Cristin-resultat-ID: 1744239
Sist endret: 26. november 2020, 13:41
NVI-rapporteringsår: 2019
Resultat
Vitenskapelig artikkel
2020

Cytokine concentrations are related to level of mental distress in inpatients not using anti-inflammatory drugs

Bidragsytere:
  • Helge Prytz Toft
  • Lars Lien
  • Sudan Prasad Neupane
  • Dawit Shawel Abebe
  • Terje Tilden
  • Bruce E. Wampold
  • mfl.

Tidsskrift

Acta Neuropsychiatrica
ISSN 0924-2708
e-ISSN 1601-5215
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2019
Trykket: 2020
Volum: 32
Hefte: 1
Open Access

Importkilder

Scopus-ID: 2-s2.0-85077802295

Beskrivelse Beskrivelse

Tittel

Cytokine concentrations are related to level of mental distress in inpatients not using anti-inflammatory drugs

Sammendrag

Objective: Cross-sectional data show elevated levels of circulating cytokines in psychiatric patients. The literature is divided concerning anti-inflammatory drugs' ability to relieve symptoms, questioning a causal link between inflammatory pathways and psychiatric conditions. We hypothesised that the development of circulating cytokine levels is related to mental distress, and that this relationship is affected by the use of anti-inflammatory drugs. Methods: The study was a longitudinal assessment of 12-week inpatient treatment at Modum Bad Psychiatric Center, Norway. Sera and self-reported Global Severity Index (GSI) scores, which measure psychological distress, were collected at admission (T0), halfway (T1) and before discharge (T2). Other variables known to distort the neuroimmune interplay were included. These were age, gender, diagnosis of PTSD, antidepressants and anti-inflammatory drugs. A total of 128 patients (92 women and 36 men) were included, and 28 were using anti-inflammatory medication. Multilevel modelling was used for data analysis. Results: Patients with higher levels of IL-1RA and MCP-1 had higher GSI scores (p = 0.005 and p = 0.020). PTSD patients scored higher on GSI than non-PTSD patients (p = 0.002). These relationships were mostly present among those not using anti-inflammatory drugs (n = 99), with higher levels of IL-1RA and MCP-1 being related to higher GSI score (p = 0.023 and 0.018, respectively). Again, PTSD patients showed higher GSI levels than non-PTSD patients (p = 0.014). Conclusions: Cytokine levels were associated with level of mental distress as measured by the GSI scores, but this relationship was not present among those using anti-inflammatory drugs. We found no association between cytokine levels and development of GSI score over time. Keywords: PTSD; anti-inflammatory agents; cytokines; depression; inflammation.

Bidragsytere

Helge Prytz Toft

  • Tilknyttet:
    Forfatter
    ved Klinikk psykisk helse og avhengighet ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
Aktiv cristin-person

Lars Lien

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Institutt for helse- og sykepleievitenskap ved Høgskolen i Innlandet
Aktiv cristin-person

Sudan Prasad Neupane

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Senter for rus- og avhengighetsforskning ved Universitetet i Oslo

Dawit Shawel Abebe

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Terje Tilden

  • Tilknyttet:
    Forfatter
    ved Modum Bad
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