Cited by 27Tryptophan and brain disordersCardiac Health and Mental HealthStress Responses and Cortisol

Dispositional depression and hostility are associated with inflammatory markers of cardiovascular disease in African Americans

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Mwendwa, Denee T., Ali, Mana K., Sims, Regina C., Cole, Angela P., Lipscomb, Michael W., Levy, Shellie-Anne, Callender, Clive O., Campbell, Alfonso L.·2013·Brain, Behavior, and Immunity

Abstract

Prior research has demonstrated that state depressive symptoms and hostility can modulate inflammatory immune responses and directly contribute to cardiovascular disease (CVD) onset and development. Previous studies have not considered the contribution of dispositional depressive symptoms to the inflammatory process. They have also largely excluded African Americans, despite their disproportionate risk for CVD. The first aim of the study was to examine the impact of state and dispositional depression and hostility on CVD-associated inflammatory biomarkers interleukin-6 (IL-6) and C-reactive protein (CRP) in an African American sample. The second aim was to examine synergistic influences of hostility and state and dispositional depression on IL-6 and CRP. The final aim was to examine whether the relations between state and dispositional depression, hostility, IL-6, and CRP varied as a function of gender and education. Anthropometric measures, blood serum samples, and psychosocial data were collected from 198 African Americans from the Washington, DC metropolitan area. Hierarchical and stepwise regression analyses indicated that (1) increased levels of hostility were associated with increased levels of CRP; (2) hostility and IL-6 were more strongly associated among participants with lower educational attainment; and (3) dispositional depression and CRP were more strongly associated among participants with greater hostility and lower educational attainment. Findings suggest that enduring personality dispositions, such as dispositional depression and hostility, are critical to a thorough assessment of cardiovascular profiles in African Americans. Future studies should investigate causal pathways that link depressive and hostile personality styles to inflammatory activity for African American men and women.

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Authors
Mwendwa, D. T., Ali, M. K., Sims, R. C., Cole, A. P., Lipscomb, M. W., Levy, S.-A., Callender, C. O., & Campbell, A. L.
Affiliations
  • Howard University (US)
  • University of Delaware (US)
  • Howard University Hospital (US)
Venue
Brain, Behavior, and Immunity
Publisher
Elsevier BV
Published
2013-02
Volume
28
Pages
72-82
ISSN
0889-1591 (ISSN-L)
OpenAlex
W2093634664
Cited by
27
References
74
Citations by year
2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
0.29
Type
journal article
Language
en
Open access
Locations
  • Brain Behavior and Immunity (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Howard (Howard University) (submittedVersion)
Funders
National Center for Research Resources (NCRR) (#2MO1-RR010284)
Topics
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
hostility, cardiovascular disease, inflammation, interleukin-6, C-reactive protein, African Americans, personality, educational attainment, gender differences, psychoneuroimmunology
MeSH terms
Adult, Black or African American, C-Reactive Protein, Cardiovascular Diseases, Depression, Educational Status, Female, Hostility, Humans, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Sex Factors, Socioeconomic Factors, Interleukin-6

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