社会及心理因素与脑卒中发病关系的流行病学研究进展

Progress in epidemiological research on relationship between psychological and social factors and stroke

脑卒中在全球范围内造成了严重的疾病负担,已成为全球重大的公共卫生问题。目前,已有研究评估了社会、心理因素与脑卒中发病之间的联系。本文综述了国内外心理因素(抑郁、心理社会压力、心理应激、焦虑、孤独感)及社会因素(社会支持、社会隔离、社会网络)与脑卒中发病风险关系的流行病学研究进展,发现研究结果存在不一致性,多数研究显示这些因素与脑卒中发病之间存在关联,但也有研究显示没有关联。

Stroke has caused a heavy disease burden across the world,and it has become a worldwide public health problem.Several studies have assessed the relationship between psychological and social factors and risk of stroke so far.This paper summarizes the progress in epidemiological research on the relationship between psychological and social factors(depression,psycho-social stress,anxiety,loneliness,psychological distress,social support,social isolation,and social network)and the risk for stroke,the results of these studies were inconsistent.Most studies showed an association between these factors and the incidence of stroke,but there were still some studies showing no such association.