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Stroke, vascular risk factors and depression: Cross-sectional study in a UK Caribbean-born population

  • R. Stewart (a1), M. Prince (a1), M. Richards (a2), C. Brayne (a3) and A. Mann (a1)...
Abstract
Background

Stroke, hypertension and diabetes are common in older Caribbean-born populations in the UK who may be at risk of depression secondary to vascular disease.

Aims

We examined the association between stroke, vascular risk factors and depression in a community-based Caribbean-born population aged 55–75 years.

Method

Vascular risk factors were identified by interview, examination and blood tests. Depression was categorised using the Geriatric Depression Scale. Disablement was assessed as a potential mediating factor.

Results

Physical illness and disablement were strongly associated with depression, independent of disablement. Previous stroke was associated with depression, independent of disablement. No vascular risk factors were associated with depression.

Conclusions

The risk of depression associated with stroke was not explained by disablement. However, the hypothesis that vascular risk factors are important in the genesis of depression was not supported.

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Copyright
Corresponding author
Dr R. Stewart, Section of Old Age Psychiatry, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Tel: 020 7848 0240; fax: 020 7701 0167
Footnotes
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Declaration of interest

This study was funded by a grant from the Wellcome Trust. R. S. is supported by a Research Training Fellowship from the Wellcome Trust.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
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