Evidence map›Paper›PMID 28640965›Full record

ArticleDepression and anxiety2018

Atypical depression and double depression predict new-onset cardiovascular disease in U.S. adults.

Stephanie M Case, Manisha Sawhney, Jesse C Stewart

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 41 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Stephanie M CaseSchool of Psychological Sciences, University of Indianapolis, Indianapolis, IN, USA.
Manisha SawhneyDepartment of Psychology, Liffrig Family School of Education and Behavioral Sciences, University of Mary, Bismarck, ND, USA.
Jesse C StewartDepartment of Psychology, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA.ORCID 0000-0001-7377-8823
Indiana University – Purdue University Indianapolis · USUniversity of Indianapolis · USUniversity of Mary · US

Funding

Modernized Collaborative Care to Reduce the Excess CVD Risk of Depressed PatientsR01HL122245 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI STEWART, JESSE C · 2015 to 2019
$2.6M
NHLBI NIH HHS R01 HL122245
6 · The paper itself

Abstract

backgroundAlthough depression is a risk factor for cardiovascular disease (CVD), it is unknown whether this risk varies across depressive disorder subtypes. Thus, we investigated atypical major depressive disorder (MDD) and double depression as predictors of new-onset CVD in a nationally representative sample of U.S. adults.

methodsProspective data from 28,726 adults initially free of CVD who participated in Wave 1 (2001-2002) and Wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were examined. Lifetime depressive disorder subtypes (Wave 1) and incident CVD (Wave 2) were determined by structured interviews.

resultsWe identified 1,116 incident CVD cases. In demographics adjusted models, the atypical MDD group had a higher odds of incident CVD than the no depression history (OR = 2.19, 95% CI: 1.71-2.81, P < .001), dysthymic disorder only (OR = 1.61, 95% CI: 1.08-2.39, P = .019), and nonatypical MDD (OR = 1.46, 95% CI: 1.11-1.91, P = .006) groups. Likewise, the double depression group had a higher odds of incident CVD than the no depression history (OR = 2.17, 95% CI: 1.92-2.45, P < .001), dysthymic disorder only (OR = 1.59, 95% CI: 1.16-2.19, P = .004), and MDD only (OR = 1.46, 95% CI: 1.20-1.77, P < .001) groups. Relationships were similar but attenuated after adjustment for CVD risk factors and anxiety disorders.

conclusionsAdults with atypical MDD or double depression may be subgroups of the depressed population at particularly high risk of new-onset CVD. Thus, these subgroups may (a) be driving the overall depression-CVD relationship and (b) be in need of earlier and/or more intense CVD primary prevention efforts to reduce their excess CVD burden.

Indexed as

AdultCardiovascular DiseasesDysthymic DisorderFemaleHumansMajor Depressive DisorderMaleMiddle AgedProspective StudiesUnited Statesangina pectorisarteriosclerosisdepressive disorderepidemiologic studiesmyocardial infarctionprospective studies

Identifiers

PMID28640965
PMCPMC5741545
OpenAlexW2717193700

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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.