Title
Associations between DSM-IV mental disorders and subsequent non-fatal, self-reported stroke
Date Issued
01 August 2015
Access level
open access
Resource Type
journal article
Author(s)
Swain N.R.
Lim C.C.W.
Levinson D.
de Girolamo G.
Moskalewicz J.
Lepine J.P.
Posada-Villa J.
Haro J.M.
Medina-Mora M.E.
Xavier M.
Iwata N.
de Jonge P.
Bruffaerts R.
O'Neill S.
Kessler R.C.
Scott K.M.
Eruvian National Institute of Health
Publisher(s)
Elsevier Inc.
Abstract
To examine the associations between a wide range of mental disorders and subsequent onset of stroke. Lifecourse timing of stroke was examined using retrospectively reconstructed data from cross-sectional surveys. Methods: Data from the World Mental Health Surveys were accessed. This data was collected from general population surveys over 17 countries of 87,250 adults. The Composite International Diagnostic Interview retrospectively assessed lifetime prevalence and age at onset of DSM-IV mental disorders. A weighted subsample (n=45,288), was used for analysis in the present study. Survival analyses estimated associations between first onset of mental disorders and subsequent stroke onset. Results: Bivariate models showed that 12/16 mental disorders were associated with subsequent stroke onset (ORs ranging from 1.6 to 3.8). However, after adjustment for mental disorder comorbidity and smoking, only significant relationships between depression and stroke (OR 1.3) and alcohol abuse and stroke (OR 1.5) remained. Among females, having a bipolar disorder was also associated with increased stroke incidence (OR 2.1). Increasing number of mental disorders was associated with stroke onset in a dose-response fashion (OR 3.3 for 5. + disorders). Conclusions: Depression and alcohol abuse may have specific associations with incidence of non-fatal stroke. General severity of psychopathology may be a more important predictor of non-fatal stroke onset. Mental health treatment should be considered as part of stroke risk prevention. Limitations of retrospectively gathered cross sectional surveys design mean further research on the links between mental health and stroke incidence is warranted.
Start page
130
End page
136
Volume
79
Issue
2
Language
English
Subjects
Scopus EID
2-s2.0-84937525839
PubMed ID
Source
Journal of Psychosomatic Research
ISSN of the container
00223999
Sponsor(s)
National Institute on Drug Abuse - R01DA016558 - NIDA
Work on this paper was funded by a grant from the Health Research Council of New Zealand ( HRC 11/200 ) to Kate M Scott.
Sources of information:
Directorio de Producción CientÃfica
Scopus