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Cited by 194Cardiac Health and Mental HealthHealth disparities and outcomesAging, Health, and Disability

Depressive Symptoms and Other Psychosocial Factors as Predictors of Stroke in the Elderly

Colantonio, A., Kasl, S. V., Ostfeld, A. M.·1992·American Journal of Epidemiology
DOI 10.1093/aje/136.7.884
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Abstract

The aim of this paper is to assess the influence of selected psychosocial factors as predictors of stroke incidence in a probability sample of noninstitutionalized elderly. The main psychosocial factor of interest was depression. Marital status, social support, social networks, and religiousness were also assessed as potential antecedent or mediating factors. The data were obtained from a prospective longitudinal study based on 2,812 individuals aged 65 years and over living in New Haven, Connecticut. The incidence of stroke was monitored from the baseline interview in 1982 until December 1988. Depression, measured by the Center for Epidemiologic Studies Depression Scale (CES-D), was measured at baseline as were other predictor variables. Univariate Cox regression analyses revealed that higher CES-D scores were predictive of greater stroke incidence (p < 0.05). More frequent attendance at religious services was associated with lower incidence (p < 0.001). CES-D scores were also correlated with many measures of sociodemographic, health, and physical function factors in our multivariate analysis (p < 0.05). When combined with other significant predictor variables such as age, sex, hypertension, diabetes, physical function, and smoking, neither depression nor religious attendance retained its significance.

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Crossref · 10.1093/aje/136.7.884

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29 of 29 references verified0 citation errors · 0 not checkable

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  • Two lower quality studies and five well-done studies (13%, including one at a trend level) reported higher BP in the more R/S or with religious fasting.

    “Two lower quality studies [405, 406] and five well-done studies [407–411] (13%, including one at a trend level), however, reported higher BP in the more R/S or with religious fasting.”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [406]

  • Colantonio et al. (1992) did not find significant associations between organizational religiosity and risk of stroke among older non-institutionalized individuals.

    “Colantonio et al. (1992) did not find significant associations between organizational religiosity and risk of stroke among older non-institutionalized individuals.”

    From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Colantonio et al., 1992

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Authors
Colantonio, A., Kasl, S. V., & Ostfeld, A. M.
Affiliations
  • University of Pittsburgh (US)
  • Yale University (US)
Corresponding author
Colantonio, A.
ORCID
Colantonio, A.
Venue
American Journal of Epidemiology
Publisher
Oxford University Press (OUP)
Published
1992-10-01
Volume
136
Issue
7
Pages
884-894
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
DOI
10.1093/aje/136.7.884
OpenAlex
W2149180041
Cited by
194
References
29
Citations by year
2025: 4 · 2023: 44 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 5 · 2012: 9
FWCI
1.47
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (n01ag002105-019)
  • National Institute on Aging (N01AG02105, AG00181)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
depression, stroke incidence, older adults, psychosocial factors, social support, social networks, marital status, religious service attendance, religiosity, stroke risk factors, physical function, hypertension, diabetes mellitus, smoking
MeSH terms
Aged, Aged, 80 and over, Cerebrovascular Disorders, Connecticut, Depression, Female, Humans, Male, Prognosis, Prospective Studies, Regression Analysis, Religion, Social Support, Incidence, Multivariate Analysis, Proportional Hazards Models

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