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The link between vascular disease and depressive symptoms in the form of poststroke depression is well established. However, the potential for depressive symptoms to be a risk factor for stroke has been studied less. In this analysis, researchers looked at the relationship between depressive symptoms in the 12 months before a stroke and stroke severity and functional outcome 1 month poststroke. There were 26,877 participants (mean age, 62 years; 40% women) from INTERSTROKE, an international case–control study conducted in 32 countries to examine stroke risk factors, who completed a validated questionnaire about depressive symptoms.
As expected, index stroke cases had a higher rate of conventional vascular risk factors (hypertension, diabetes…