The 5 Item Mental Health Index Predicts the Initial Diagnosis of Non-Fatal Stroke in Older Women
Strodl, Esben & Kenardy, Justin (2008) The 5 Item Mental Health Index Predicts the Initial Diagnosis of Non-Fatal Stroke in Older Women. Journal of Women's Health, 17(6), pp. 979-986.
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Background: Relatively little is known about psychosocial risk factors for the onset of stroke. The aim of this paper is to identify independent psychosocial risk factors for subsequent reported new diagnoses of stroke in older women.
Methods: A prospective cohort study of women initially aged between 70 to 75 years, were first surveyed in 1996 and again in 1999. During this interval, from a final sample of 7, 458 participants, 174 women reported that a doctor had diagnosed them with stroke for the first time. A range of psychosocial risk factors measured in 1996 (life events, Mental Health Index (MHI-5), having a partner, Perceived Stress Scale, Duke Social Support Index, educational attainment, location of residence, feelings of time pressure) were entered into binary logistic regression models to examine which would predict the self-reported new diagnosis of stroke over the three year period, after adjusting for a range of biomedical risk factors and the frequency of general practitioner visits in 1996.
Results: Only the MHI-5 proved to be a significant predictor of self-reported new stroke diagnosis. The MHI-5 remained a significant risk factor (OR=1.61, 95% Cl=1.01-2.55, p<.05) even after adjusting for a range of other possible risk factors (body mass index, physical activity, alcohol status, diabetes, heart disease, hypertension, nutritional risk) and frequency of general practitioner visits.
Conclusions: Poor mental health appears be a risk factor for the self-report new diagnosis of stroke in older women. The five item MHI may be a useful instrument for researchers investigating the relationship between psychosocial variables and stroke in older women, and for clinicians who wish to identify those at risk for stroke.
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|Item Type:||Journal Article|
|Additional Information:||Self-archiving of the author-version is not yet supported by this publisher. For more information, please refer to the journal’s website (see hypertext link) or contact the author.|
|Keywords:||mental health, risk factors, stroke, olde women|
|Subjects:||Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
|Copyright Owner:||Copyright 2008 Mary Ann Liebert|
|Deposited On:||16 Dec 2008 12:06|
|Last Modified:||29 Feb 2012 23:49|
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