17. doi:10.31067/acusaglik.1902063.
MLA
Aydın, Sare, et al. “The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients With Major Depressive Disorder”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol. 17, no. April, May, June 2026, June 2026, doi:10.31067/acusaglik.1902063.
Vancouver
1.Sare Aydın, Burcu Eser, Soner Akar. The Relationship Between Hemoglobin Levels and Depression Severity in Inpatients with Major Depressive Disorder. Acibadem Univ Saglik Bilim Derg. 2026 Jun. 1;17(April, May, June 2026). doi:10.31067/acusaglik.1902063