心理社会压力和中风风险:观察性研究的元分析
Mostafa A Khalifa1, Albandari Sultan Alardhi2, Ghadah Faleh S Alharbi3
1Faculty of Medicine, Cairo University, Cairo, Egypt.
Frontiers in neurology
|November 24, 2025
概括
心理压力显著提高中风风险46%在超过95万个人的元分析. 这种关联适用于男性和女性,强调了压力管理对预防中风的重要性.
科学领域:
- 神经科学与公共卫生
- 心血管疾病的流行病学.
背景情况:
- 人们越来越认识到心理压力是中风风险因素.
- 关于这种关联的强度和一致性的以前的不确定性.
- 需要对心理压力和中风风险进行全面分析.
研究的目的:
- 系统地审查和元分析心理压力与中风风险之间的关联.
- 量化与心理压力相关的整体风险升高.
主要方法:
- 从1990年到2025年3月,在主要数据库 (PubMed,Scopus,Web of Science,OVID) 进行系统的文献搜索.
- 包括28项研究 (23个前性队列,5个病例控制) 与超过95万名参与者.
- 关于中风的广泛定义,不包括以前有抑郁病史的参与者.
主要成果:
- 对前性队列研究的元分析显示,与心理压力相关的中风风险增加了46% (HR=1.46).
- 灵敏度分析减少了异质性,并证实了45%的风险增加 (HR=1.45).
- 病例控制研究显示,中风风险升高的程度很小,但很大 (OR=1.10);男性和女性的风险增加也相似.
结论:
- 心理压力与中风风险增加有很大关系.
- 发表偏见和研究异质性需要谨慎地解释研究结果.
- 建议进行进一步的研究,以解决方法的变化和选择性报告,以获得更精细的理解.
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