The 5-Item mental health index predicts the initial diagnosis of nonfatal stroke in older women

Strodl, Esben and Kenardy, Justin (2008) The 5-Item mental health index predicts the initial diagnosis of nonfatal stroke in older women. Journal of Women's Health, 17 6: 979-986. doi:10.1089/jwh.2007.0516

Author Strodl, Esben
Kenardy, Justin
Title The 5-Item mental health index predicts the initial diagnosis of nonfatal stroke in older women
Journal name Journal of Women's Health   Check publisher's open access policy
ISSN 1540-9996
Publication date 2008-07-01
Sub-type Article (original research)
DOI 10.1089/jwh.2007.0516
Open Access Status
Volume 17
Issue 6
Start page 979
End page 986
Total pages 8
Editor S. G. Kornstein
Place of publication New Rochelle, N.Y.
Publisher Mary Ann Liebert, Inc. Publishers
Language eng
Subject C1
111714 Mental Health
111702 Aged Health Care
Abstract 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 and 75 years was first surveyed in 1996 and again in 1999. During this interval, from a final sample of 7839 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 3-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% CI 1.01-2.55, p < 0.05) 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 to be a risk factor for the self-reported new diagnosis of stroke in older women. The 5-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.
Keyword Nonfatal Stroke
5-Item Mental Health Index
Q-Index Code C1
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: School of Medicine Publications
School of Psychology Publications
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Created: Tue, 07 Apr 2009, 21:53:43 EST by Amy Wong on behalf of School of Medicine