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Inflammation, C-reactive protein, and cardiovascular disease: moving past the marker versus mediator debate.炎症、C反应蛋白与心血管疾病：超越标志物与介质之争
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Psychological resources are associated with reduced incidence of coronary heart disease. An 8-year follow-up of a community-based Swedish sample.心理资源与冠心病发病率降低相关。对瑞典一个社区样本进行的8年随访。
Int J Behav Med. 2015 Feb;22(1):77-84. doi: 10.1007/s12529-014-9387-5.
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Elevated C-reactive protein levels, psychological distress, and depression in 73, 131 individuals.在 73131 个人中，C 反应蛋白水平升高、心理困扰和抑郁。
JAMA Psychiatry. 2013 Feb;70(2):176-84. doi: 10.1001/2013.jamapsychiatry.102.
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Psychosomatics. 2012 Jul-Aug;53(4):303-18. doi: 10.1016/j.psym.2012.04.004.
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Optimism in relation to inflammation and endothelial dysfunction in older men: the VA Normative Aging Study.老年人炎症和内皮功能障碍与乐观情绪的关系：VA 规范老龄化研究。
Psychosom Med. 2011 Oct;73(8):664-71. doi: 10.1097/PSY.0b013e3182312497. Epub 2011 Sep 23.
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Openness and conscientiousness predict 34-week patterns of Interleukin-6 in older persons.开放性和尽责性可预测老年人白细胞介素-6 在 34 周时的变化模式。
Brain Behav Immun. 2011 May;25(4):667-73. doi: 10.1016/j.bbi.2011.01.003. Epub 2011 Jan 15.
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Psychological and social factors in coronary heart disease.冠心病的心理和社会因素。
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The impact of depression in heart disease.抑郁症对心脏病的影响。
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Association of optimism and pessimism with inflammation and hemostasis in the Multi-Ethnic Study of Atherosclerosis (MESA).多民族动脉粥样硬化研究（MESA）中乐观和悲观与炎症和止血的关系。
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Inflammation in atherosclerosis: from pathophysiology to practice.动脉粥样硬化中的炎症：从病理生理学到实践。
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在一个中年社区样本中，心理资源与炎症标志物独立相关。

Psychological Resources Are Independently Associated with Markers of Inflammation in a Middle-Aged Community Sample.

作者信息

Marteinsdottir Ina, Ernerudh Jan, Jonasson Lena, Kristenson Margareta, Garvin Peter

机构信息

Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, 581 83, Linköping, Sweden.

Department of Medical and Health Sciences, Division of Cardiovascular Medicine, Linköping University, Linköping, Sweden.

出版信息

Int J Behav Med. 2016 Oct;23(5):611-20. doi: 10.1007/s12529-016-9553-z.

DOI:10.1007/s12529-016-9553-z
PMID:26979423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5031719/
Abstract

PURPOSE

To elucidate possible independent associations of psychological resources with inflammatory markers, all linked with coronary heart disease (CHD).

METHOD

In a middle-aged general population (n = 944), psychological resources (coping, self-esteem, and sense of coherence (SOC)), a global measure of quality of life (Cantril's self-anchoring ladder, also called "ladder of life"), and psychological risk factors (hopelessness, vital exhaustion, and depressive symptoms) were used in linear regression models to evaluate associations with the inflammatory markers interleukin (IL)-6, C-reactive protein (CRP), and matrix metalloproteinase (MMP)-9. Adjustments were done for age, sex, medical conditions, and cardiovascular risk factors.

RESULTS

After full adjustments, self-esteem was independently associated with all three biomarkers. Ladder of life was associated with IL-6 and log-CRP; coping, vital exhaustion, and depressive symptoms with IL-6; and SOC with MMP-9 (p < 0.05 for all associations).

CONCLUSION

Numerous significant associations of psychological resources and risk factors with IL-6, CRP, and MMP-9 were found in a community-based sample. The associations of psychological resources were mostly independent, while the psychological risk factors seemed preferentially dependent on lifestyle factors as smoking, physical activity, and body mass index (BMI). This suggests that the psychological resources' (in particular self-esteem) protective effects on CHD are linked to inflammatory markers.

摘要

目的

阐明心理资源与炎症标志物之间可能存在的独立关联，这些均与冠心病（CHD）相关。

方法

在一个中年普通人群（n = 944）中，心理资源（应对方式、自尊和连贯感（SOC））、生活质量的整体衡量指标（坎特里尔自我定位阶梯，也称为“生活阶梯”）以及心理风险因素（绝望感、倦怠和抑郁症状）被纳入线性回归模型，以评估与炎症标志物白细胞介素（IL）-6、C反应蛋白（CRP）和基质金属蛋白酶（MMP）-9的关联。对年龄、性别、医疗状况和心血管风险因素进行了校正。

结果

经过全面校正后，自尊与所有三种生物标志物均独立相关。生活阶梯与IL-6和对数CRP相关；应对方式、倦怠和抑郁症状与IL-6相关；SOC与MMP-9相关（所有关联p < 0.05）。

结论

在一个基于社区的样本中发现了心理资源和风险因素与IL-6、CRP和MMP-9之间的众多显著关联。心理资源的关联大多是独立的，而心理风险因素似乎优先依赖于生活方式因素，如吸烟、体育活动和体重指数（BMI）。这表明心理资源（特别是自尊）对冠心病的保护作用与炎症标志物有关。