Association between social isolation and inflammatory markers in depressed and non-depressed individuals: results from the MONICA/KORA study.

Hafner, S; Emeny, RT; Lacruz, ME; Baumert, J; Herder, C; Koenig, W; Thorand, B; Ladwig, KH

doi:10.1016/j.bbi.2011.06.017

2011

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Titel:: Association between social isolation and inflammatory markers in depressed and non-depressed individuals: results from the MONICA/KORA study.
Dokumenttyp:: Journal Article; Research Support, Non-U.S. Gov't; nicht gelistet
Autor(en):: Hafner, S; Emeny, RT; Lacruz, ME; Baumert, J; Herder, C; Koenig, W; Thorand, B; Ladwig, KH
Abstract:: Depressed individuals not only suffer from chronic low grade inflammation, but also exhibit an inflammatory hyper-responsiveness to acute stress. We investigate whether chronic stress also induces an exaggerated inflammatory response in individuals with increased depression features. As model for chronic stress, social isolation was chosen.Interleukin (IL)-6 and hs-CRP levels were assessed in 1547 subjects (847 men and 700 women), derived from the population-based MONICA/KORA study. Standardized questionnaires were used to assess depressed mood (depression and exhaustion subscale) and social isolation (social network index). The relationship between the two inflammatory markers, social isolation and depressed mood was examined taking into account interactions social isolation × depressed mood using multivariable linear regression models, adjusted for age, BMI, smoking, alcohol, and physical activity. Analyses were performed in men and women separately.We observed a significant interaction between depressed mood and social isolation regarding IL-6 and hs-CRP, respectively in men (p-value=0.02 for IL-6 and <0.01 for hs-CRP), evidencing a substantial synergistic effect of social isolation, and depressed mood on inflammatory responses. Furthermore, depressed and socially isolated men had highly significantly elevated IL-6 levels (geometric mean: 3.76 vs. 1.92 pg/ml, p-value <0.01) and heightened hs-CRP levels (geometric mean: 2.01 vs. 1.39 mg/l, p=0.08) in comparison with non-depressed and socially integrated men. In women, no significant associations were seen.The interaction of depressed mood and social isolation elicits a substantial synergistic impact on inflammatory markers in men, but not in depressed women.
Zeitschriftentitel:: Brain Behav Immun
Jahr:: 2011
Band / Volume:: 25
Heft / Issue:: 8
Seitenangaben Beitrag:: 1701-7
Sprache:: eng
Volltext / DOI:: doi:10.1016/j.bbi.2011.06.017
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/21756997
Print-ISSN:: 0889-1591
TUM Einrichtung:: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie (Prof. Henningsen)2011