Perfect Storm
Why the study?
Do concurrent high stress and high depressive symptoms increase the risk of myocardial infarction or death in adults with coronary heart disease?
Population
4,487 US adults with coronary heart disease from the REasons for Geographic and Racial Differences in Stroke…
Comparison
Concurrent high stress and high depressive… vs Low stress and low depressive symptoms
Design
Cohort
Follow-up
median 5.95 years
Authors
Discussion
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Member takes
Implication
Concurrent stress and depressive symptoms may elevate MI or death risk in CHD patients; supports but does not confirm the psychosocial perfect storm model.
Structured PICO
Do concurrent high stress and high depressive symptoms increase the risk of myocardial infarction or death in adults with coronary heart disease?
P
Population
4,487 US adults with coronary heart disease from the REasons for Geographic and Racial Differences in Stroke (REGARDS) prospective cohort study of black and white adults.
I
Intervention
Concurrent high stress and high depressive symptoms
C
Comparator
Low stress and low depressive symptoms
O
Outcome
Composite outcome of myocardial infarction or deathcomposite
Concurrent high stress and high depressive symptoms significantly increase the short-term risk of myocardial infarction or death in adults with coronary heart disease.
Cite This Study
Alcántara et al. (2015) studied this question.