For Elderly, Stroke Risk Up With Psychosocial Distress

Increased risk linked to both stroke mortality and incident stroke in older black, white adults

FRIDAY, Dec. 14 (HealthDay News) -- In older black and white adults, psychosocial distress is related to fatal and nonfatal stroke, according to a study published online Dec. 13 in Stroke.

Kimberly M. Henderson, from the University of Minnesota in Minneapolis, and colleagues analyzed data from community-dwelling black and non-Hispanic white adults aged 65 years and older (4,120 for stroke mortality; 2,649 for incident stroke) participating in the Chicago Health and Aging Project. A composite measure of depressive symptoms, perceived stress, neuroticism, and life dissatisfaction was used to derive psychosocial distress.

The researchers identified 151 stroke deaths and 452 incident strokes over six years of follow-up. For each one-standard deviation increase in distress there was a significant increase in the risk for stroke mortality (hazard ratio [HR], 1.47) and incident stroke (HR, 1.18). After adjustment for stroke risk factors, the associations were attenuated and remained significant for stroke mortality (HR, 1.29) but not for incident stroke (HR, 1.09; 95 percent confidence interval [CI], 0.98 to 1.21). In fully adjusted models, distress was significantly related to incident hemorrhagic strokes (HR, 1.70) but not ischemic strokes (HR, 1.02; 95 percent CI, 0.91 to 1.15).

"In sum, this study provides important evidence linking psychosocial distress to risk of both fatal and nonfatal stroke outcomes in elderly blacks and whites," the authors write. "Better understanding of the psychosocial risk pathways for cerebrovascular disease may lead to future interventions that could reduce the risk of stroke in the elderly."

Abstract
Full Text

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events