Evidence map›Paper›PMID 37403371›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Individual and joint associations of anxiety disorder and depression with cardiovascular disease: A UK Biobank prospective cohort study.

Shinya Nakada, Frederick K Ho, Carlos Celis-Morales, Caroline A Jackson, Jill P Pell

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Individuals with posttraumatic stress disorder have increased beat-to-beat blood pressure variability.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Mental health status and cardiovascular outcomes across Life's Essential 8 categories.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  9. Review
  10. Review
  11. Refining PREVENT prediction models for 10-year risk of cardiovascular disease using measures of anxiety and depression.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  12. Article
  13. Adrenergic C1 neurons enhance anxiety via projections to PAG.bioRxiv : the preprint server for biology · 2024
    Article
  14. Review
  15. Article
  16. Review
  17. Review
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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

5 authors.

Shinya NakadaSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-8711-8420
Frederick K HoSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-7190-9025
Carlos Celis-MoralesSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0003-2612-3917
Caroline A JacksonUsher Institute, University of Edinburgh, Edinburgh, UK.
Jill P PellSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Funding

Medical Research Council MR/N013166/1-LGH/MS/MED2525
6 · The paper itself

Abstract

backgroundGrowing evidence suggests that individuals with anxiety disorder have an elevated risk of cardiovascular disease (CVD) but few studies have assessed this association independently of or jointly with depression.

methodsWe conducted a prospective cohort study using UK Biobank. Diagnoses of anxiety disorder, depression, and CVDs were ascertained through linked hospital admission and mortality data. Individual and joint associations between anxiety disorder and depression and CVD overall, as well as each of myocardial infarction, stroke/transient ischemic attack, and heart failure, were analyzed using Cox proportional hazard models and interaction tests.

resultsAmong the 431,973 participants, the risk of CVD was higher among those who had been diagnosed with anxiety disorder only (hazard ratio [HR] 1.72; 95% confidence interval [CI] 1.32-2.24), depression only (HR 2.07; 95% CI 1.79-2.40), and both conditions (HR 2.89; 95% CI 2.03-4.11) compared to those without these conditions, respectively. There was very little evidence of multiplicative or additive interaction. Results were similar for myocardial infarction, stroke/transient ischemic attack, and heart failure.

conclusionsHaving anxiety is associated with the same magnitude of increased risk of CVD among people who do not have depression and those who do. Anxiety disorder should be considered for inclusion in CVD risk prediction and stratification, in addition to depression.

Indexed as

Cardiovascular DiseasesHeart FailureIschemic Attack, TransientMyocardial InfarctionStrokeAnxiety DisordersBiological Specimen BanksDepressionHumansProspective StudiesRisk FactorsUnited Kingdomanxietycardiovasculardepressionmyocardialstroke

Identifiers

PMID37403371
PMCPMC10377450

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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.