C-反应蛋白与抑郁症状之间的双向关系,考虑到中国中老年人和老年人的累积效应
Ningxuan Zhao1, Lin Jiang1, Meijing Hu1
1Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Frontiers in psychiatry
|July 1, 2024
概括
重复出现高C-反应蛋白 (CRP) 和抑郁症状的情形,在中国老年人中显示出双向联系. 累积效应,而不是单个实例,推动了这种关联,这表明双重抗炎和抗抑郁药物策略可能是有益的.
科学领域:
- 生物医学科学 生物医学科学
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 在非西方人群中,对C-反应蛋白 (CRP) 和抑郁症状之间的双向关系的研究是有限的.
- 复发性CRP或抑郁症状的累积效应需要进一步研究.
研究的目的:
- 检查中国成年人中CRP和抑郁症状之间的双向关联.
- 调查重复发作的累积影响对这种关系的作用.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 采用多变量逻辑回归用于双向分析,考虑单次和连续的CRP和抑郁症状的确定.
- 调整为社会人口统计学,行为,代谢和健康状况因素.
主要成果:
- 单次确定CRP或抑郁症状显示无显著结果.
- 两次连续的确定揭示了显著的双向关联.
- 累积CRP升高预测了随后的抑郁症状 (OR=1.58) 和累积抑郁情节预测了之后的CRP升高 (OR=1.26).
结论:
- 抑郁症状和CRP之间的双向关联是由中年和老年中国成年人的累积效应驱动的.
- 研究结果表明,结合抗炎和抗抑郁药物干预的潜在益处.
- 性别分层分析证实了这些关系的稳定性.
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