Evidence map›Paper›PMID 26044964›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2015

Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study.

Wesley T O'Neal, Waqas Qureshi, Suzanne E Judd, Stephen P Glasser, Lama Ghazi, LeaVonne Pulley, Virginia J Howard, George Howard, Elsayed Z Soliman

Open access · bronzeAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The Association of Perceived Stress and Atrial Fibrillation.Research in heart yield and translational medicine · 2025
    Article
  4. Article
  5. Article
  6. The Role of Major Biomarkers of Stress in Atrial Fibrillation: A Literature Review.The Journal of innovations in cardiac rhythm management · 2023
    Review
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  14. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Wesley T O'NealDepartment of Internal Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA. woneal@wakehealth.edu.
Waqas QureshiDepartment of Medicine, Section on Cardiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Suzanne E JuddDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Stephen P GlasserDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Lama GhaziDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
LeaVonne PulleyDepartment of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Virginia J HowardDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
George HowardDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Elsayed Z SolimanDepartment of Medicine, Section on Cardiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
University of Alabama at Birmingham · USWake Forest University · USUniversity of Arkansas for Medical Sciences · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundThe association between perceived stress and atrial fibrillation (AF) remains unclear. PURPOSE: The aim of this study was to examine the association between perceived stress and AF.

methodsA total of 25,530 participants (mean age 65 ± 9.4 years; 54 % women; 41 % blacks) from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study were included in this analysis. Logistic regression was used to compute odds ratios (OR) and 95 % confidence intervals (CI) for the association between the short version of the Cohen Perceived Stress Scale and AF.

resultsIn a multivariable analysis adjusted for demographics, cardiovascular risk factors, and potential confounders, the prevalence of AF was found to increase with higher levels of stress (none: OR = 1.0, referent; low stress: OR = 1.12, 95 % CI = 0.98, 1.27; moderate stress OR = 1.27, 95 % CI = 1.11, 1.47; high stress: OR = 1.60, 95 % CI = 1.39, 1.84).

conclusionIncreasing levels of perceived stress are associated with prevalent AF in REGARDS.

Indexed as

AgedAtrial FibrillationBlack PeopleFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsStress, PsychologicalStrokeWhite PeopleAtrial fibrillationEpidemiologyStress

Identifiers

PMID26044964
PMCPMC4936185
OpenAlexW582983372

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.