Cognitive ability, education and socioeconomic status in childhood and risk of post-stroke depression in later life: A systematic review and meta-analysis.

PloS One
Ellen V BackhouseJoanna M Wardlaw

Abstract

Depression after stroke is common and is associated with poorer recovery. Risk factors such as gender, age and stroke severity are established, but it is unclear whether factors from earlier in life might also contribute. We searched MEDLINE, PsycINFO, EMBASE and meta-analysed all available evidence on childhood (premorbid) IQ, socioeconomic status (SES), education and stroke in adulthood. We included all studies reporting data on >50 patients, calculating overall odds ratios (OR), mean difference, correlation, 95% confidence intervals (CI) and 95% predictive intervals (PI) using random effects methods. We quality assessed all studies, performed sensitivity analyses, assessed heterogeneity and publication bias. We identified 33 studies including 2,664 participants with post-stroke depression and 5,460 without (314 participants not classified). Low education (< = 8 years) was associated with post-stroke depression in studies which defined depression as score of mild and above on a depression rating scale (OR 1.47 95% CI 1.10-1.97, p<0.01) but not in studies where depression was defined as severe depressive symptoms or a clinical diagnosis of major depression (OR 1.04 95% CI 0.90-1.31, p = 0.60). Low education was not associated ...Continue Reading

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Citations

Feb 25, 2020·Neurorehabilitation and Neural Repair·Emily RosenichSusan L Hillier
Feb 8, 2019·Frontiers in Psychiatry·Zan WangFang Deng
Oct 30, 2020·Chinese Medical Journal·Una ClancyJoanna M Wardlaw
Jan 30, 2021·Seminars in Neurology·Katlyn Nemani, Lindsey Gurin
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Jul 1, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Naomi A MaymanLaura K Stein
Aug 8, 2021·International Journal of Environmental Research and Public Health·Min-Woo HongMin-Gu Kang
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Dec 7, 2021·Stroke; a Journal of Cerebral Circulation·Ho-Yan Yvonne ChunGillian E Mead
Jan 29, 2022·PloS One·María Álvarez-GarcíaJosé Martínez-Orgado

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