Copyright: © 2025 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Assessment of blood catecholamine and serotonin levels in anxiety and depressive disorders

Solovyova NV1 , Chuprova NA1 , Kochergina KV2 , Mitrofanov AA3 , Chausova SV4 , Kichuk IV4
About authors

1 Scientific Centre of Personalized Medicine, Moscow, Russia

2 Diagnostic and Treatment Center, Berezin Medical Institute, Moscow, Russia

3 Mental Health Research Center, Moscow, Russia

4 Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Irina V. Kichuk
Ostrovityanova, 1, Moscow, 119021, Russia; ur.liam@aniri2liam

About paper

Author contribution: Solovyova NV, Kichuk IV — study concept and design; Solovyova NV, Kochergina KV, Mitrofanov AA, Kichuk IV — material collection and processing; Chuprova NA, Kochergina KV — statistical data processing; Mitrofanov AA, Kichuk IV, Solovyova NV, Kochergina KV — manuscript writing; Mitrofanov AA, Kichuk IV, Solovyova NV, Kochergina KV, Chausova SV — editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Joint Stock Company “Scientific Centre of Personalized Medicine” (protocol No. 33 dated 1 December 2025). The subjects’ personal data were hidden during the study. All the subjects submitted the informed consent for participation in the study.

Received: 2025-10-30 Accepted: 2025-12-08 Published online: 2025-12-19
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In psychiatric practice, there is a need to develop simple, pathogenetically substantiated biomarkers for prediction of the patient’s current affective status and his/ her status short-term perspective. The study aimed to analyze the association of the affective status of patients with mood disorders with the peripheral blood catecholamine and serotonin levels. The Hospital Anxiety and Depression Scale (HADS) was used for affective status evaluation. Concentrations of catecholamines (adrenaline, norepinephrine, and dopamine) in blood plasma and serotonin in blood serum were assessed by high-performance liquid chromatography (HPLC). The study included 114 individuals with affective disorders, the average age was 34.57 (SD = 10.36) years, the share of females was 64%. We revealed no significant prognostic effects of peripheral blood neurotransmitter levels relative to the current affective status. The serotonin/norepinephrine ratio, the increase in which significantly decreases the risk of clinical depression according to HADS-D considering the patient's sex and age (p = 0.059), turned out to be the only marker at the level of trends. In patients diagnosed with recurrent depressive disorder or depressive episode, a slight decrease in serotonin levels (p = 0.068) compared to the patients diagnosed with the disorders beyond the category of mood disorders is reported. In the same group a negative correlation has been found between the HADS-A scores (anxiety) and norepinephrine levels (Rs = ‒0.410, p < 0.05). The findings suggest that it will be possible to confirm the preliminary results obtained and acquire new data in the expanded clinically homogenous samples.

Keywords: catecholamines, anxiety, depression, non-psychotic mental disorders, serotonin, biological markers

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