Associations between mood, anxiety or substance use disorders and inflammatory markers after adjustment for multiple covariates in a population-based study.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_EE3B8321E918
Type
Article: article from journal or magazin.
Collection
Publications
Title
Associations between mood, anxiety or substance use disorders and inflammatory markers after adjustment for multiple covariates in a population-based study.
Journal
Journal of Psychiatric Research
Author(s)
Glaus J., Vandeleur C.L., von Känel R., Lasserre A.M., Strippoli M.P., Gholam-Rezaee M., Castelao E., Marques-Vidal P., Bovet P., Merikangas K., Mooser V., Waeber G., Vollenweider P., Aubry J.M., Preisig M.
ISSN
1879-1379 (Electronic)
ISSN-L
0022-3956
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
58
Pages
36-45
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Inflammation is one possible mechanism underlying the associations between mental disorders and cardiovascular diseases (CVD). However, studies on mental disorders and inflammation have yielded inconsistent results and the majority did not adjust for potential confounding factors. We examined the associations of several pro-inflammatory cytokines (IL-1β, IL-6 and TNF-α) and high sensitive C-reactive protein (hsCRP) with lifetime and current mood, anxiety and substance use disorders (SUD), while adjusting for multiple covariates. The sample included 3719 subjects, randomly selected from the general population, who underwent thorough somatic and psychiatric evaluations. Psychiatric diagnoses were made with a semi-structured interview. Major depressive disorder was subtyped into "atypical", "melancholic", "combined atypical-melancholic" and "unspecified". Associations between inflammatory markers and psychiatric diagnoses were assessed using multiple linear and logistic regression models. Lifetime bipolar disorders and atypical depression were associated with increased levels of hsCRP, but not after multivariate adjustment. After multivariate adjustment, SUD remained associated with increased hsCRP levels in men (β = 0.13 (95% CI: 0.03,0.23)) but not in women. After multivariate adjustment, lifetime combined and unspecified depression were associated with decreased levels of IL-6 (β = -0.27 (-0.51,-0.02); β = -0.19 (-0.34,-0.05), respectively) and TNF-α (β = -0.16 (-0.30,-0.01); β = -0.10 (-0.19,-0.02), respectively), whereas current combined and unspecified depression were associated with decreased levels of hsCRP (β = -0.20 (-0.39,-0.02); β = -0.12 (-0.24,-0.01), respectively). Our data suggest that the significant associations between increased hsCRP levels and mood disorders are mainly attributable to the effects of comorbid disorders, medication as well as behavioral and physical CVRFs.
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Web of science
Create date
09/10/2014 16:08
Last modification date
27/09/2019 7:59
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