Association between psychiatric disorders and the risk of stroke: a meta-analysis of cohort studies
2024

Psychiatric Disorders and Stroke Risk

Sample size: 25519635 publication Evidence: high

Author Information

Author(s): Hu Zhonghou, Sun Weishan, Cui Enxiu, Chen Bo, Zhang Mi

Primary Institution: Third Department of Psychiatry, Yancheng Fourth People's Hospital, Yancheng, China

Hypothesis

Are psychiatric disorders associated with an increased risk of stroke?

Conclusion

Psychiatric disorders like depression, schizophrenia, and bipolar disorder are significantly linked to a higher risk of stroke.

Supporting Evidence

  • Depression is associated with a 50% increased risk of stroke.
  • Schizophrenia is linked to a 74% higher risk of stroke.
  • Bipolar disorder is associated with a 65% increased risk of stroke.
  • The association between depression and stroke risk varies by adjusted levels.
  • Schizophrenia's association with stroke differs based on outcome definitions.
  • Bipolar disorder's risk of stroke varies by study design.

Takeaway

People with mental health issues like depression or schizophrenia are more likely to have a stroke, so it's important to keep an eye on their health.

Methodology

A systematic review and meta-analysis of cohort studies were conducted, analyzing data from PubMed, Embase, and Cochrane Library.

Potential Biases

The reliance on published literature may introduce bias due to the exclusion of unpublished data.

Limitations

Potential confounding factors and variations in psychiatric disorder assessment criteria across studies may affect the results.

Participant Demographics

The study included 36 cohorts with a total of 25,519,635 individuals, with varying ages and sex distributions.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.34–1.68 for depression; 95% CI: 1.36–2.24 for schizophrenia; 95% CI: 1.27–2.14 for bipolar disorder

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fneur.2024.1444862

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