Evidence map›Paper›PMID 32564652›Full record

Observational studyJournal of the American Heart Association2020

Depression and Psychosocial Stress Are Associated With Subclinical Carotid Atherosclerosis Among Women Living With HIV.

Matthew E Levy, Kathryn Anastos, Steven R Levine, Michael Plankey, Amanda D Castel, Sherry Molock, Sabyasachi Sen, Federico M Asch, Joel Milam, Bradley Aouizerat and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. 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
4.1field-weighted citation impact, top 5% 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. Examining Depression as a Risk Factor for Cardiovascular Disease in People with HIV: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences.International journal of environmental research and public health · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Independent Associations Between Trait-Anger, Depressive Symptoms and Preclinical Atherosclerotic Progression.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Article
  11. Article
  12. Article
  13. Observational
  14. Associations of HIV and Depression with Incident Diabetes Mellitus: Veterans Aging Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Observational
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

14 authors at 10 institutions in 1 country.

Matthew E LevyDepartment of Epidemiology Milken Institute School of Public Health at the George Washington University Washington DC.
Kathryn AnastosDepartment of Medicine Albert Einstein College of Medicine Bronx NY.
Steven R LevineDepartments of Neurology and Emergency Medicine State University of New York Downstate Health Sciences University Brooklyn NY.
Michael PlankeyDepartment of Medicine Georgetown University Medical Center Washington DC.
Amanda D CastelDepartment of Epidemiology Milken Institute School of Public Health at the George Washington University Washington DC.
Sherry MolockDepartment of Psychology The George Washington University Washington DC.
Sabyasachi SenDivision of Endocrinology George Washington University School of Medicine and Health Sciences Washington DC.
Federico M AschCardiovascular Core Laboratories and Cardiac Imaging Research MedStar Health Research Institute MedStar Heart and Vascular Institute Washington DC.
Joel MilamDepartment of Preventive Medicine Keck School of Medicine University of Southern California Los Angeles CA.
Bradley AouizeratNew York University School of Dentistry and Bluestone Center for Clinical Research New York NY.
Kathleen M WeberCook County Health/Hektoen Institute of Medicine Chicago IL.
Elizabeth T GolubDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Robert C KaplanDepartment of Epidemiology & Population Health Albert Einstein College of Medicine Bronx NY.
Seble KassayeDepartment of Medicine Georgetown University Medical Center Washington DC.
Albert Einstein College of Medicine · USGeorgetown University · USGeorge Washington University · USMilken Institute · USCenter for Clinical Research (United States) · USHektoen Institute · USJohns Hopkins University · USMedStar Heart & Vascular Institute · USState University of New York · USUniversity of Southern California · US

