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Published on: October 19, 2011
Association between self-perceived psychological stress and transitory ischaemic attack and minor stroke: A
J M Ramírez-Moreno1, P Muñoz Vega2, S Espada3
1Departamento de Ciencias Biomédicas, Universidad de Extremadura, Badajoz, España; Centro de ictus, Sección de Neurología, Hospital Universitario Infanta Cristina, Badajoz, España; Grupo de Investigación Multidisciplinar de Extremadura GRIMEX.
Psychological stress and high work effort are linked to transient ischemic attack (TIA) and stroke. High work reward may protect against these cerebrovascular events.
Area of Science:
- Neuroscience
- Psychology
- Public Health
Background:
- Stroke pathogenesis involves multiple risk factors.
- Psychological stress is increasingly recognized for its potential role in cerebrovascular disease.
- Understanding stress-related pathophysiological changes is crucial for stroke prevention.
Purpose of the Study:
- To evaluate the association between perceived stress and stroke risk.
- To investigate the relationship between work-related stress and cerebrovascular events.
Main Methods:
- A case-control study (1:1 ratio) compared stress exposure in TIA/minor stroke patients and controls.
- Subjective stress perception and the Effort-Reward Imbalance (ERI) questionnaire were used.
- Logistic regression analysis was employed for statistical evaluation.
Main Results:
- Fifty cases and 50 controls were analyzed; no significant demographic differences were found.
- Moderate to severe stress was reported by 50% of cases versus 30% of controls (OR: 2.33).
- Higher work effort (OR: 1.48) and commitment were associated with stroke, while higher reward (OR: 0.71) showed a protective effect.
Conclusions:
- Self-perceived psychological stress demonstrates a strong association with transient ischemic attack (TIA).
- Effort-Reward Imbalance in the workplace is significantly related to TIA.
- These findings highlight the importance of managing psychological stress and work-related factors in cerebrovascular health.
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