Evidence map›Paper›PMID 23967272›Full record

ArticlePloS one2013

Differential associations of depressive symptom dimensions with cardio-vascular disease in the community: results from the Gutenberg health study.

Matthias Michal, Jörg Wiltink, Yvonne Kirschner, Philipp S Wild, Thomas Münzel, Francisco M Ojeda, Tanja Zeller, Renate B Schnabel, Karl Lackner, Maria Blettner and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Exploring the multiverse: the impact of researchers' analytic decisions on relationships between depression and inflammatory markers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Inflammation and the dimensions of depression: A review.Frontiers in neuroendocrinology · 2020
    Review
  10. Article
  11. Correlation of clinical features with hs-CRP in TRD patients.Experimental and therapeutic medicine · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Late-life depression and cardiovascular disease burden: examination of reciprocal relationship.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014
    Article
  17. Chronic stress impairs collateral blood flow recovery in aged mice.Journal of cardiovascular translational research · 2014
    Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Matthias MichalDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany. michal@uni-mainz.de
Jörg Wiltink
Yvonne Kirschner
Philipp S Wild
Thomas Münzel
Francisco M Ojeda
Tanja Zeller
Renate B Schnabel
Karl Lackner
Maria Blettner
Isabella Zwiener
Manfred E Beutel
Johannes Gutenberg University Mainz · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A current model suggested that the somatic symptom dimension accounts for the adverse effect of depression in patients with coronary heart disease (CHD). In order to test this model we sought to determine in a large population-based sample how symptom dimensions of depression are associated with CHD, biomarkers and traditional risk factors. The associations of cognitive and somatic symptom dimensions of depression with CHD, risk factors, endothelial function, and biomarkers of inflammation and myocardial stress were analyzed cross-sectionally in a sample of n = 5000 Mid-Europeans aged 35-74 years from the Gutenberg Health Study (GHS). Only the somatic symptom dimension of depression was associated with CHD, biomarkers (inflammation, vascular function) and cardio-vascular risk factors. When multivariable adjustment was applied by demographic and cardiovascular risk factors, the weak associations of the somatic symptom dimension with the biomarkers disappeared. However, the associations of the somatic symptom dimension with CHD, myocardial infarction, obesity, dyslipidemia and family history of myocardial infarction remained. Both dimensions of depression were independently associated with a previous diagnosis of depression and distressed personality (type D). Thus, our results partly confirm current models: Somatic, but not cognitive-affective symptom dimensions are responsible for the association between depression and CHD, inflammation, vascular function and cardiovascular risk factors in the general population. However, our findings challenge the assumptions that somatic depression might be due to inflammation or vascular dysfunction as consequence of progressed atherosclerotic disease. They rather emphasize a close interplay with life-style factors and with a family history of MI.

Indexed as

AdultAgedAge FactorsBiomarkersCardiovascular DiseasesComorbidityCross-Sectional StudiesDepressionFemaleGermanyHumansMaleMiddle AgedPopulation SurveillanceRisk FactorsSex FactorsBiomarkers

Identifiers

PMID23967272
PMCPMC3742482
OpenAlexW2029902374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.