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Comment & Response
October 7, 2020

What is the Association Between Depression and Cardiovascular Disease?—Reply

Author Affiliations
  • 1Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, Tavistock Place, London, United Kingdom
  • 2Population Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Ontario, Canada
JAMA Psychiatry. 2020;77(12):1308-1309. doi:10.1001/jamapsychiatry.2020.3225

In Reply Li and colleagues raise a number of issues, which we address here. With respect to multiplicity, as stated in our article,1 we only interpreted P values over .001 as showing significant associations because of multiple comparisons. Examining the association of depression with cardiovascular disease and mortality was prespecified in our detailed protocol, as the Prospective Urban Rural Epidemiology (PURE) study was based on the results of the INTERHEART study2 and several previous studies, which had identified depression as an independent risk factor for myocardial infarction.3

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