Stress Disorders and Dementia in the Danish Population.


Journal

American journal of epidemiology
ISSN: 1476-6256
Titre abrégé: Am J Epidemiol
Pays: United States
ID NLM: 7910653

Informations de publication

Date de publication:
01 03 2019
Historique:
received: 25 06 2018
revised: 12 03 2018
accepted: 05 12 2018
pubmed: 24 12 2018
medline: 25 12 2019
entrez: 22 12 2018
Statut: ppublish

Résumé

There is an association between stress and dementia. However, less is known about dementia among persons with varied stress responses and sex differences in these associations. We used this population-based cohort study to examine dementia among persons with a range of clinician-diagnosed stress disorders, as well as the interaction between stress disorders and sex in predicting dementia, in Denmark from 1995 to 2011. This study included Danes aged 40 years or older with a stress disorder diagnosis (n = 47,047) and a matched comparison cohort (n = 232,141) without a stress disorder diagnosis with data from 1995 through 2011. Diagnoses were culled from national registries. We used Cox proportional hazards regression to estimate associations between stress disorders and dementia. Risk of dementia was higher for persons with stress disorders than for persons without such diagnosis; adjusted hazard ratios ranged from 1.6 to 2.8. There was evidence of an interaction between sex and stress disorders in predicting dementia, with a higher rate of dementia among men with stress disorders except posttraumatic stress disorder, for which women had a higher rate. Results support existing evidence of an association between stress and dementia. This study contributes novel information regarding dementia risk across a range of stress responses, and interactions between stress disorders and sex.

Identifiants

pubmed: 30576420
pii: 5255948
doi: 10.1093/aje/kwy269
pmc: PMC6395166
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

493-499

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Jaimie L Gradus (JL)

Department of Epidemiology, Boston University School of Public Health, Boston University, Boston, Massachusetts.
Department of Psychiatry, Boston University School of Medicine, Boston University, Boston, Massachusetts.
Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.

Erzsébet Horváth-Puhó (E)

Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.

Timothy L Lash (TL)

Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.

Vera Ehrenstein (V)

Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.

Suzanne Tamang (S)

Population Health Sciences Center, Stanford University, Stanford, California.

Nancy E Adler (NE)

Department of Psychiatry, University of California, San Francisco, San Francisco, California.

Arnold Milstein (A)

Clinical Excellence Research Center, Stanford University, Stanford, California.

M Maria Glymour (MM)

Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.

Victor W Henderson (VW)

Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Department of Health Research and Policy, Stanford University, Stanford, California.
Department of Neurology and Neurological Sciences, Stanford University, Stanford, California.

Henrik T Sørensen (HT)

Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Department of Neurology and Neurological Sciences, Stanford University, Stanford, California.

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Classifications MeSH