Number of recent stressful life events and incident cardiovascular disease: Moderation by lifetime depressive disorder

被引:42
作者
Berntson, Jessica [1 ]
Patel, Jay S. [1 ]
Stewart, Jesse C. [1 ]
机构
[1] Indiana Univ Purdue Univ Indianapolis IUPUI, Dept Psychol, 402 North Blackford St,LD 100E, Indianapolis, IN 46202 USA
关键词
Life change events; Stress; psychological; Depressive disorder; Cardiovascular diseases; Prospective studies; Epidemiologic studies; PSYCHIATRIC DIAGNOSTIC MODULES; NATIONAL EPIDEMIOLOGIC SURVEY; ISCHEMIC-HEART-DISEASE; ALCOHOL-USE-DISORDER; IV AUDADIS-IV; PSYCHOLOGICAL STRESS; MYOCARDIAL-INFARCTION; RISK-FACTORS; PSYCHOSOCIAL STRESS; SELF-REPORT;
D O I
10.1016/j.jpsychores.2017.06.008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: We investigated whether number of recent stressful life events is associated with incident cardiovascular disease (CVD) and whether this relationship is stronger in adults with a history of clinical depression. Methods: Prospective data from 28,583 U.S. adults (mean age = 45 years) initially free of CVD who participated in Waves 1 (2001-2002) and 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were examined. Number of past-year stressful life events (Wave 1), lifetime depressive disorder (Wave 1), and incident CVD (Wave 2) were determined by structured interviews. Results: There were 1069 cases of incident CVD. Each additional stressful life event was associated with a 15% increased odds of incident CVD [Odds Ratio (OR) = 1.15, 95% Confidence Interval (Cl): 1.11, 1.19]. As hypothesized, a stressful life events by lifetime depressive disorder interaction was detected (P = 0.003). Stratified analyses indicated that stressful life events had a stronger association with incident CVD among adults with (OR = 1.18, 95% CI: 1.10, 1.27, n = 4908) versus without (OR = 1.10, 95% CI: 1.07, 1.14, n = 23,675) a lifetime depressive disorder. Conclusion: Our findings suggest that a greater number of recent stressful life events elevate the risk of new-onset CVD and that this risk is potentiated in adults with a history of clinical depression.
引用
收藏
页码:149 / 154
页数:6
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