Evidence map›Paper›PMID 41281558›Full record

SynthesisFrontiers in neurology2025

Psychosocial stress and stroke risk: meta-analysis of observational studies.

Mostafa A Khalifa, Albandari Sultan Alardhi, Ghadah Faleh S Alharbi, Abdulmajeed Mousa M Alzahrani, Batoul Ali Taqi, Falwah Sami Alsalman, Mohand Basher G Albalawi, Saleh Ahmed Alzahrani, Hessah Haji Abul, Hayat Safwat Hassan and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. 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

15 authors.

Mostafa A KhalifaFaculty of Medicine, Cairo University, Cairo, Egypt.
Albandari Sultan AlardhiAl Jahra Hospital, Al Jahra, Kuwait.
Ghadah Faleh S AlharbiDepartment of Public Health, Al-Qassim Health Cluster, Buraydah, Saudi Arabia.
Abdulmajeed Mousa M AlzahraniKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Batoul Ali TaqiInternal Medicine Department, Mubarak Al-kabeer Hospital, Jabriyah, Kuwait.
Falwah Sami AlsalmanCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Mohand Basher G AlbalawiRiyadh Second Health Cluster, Riyadh, Saudi Arabia.
Saleh Ahmed AlzahraniKing Salman Specialist Hospital, Hail Health Cluster, Hail, Saudi Arabia.
Hessah Haji AbulSheikh Jaber Al-Ahmad Al-Sabah Hospital, Kuwait City, Kuwait.
Hayat Safwat HassanUniversity of Jeddah, Jeddah, Saudi Arabia.
Ashwaq Dhafer N AlqarniFaculty of Medicine, Tabuk University, Tabuk, Saudi Arabia.
Shaima ShamsEldeen KhalfAllah AhmedFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Sarah M HegazyFaculty of Pharmacy Umm Al-Qura University, Makkah, Saudi Arabia.
Omer Hussein Alwi Bin-SahelFaculty of Medicine and Health Sciences, Seiyun University, Seiyun, Yemen.
Dalia Abdalla MohamedAlmana General Hospital, Dammam, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychological stress has been increasingly recognized as a potential risk factor for stroke, but the strength and consistency of this association remained uncertain. This systematic review and meta-analysis aims to determine the overall association between broad psychological stress and broad stroke risk. Methodology: Systematic searches of PubMed, Scopus, Web of Science, and OVID databases from 1990 to March of 2025. These searches utilized a strategy combining subject headings and keywords related to psychosocial risk factors and stroke. Twenty-eight studies met inclusion criteria (23 prospective cohort and 5 case-control), comprising over 950,000 participants. We excluded studies involving participants with a history of depression. Stroke was broadly defined to include ischemic, hemorrhagic, subarachnoid, TIA, and unspecified subtypes. Results: Our meta-analysis of 23 prospective cohort studies found that individuals exposed to psychological stress had a 46% higher risk of experiencing stroke (HR = 1.46; 95% CI: 1.29-1.66; Conclusion: Psychological stress is significantly associated with an increased risk of fatal stroke, though publication bias and study heterogeneity highlight the need for cautious interpretation. Further research should aim to address methodological variability and selective reporting to refine our understanding of this relationship.

Indexed as

meta-analysisobservational studiespsychosocialstressstroke

Identifiers

PMID41281558
PMCPMC12631615

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.