Haigh Emily Ap, Bogucki Olivia E, Dearborn Peter J, Robbins Michael A, Elias Merrill F
The University of Maine, USA.
J Health Psychol. 2020 Oct;25(12):2006-2016. doi: 10.1177/1359105318782375. Epub 2018 Jun 26.
A recent meta-analysis identified a prospective association between depression and cardiovascular disease; however, there was no association for studies with long-term follow-up periods. The literature has primarily focused on baseline depression status or symptoms, which may not capture the chronic nature of depression. This study examined the prospective relationship between depressive symptoms and cardiovascular disease up to 15 years later in 274 cardiovascular disease-free older adults. Depressive and anxiety symptoms, mean arterial pressure, and cardiovascular disease status were assessed. Baseline and chronic depressive symptoms predicted increased risk of cardiovascular disease, underscoring the importance of assessing and treating depression in older adults.
最近的一项荟萃分析确定了抑郁症与心血管疾病之间的前瞻性关联；然而，对于长期随访的研究而言，两者并无关联。文献主要关注的是基线抑郁状态或症状，而这可能无法体现抑郁症的慢性本质。本研究调查了274名无心血管疾病的老年人在长达15年后抑郁症状与心血管疾病之间的前瞻性关系。评估了抑郁和焦虑症状、平均动脉压以及心血管疾病状态。基线和慢性抑郁症状预示着心血管疾病风险增加，这凸显了评估和治疗老年人抑郁症的重要性。
