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Published on: May 22, 2019
Depression and incident stroke in women
An Pan1, Olivia I Okereke, Qi Sun
1Department of Nutrition and Epidemiology, Harvard School of Public Health, and Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02215, USA.
Depression is linked to a higher risk of stroke in women. This study found that women with a history of depression or those using antidepressant medications had an increased likelihood of experiencing a stroke.
Area of Science:
- Epidemiology
- Neurology
- Psychiatry
Background:
- Depression is a known risk factor for coronary heart disease.
- Limited prospective data exist on the association between depression and stroke.
- Understanding this link is crucial for public health and clinical practice.
Purpose of the Study:
- To investigate the association between depression and the risk of developing stroke.
- To examine the impact of current depressive symptoms, history of depression, and antidepressant use on stroke incidence.
Main Methods:
- A prospective cohort study of 80,574 women aged 54-79 from the Nurses' Health Study (2000-2006).
- Depressive symptoms assessed using the Mental Health Index score; clinical depression defined as score ≤52.
- Antidepressant medication use and physician-diagnosed depression were self-reported biennially.
Main Results:
- Over 6 years, 1033 incident strokes were recorded.
- A history of depression was associated with a 29% increased risk of total stroke (HR, 1.29).
- Antidepressant use and current depression were significantly associated with a higher risk of stroke.
Conclusions:
- Depression is associated with a moderately increased risk of subsequent stroke in women.
- Both current depressive symptoms and antidepressant medication use indicate elevated stroke risk.
- Further research may explore underlying mechanisms and targeted interventions.
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