Abstract | OBJECTIVE: METHOD: RESULTS: There was a significant positive association of the pro-inflammatory index (added standardized z-scores of pro-inflammatory cytokines IL-1β, IL-6, and TNF-α) with total PTSD symptom severity (ΔR2 = 0.050, p = .029) and re-experiencing symptoms (ΔR2 = 0.088, p = .008), but not avoidance/numbing and hyperarousal symptoms. Analyses were adjusted for the anti-inflammatory index (added standardized z-scores of IL-4, IL-10, and TGF-β1), trauma-focused counseling, sex, age, time since pain onset, troponin, body mass index, and distress during MI. Results were robust when the anti-inflammatory index was removed from the model. Additional analyses showed significant associations of both the net-inflammatory index (i.e., pro-inflammatory index minus anti-inflammatory index) and IL-1β with total PTSD symptom severity, re-experiencing, and hyperarousal symptoms (ΔR2 between 0.042 and 0.090) and of IL-1β with avoidance/numbing symptoms (ΔR2 = 0.050). CONCLUSIONS: The findings suggest an association between the pro-inflammatory state launched during ACS and the development of PTSD symptoms. Increased IL-1β may play a particular role in the pathophysiology of ACS-induced PTSD symptoms.
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Authors | Roland von Känel, Rebecca E Meister-Langraf, Michaela Fux, Laurin Imholz, Aju P Pazhenkottil, Hansjörg Znoj, Jean-Paul Schmid, Claudia Zuccarella-Hackl, Jürgen Barth, Ulrich Schnyder, Mary Princip |
Journal | General hospital psychiatry
(Gen Hosp Psychiatry)
2022 Jan-Feb
Vol. 74
Pg. 58-64
ISSN: 1873-7714 [Electronic] United States |
PMID | 34915233
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Acute Coronary Syndrome
(epidemiology)
- Cytokines
- Female
- Humans
- Male
- Middle Aged
- Myocardial Infarction
- Psychotherapy
- Stress Disorders, Post-Traumatic
(diagnosis)
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