Hopelessness the "active ingredient"? Associations of hopelessness and depressive symptoms with interleukin-6

Int J Psychiatry Med. 2013;46(1):109-17. doi: 10.2190/PM.46.1.g.

Abstract

Objective: Previous research has revealed a relationship of depressive symptoms and hopelessness with cardiovascular diseases (CVDs) which are associated with elevated levels of interleukin-6 (IL-6). The objective of this study was to explore whether depressive symptoms and hopelessness are independent predictors of IL-6 levels.

Method: Hopelessness, depressive symptoms, and IL-6 were measured in 45 Swedish adults (26 women and 19 men; age range: 31-65 years). Two separated linear regressions were conducted with hopelessness and depressive symptoms serving as individual predictors of IL-6. Another regression analysis examined whether the two predictors predict IL-6 when controlling for each other. The regression coefficients of the models with one predictor and with both predictors were compared.

Results: As predicted, after adjusting for age, BMI, illness, smoking, and gender, more depressive symptoms and more hopelessness predicted higher IL-6 levels in independent regressions. When controlling for each other, hopelessness, but not depressive symptoms, predicted IL-6 levels. Finally, when controlling for hopelessness, the regression between depressive symptoms and IL-6 level was significantly reduced; however, there was no significant change in the regression between hopelessness and IL-6 level when controlling for depressive symptoms.

Conclusions: Thus, these results suggest that depressive symptoms and hopelessness are not independent predictors of IL-6 levels. Future research should explore the interplay of hopelessness and depressive symptoms on other risk factors of CVDs.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Depression* / blood
  • Depression* / psychology
  • Female
  • Hope / physiology
  • Humans
  • Interleukin-6 / blood*
  • Interleukin-6 / physiology
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Regression Analysis
  • Sweden

Substances

  • Interleukin-6