急性期介质白细胞介素-6 与抑郁症、年轻人(25-44 岁)的工作压力

V. Gafarov, E. Gromova, E. Kashtanova, I. Gagulin, Y. Polonskaya, A. Gafarova, Yulia I. Ragino
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引用次数: 0

摘要

目的研究新西伯利亚年轻人(25-44 岁)的白细胞介素-6(IL-6)水平与抑郁和工作压力的关系。在细胞学和遗传学研究所(FWNR-2024-0002)内科和预防医学研究所-分支机构的基础上,于 2013-2016 年对新西伯利亚年轻人(25-44 岁)进行了随机代表性抽样调查(男女各 975 人;回复率 71%)。所有受访者均签署了知情同意书。评估抑郁症时使用了世界卫生组织的 "MONICA-Psychosocial(MOPSY)"量表。与工作相关的压力则使用程序协议中的卡拉塞克量表来确定。IL-6的定量测定在细胞学和遗传学研究所分部内科和预防医学研究所治疗疾病临床生化和激素研究实验室进行。在 25-44 岁的男女人群中,抑郁症高发率为 11.9%(男性为 8.5%,女性为 14.6%)。患有高度抑郁症的男女患者的 IL-6 水平(1,33 [0,72;3,92] pg/ml)高于未患有抑郁症的患者(1,16 [0,63;2,37] pg/ml)(P=0,002)。高度抑郁妇女的 IL-6 值(1,31 [0,72;3,86] pg/ml)高于无抑郁妇女(1 [0,53;2,03] pg/ml)或中度抑郁妇女(1,06 [0,58;2,14] pg/ml)(P=0,002)。在过去 12 个月内更换过职业的男女参与者的 IL-6 水平(1,4 [0,67;3,58] pg/ml)高于未更换过职业的参与者(1,12 [0,63;2,04] pg/ml)。在将自己的工作责任评估为非常高的参与者中,血清 IL-6 的中位数水平(1.7 [0,72;5,48] pg/ml)高于高工作负荷者(1.37 [0,58;5,18] pg/ml)、中等工作负荷者(1.21 [0,63;2,5] pg/ml)和轻微工作负荷者(1.09 [0,63;1,98] pg/ml)。与没有抑郁症和工作压力的人相比,抑郁症和工作压力的年轻人(25-44 岁)的 IL-6 水平明显更高。
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Acute phase mediator interleukin-6 and depression, work-related stress among young people (25-44 years old)
Aim. To study the association of interleukin-6 (IL-6) levels with depression and stress at work among young people (25-44 years old) in Novosibirsk.Material and methods. A random representative sample of young people (25-44 years old) in Novosibirsk was surveyed (975 people of both sexes; response rate, 71%) in 2013-2016 on the basis of Research Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and Genetics (FWNR-2024-0002). All respondents signed informed consent. The World Health Organization MONICA-Psychosocial (MOPSY) scale was used to assess depression. Work-related stress was determined using the Karasek’s scale included in the program protocol. Quantitative determination of IL-6 was carried out in the laboratory of clinical biochemical and hormonal studies of therapeutic diseases of the Research Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and Genetics.Results. High level of depression among people of both sexes aged 25-44 years were 11,9% (among men — 8,5%, among women — 14,6%). The level of IL-6 was higher in individuals of both sexes with high level of depression — 1,33 [0,72;3,92] pg/ml than without depression — 1,16 [0,63;2,37] pg/ml) (p=0,002). In women with high level of depression, IL-6 value was higher (1,31 [0,72;3,86] pg/ml) than in those without depression (1 [0,53;2,03] pg/ml) or a moderate depression — 1,06 [0,58;2,14] pg/ml, (p=0,002). The level of IL-6 was higher among people of both sexes who had changed occupation within the last 12 months (1,4 [0,67;3,58] pg/ml) than among those who had no changes — 1,12 [0,63;2,04] pg/ml. Among participants who assessed their work responsibility as very high, the median levels of serum IL-6 were higher (1,7 [0,72;5,48] pg/ml), than among people with high work load (1,37 [0,58;5,18] pg/ml), as well as with a moderate (1,21 [0,63;2,5] pg/ml) and a slight (1,09 [0,63;1,98] pg/ml) work load.Conclusion. A significantly higher level of IL-6 was found in depression and workplace stress among young people (25-44 years old) compared to people without depression and not experiencing workplace stress.
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来源期刊
Cardiovascular Therapy and Prevention
Cardiovascular Therapy and Prevention Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.70
自引率
0.00%
发文量
155
审稿时长
6-12 weeks
期刊介绍: The most important objectives of the journal are: the generalization of scientific and practical achievements in the field of cardiology, increasing scientific and practical skills of cardiologists. The scientific concept of publication does the publication of modern achievements in the field of epidemiology, prevention and treatment of cardiovascular diseases, the results of research, national and international clinical trials. For publication in the journal are invited both domestic and foreign scientists and clinicians working in the field of cardiology, as well as doctors of other specialties. The magazine covers various issues in cardiology and related specialties. Each issue is prepared by Executive editor of the issue, a respected specialist in the field of epidemiology, prevention and treatment of cardiovascular diseases. The main focus of the publication — scientific articles on original research, the pharmacotherapy of cardiovascular disease, new diagnostic methods. All members of the group of authors should meet all four criteria of authorship set forth in the ICMJE recommendations: 1) concept and design development or data analysis and interpretation, and 2) manuscript justification or verification of critical intellectual content, and 3) final approval for publication of the manuscript, and 4) consent to be responsible for all aspects of the work, and assume that issues relating to the thoroughness and diligent execution of any part of the study submitted are duly investigated and resolved. Great importance the editors attached to the preparation of scientific papers by groups of authors at a high level, literacy, authors, and their ownership information, availability of research results not only to colleagues in Russia, but also abroad.
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