Evidence map›Paper›PMID 26118139›Full record

ArticleEthnicity & disease2015

Racial and Ethnic Differences in Mental Distress among Stroke Survivors.

Lesli E Skolarus, Lynda D Lisabeth, James F Burke, Deborah A Levine, Lewis B Morgenstern, Linda S Williams, Paul N Pfeiffer, Devin L Brown

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Ethnicity & disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06782321 (Centering Emotional Recovery Post-Stroke), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% 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.

NCT06782321 narecruitingnot on this mapstarted 2025, after this paper: background citation

Centering Emotional Recovery Post-Stroke

TypeinterventionalSponsorMedical University of South CarolinaRan2025 to 2027Enrolled80ConditionsStroke, Mental Health Wellness 1Armsmodified Cognitive Behavioral Therapy (mCBT), Occupational or Speech Therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Post-disclosure distress among racial and ethnic groups in a preclinical AD trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  3. Article
  4. Article
  5. Ethnic Differences in Prevalence of Post-stroke Depression.Circulation. Cardiovascular quality and outcomes · 2018
    Article
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

8 authors.

Lesli E Skolarus
Lynda D Lisabeth
James F Burke
Deborah A Levine
Lewis B Morgenstern
Linda S Williams
Paul N Pfeiffer
Devin L Brown

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Using Outcomes Analyses to Inform Implementation of NINDS Clinical TrialsK08NS082597 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURKE, JAMES FRANCIS · 2013 to 2017
$948k
A Community Partnership to Treat StrokeK23NS073685 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2011 to 2016
$924k
The Predictors and Long-Term Trajectory of Poststroke Cognitive DeclineK23AG040278 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVINE, DEBORAH ALLISON · 2012 to 2015
$637k
NIA NIH HHS K23 AG040278NIA NIH HHS K23AG040278NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P30DK092926NINDS NIH HHS K08 NS082597NINDS NIH HHS K08NS082597NINDS NIH HHS K23 NS073685
6 · The paper itself

Abstract

objectiveAfrican Americans, Hispanics and some Asian subgroups have a higher stroke incidence than non-Hispanic Whites (NHW). Additionally, African Americans and Hispanics have worse stroke outcomes than non-Hispanic Whites. Thus, we explored racial and ethnic differences in mental distress, a known risk factor for post-stroke disability.

methodsNational Health Interview Survey data from 2000-2010 were used to identify 8,324 community dwelling adults with self-reported stroke. Serious mental distress was identified by the Kessler-6 scale. Logistic regression models assessed racial/ethnic associations with serious mental distress after adjusting for demographics, comorbidities, disability, health care utilization and socioeconomic factors.

resultsSerious mental distress was identified in 9% of stroke survivors. Hispanics (14%) were more likely to have serious mental distress than African Americans (9%), non-Hispanic Whites (9%) and Asians (8%, P = .02). After adjustment, Hispanics (OR = 1.06, 95% CI .76-1.48) and Asians (.84, 95% Cl .37-1.90) had a similar odds of serious mental distress while African Americans had a lower odds of serious mental distress (OR = .61, 95% CI .48-.78) compared with non-Hispanic Whites. Younger age, low levels of education and insurance were important predictors of serious mental distress among Hispanics.

conclusionSerious mental distress is highly prevalent among US stroke survivors and is more common in Hispanics than NHWs, African Americans and Asians. Further study of the role of mental distress in ethnic differences in post-stroke disability is warranted.

Indexed as

AgedEthnicityFemaleHumansMaleMiddle AgedPrevalenceSocioeconomic FactorsStress, PsychologicalStrokeSurvivorsUnited StatesWhite People

Identifiers

PMID26118139
PMCPMC4578710
OpenAlexW2410174403

What OpenQuestion holds

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Registered trials

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.