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Meyer, T; Stanske, B; Kochen, MM; Cordes, A; Yüksel, I; Wachter, R; Lüers, C; Scherer, M; Binder, L; Pieske, B; Herrmann-Lingen, C.
Elevated serum levels of interleukin-10 and tumor necrosis factor α [corrected] are both associated with vital exhaustion in patients with cardiovascular risk factors.
Psychosomatics. 2010; 51(3):248-256
Doi: 10.1176/appi.psy.51.3.248
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- Co-Autor*innen der Med Uni Graz
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Pieske Burkert Mathias
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- Abstract:
- Background: Vital exhaustion, a psychological state characterized by unusual fatigue, irritability, and feelings of demoralization, has been identified as a risk factor for cardiovascular diseases and linked to elevated levels of pro-inflammatory cytokines. Objective: The purpose of this study was to investigate the relationship between vital exhaustion and cytokine levels in patients with cardiovascular risk factors. Method: The entire cohort consisted of 356 primary-care patients with cardiovascular risk factors who participated in a study of early recognition of heart failure. All participants completed the Maastricht questionnaire (MQ) for assessing vital exhaustion. Cytokine serum levels were measured in all those subjects (N = 178) who were assigned to the highest and lowest quartiles of the MQ, respectively. Results: Elevated serum concentrations of interleukin-6 and tumor necrosis factor alpha, but not other cytokines, were associated with high MQ scores indicative of vital exhaustion. Conclusion: The subjective state of vital exhaustion is linked to a substantial alteration in the pattern of secreted cytokines. Data suggest that a disturbance in the levels of both pro-inflammatory and antiinflammatory mediators, rather than isolated stimulation by pro-inflammatory cytokines, is associated with the mental and physical changes of vital exhaustion. (Psychosomatics 2010; 51: 248-256)
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Aged -
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Aged -
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Cardiovascular Diseases - genetics
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Cohort Studies -
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Coronary Disease - genetics
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Fatigue - genetics
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Female -
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Heart Failure - genetics
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Humans -
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Interleukin-10 - blood
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Interleukin-6 - blood
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Irritable Mood - physiology
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Male -
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Middle Aged -
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Morale -
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Personality Inventory - statistics & numerical data
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Primary Health Care -
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Psychometrics -
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Risk Factors -
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Tumor Necrosis Factor-alpha - blood