Evidence map›Paper›PMID 32282648›Full record

ArticlePsychosomatic medicine2020

Associations of Total, Cognitive/Affective, and Somatic Depressive Symptoms and Antidepressant Use With Cardiovascular Disease-Relevant Biomarkers in HIV: Veterans Aging Cohort Study.

Jesse C Stewart, Brittanny M Polanka, Kaku A So-Armah, Jessica R White, Samir K Gupta, Suman Kundu, Chung-Chou H Chang, Matthew S Freiberg

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Psychosomatic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.1field-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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Examining Depression as a Risk Factor for Cardiovascular Disease in People with HIV: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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  12. Independent Associations Between Trait-Anger, Depressive Symptoms and Preclinical Atherosclerotic Progression.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
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  14. Modifiable contributing factors to COVID-19: A comprehensive review.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2023
    Review
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  17. Links Between Inflammation, Mood, and Physical Function Among Older Adults With HIV.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
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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

8 authors at 1 institution in 1 country.

Jesse C StewartFrom the Department of Psychology (Stewart, Polanka), Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, Indiana; Department of General Internal Medicine (So-Armah), Boston University School of Medicine, Boston, Massachusetts; Office of Epidemiology (White), Maricopa County Department of Public Health, Phoenix, Arizona; Division of Infectious Disease (Gupta), Indiana University School of Medicine, Indianapolis, Indiana; Division of Cardiovascular Medicine, Department of Medicine (Kundu, Freiberg), Vanderbilt University School of Medicine, Nashville, Tennessee; Department of Medicine (Chang), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and Tennessee Valley Geriatric Research Education and Clinical Centers (Freiberg), Nashville, Tennessee.
Brittanny M Polanka
Kaku A So-Armah
Jessica R White
Samir K Gupta
Suman Kundu
Chung-Chou H Chang
Matthew S Freiberg
Indiana University – Purdue University Indianapolis · US

Funding

Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
HIV, Depression, and Cardiovascular RiskR01HL126557 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI FREIBERG, MATTHEW S, GUPTA, SAMIR KUMAR · 2014 to 2017
$2.9M
3/3 COMpAAAS Tripartite: ART-CC, KP, and VAU01AA026224 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2017 to 2021
$2.9M
Novel Mechanisms Driving Excess Atherosclerotic Cardiovascular Disease Risk in the Context of HIV: The Role of Liver InjuryK01HL134147 · NHLBI · BOSTON MEDICAL CENTER · PI SO-ARMAH, KAKU · 2016 to 2020
$620k
NHLBI NIH HHS K01 HL134147NHLBI NIH HHS R01 HL126557NIAAA NIH HHS U01 AA026224NIAAA NIH HHS U10 AA013566
6 · The paper itself

Abstract

objectiveWe sought to determine the associations of total, cognitive/affective, and somatic depressive symptoms and antidepressant use with biomarkers of processes implicated in cardiovascular disease in HIV (HIV-CVD).

methodsWe examined data from 1546 HIV-positive and 843 HIV-negative veterans. Depressive symptoms were assessed using the Patient Health Questionnaire-9, and past-year antidepressant use was determined from Veterans Affair pharmacy records. Monocyte (soluble CD14 [sCD14]), inflammatory (interleukin-6 [IL-6]), and coagulation (D-dimer) marker levels were determined from previously banked blood specimens. Linear regression models with multiple imputation were run to estimate the associations between depression-related factors and CVD-relevant biomarkers.

resultsAmong HIV-positive participants, greater somatic depressive symptoms were associated with higher sCD14 (exp[b] = 1.02, 95% confidence interval [CI] = 1.00-1.03) and D-dimer (exp[b] = 1.06, 95% CI = 1.00-1.11) after adjustment for demographics and potential confounders. Further adjustment for antidepressant use and HIV factors slightly attenuated these relationships. Associations were also detected for antidepressant use, as selective serotonin reuptake inhibitor use was related to lower sCD14 (exp[b] = 0.95, 95% CI = 0.91-1.00) and IL-6 (exp[b] = 0.86, 95% CI = 0.76-0.96), and tricyclic antidepressant use was related to higher sCD14 (exp[b] = 1.07, 95% CI = 1.03-1.12) and IL-6 (exp[b] = 1.14, 95% CI = 1.02-1.28). Among HIV-negative participants, total, cognitive/affective, and somatic depressive symptoms were associated with higher IL-6, and tricyclic antidepressant use was related to higher sCD14.

conclusionsOur novel findings suggest that a) monocyte activation and altered coagulation may represent two pathways through which depression increases HIV-CVD risk and that b) tricyclic antidepressants may elevate and selective serotonin reuptake inhibitors may attenuate HIV-CVD risk by influencing monocyte and inflammatory activation.

Indexed as

AdultAgedAntidepressive AgentsBiomarkersCardiovascular DiseasesCardiovascular SystemCognitionCohort StudiesDepressionFemaleFibrin Fibrinogen Degradation ProductsHIV InfectionsHumansInflammationInterleukin-6Lipopolysaccharide ReceptorsAntidepressive AgentsBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DInterleukin-6Lipopolysaccharide Receptors

Identifiers

PMID32282648
PMCPMC7282983
OpenAlexW3015753252

What OpenQuestion holds

Textmetadata
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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.