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Women's Interagency HIV Study (WIHS-V)U01AI035004 · NIAID · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI ANASTOS, KATHRYN M., SHARMA, ANJALI · 1993 to 2018
$65.7M
WOMEN'S INTERAGENCY HIV STUDY ORGANIZATION, MANAGEMENT AND COMMUNICATIONSU01AI034989 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AOUIZERAT, BRADLEY E, GREENBLATT, RUTH MARTHA · 1993 to 2018
$65.6M
Women's Interagency HIV Study (WIHS) IIIU01AI031834 · NIAID · SUNY DOWNSTATE MEDICAL CENTER · PI GUSTAFSON, DEBORAH R., MINKOFF, HOWARD · 1998 to 2018
$53.5M
WOMEN'S INTERAGENCY HIV STUDY (WIHS) ORGANIZATION AND MANAGEMENTU01AI034994 · NIAID · GEORGETOWN UNIVERSITY · PI KASSAYE, SEBLE G · 1993 to 2018
$52.0M
Women's Interagency HIV Study (WIHS) IV, Chicago ConsortiumU01AI034993 · NIAID · HEKTOEN INSTITUTE FOR MEDICAL RESEARCH · PI COHEN, MARDGE H, FRENCH, AUDREY · 1994 to 2018
$51.0M
WOMENS INTERAGENCY HIV STUDY (WIHS)U01HD032632 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MILAM, JOEL E · 1994 to 2012
$42.0M
WIHS DATA MANAGEMENT AND ANALYSIS CENTER(WDMAC)U01AI042590 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GANGE, STEPHEN J, GOLUB, ELIZABETH T · 1998 to 2018
$38.4M
Sex differences in the role of multi-omics in HIV-associated carotid artery atherosclerosisU01HL146204 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI David B. Hanna, Anjali Sharma · 2019 to 2026
$33.2M
SWG 2: Cure Research Scientific Working GroupP30AI117970 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI Italo Mocchetti · 2015 to 2026
$29.6M
Surviving the HIV Epidemic (S/HE) in metropolitan Washington DC - Advancing knowledge through cohort studiesU01HL146205 · NHLBI · GEORGETOWN UNIVERSITY · PI SEBLE G KASSAYE, DANIEL J MERENSTEIN · 2019 to 2026
$23.5M
Inflammatory and Immune Mechanisms of Atherosclerosis in HIV-Infected WomenR01HL095140 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KAPLAN, ROBERT C · 2008 to 2012
$3.8M
NCATS NIH HHS UL1 TR000004NHLBI NIH HHS R01 HL083760NHLBI NIH HHS R01 HL095140NHLBI NIH HHS R21 HL120394NHLBI NIH HHS U01 HL146204NHLBI NIH HHS U01 HL146205NIAID NIH HHS P30 AI117970NIAID NIH HHS U01 AI031834NIAID NIH HHS U01 AI034993NIAID NIH HHS U01 AI034994NIAID NIH HHS U01 AI035004NIAID NIH HHS U01 AI042590NIA NIH HHS R21 AG059505NICHD NIH HHS U01 HD032632
6 · The paper itself

Abstract

Background To identify reasons for increased atherosclerotic risk among women living with HIV (WLWH), we evaluated the associations between psychosocial risk factors (depressive symptoms, perceived stress, and posttraumatic stress disorder symptoms) and subclinical atherosclerosis among WLWH and HIV-negative women. Methods and Results Carotid artery focal plaque (localized intima-media thickness >1.5 mm) was measured using B-mode ultrasound imaging in 2004-2005 and 2010-2012 in the Women's Interagency HIV Study. We created psychosocial risk groups using latent class analysis and defined prevalent plaque at the final measurement. We also examined repeated semiannual depression measures with respect to focal plaque formation throughout follow-up. The associations between latent class and prevalent plaque, and between depressive symptom persistence and plaque formation, were assessed separately by HIV status using multivariable logistic regression. Among 700 women (median age 47 years), 2 latent classes were identified: high (n=163) and low (n=537) psychosocial risk, with corresponding prevalence of depression (65%/13%), high stress (96%/12%), and probable posttraumatic stress disorder (46%/2%). Among WLWH, plaque prevalence was 23% and 11% in high versus low psychosocial risk classes (adjusted odds ratio [aOR], 2.12; 95% CI, 1.11-4.05) compared with 9% and 9% among HIV-negative women (aOR, 1.07; 95% CI, 0.24-4.84), respectively. New plaque formation occurred among 17% and 9% of WLWH who reported high depressive symptoms at ≥45% versus <45% of visits (aOR, 1.96; 95% CI, 1.06-3.64), compared with 9% and 7% among HIV-negative women (aOR, 0.82; 95% CI, 0.16-4.16), respectively. Conclusions Psychosocial factors were independent atherosclerotic risk factors among WLWH. Research is needed to determine whether interventions for depression and psychosocial stress can mitigate the increased risk of atherosclerosis for WLWH.

Indexed as

AdultAsymptomatic DiseasesCarotid Artery DiseasesCarotid Intima-Media ThicknessCross-Sectional StudiesDepressionFemaleHIV InfectionsHIV Long-Term SurvivorsHumansMiddle AgedPrevalenceProspective StudiesRisk AssessmentRisk FactorsStress Disorders, Post-TraumaticatherosclerosisdepressionHIV infectionposttraumatic stress disorderpsychological stresswomen

Identifiers

PMID32564652
PMCPMC7670495
OpenAlexW3036025447

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.