Seniors dealing with depression, stress, a negative outlook and dissatisfaction with life may face a higher risk of stroke.

That grumpy outlook could be psychosocial distress, and researchers have found a link between the condition and stroke in a study of people 65 years or older.

Researchers found that seniors with the highest levels of psychosocial distress were three times more likely to die from a stroke compared with those who were least distressed. Those in the higher level also were more likely to have first-time hospitalizations from stroke. High levels of distress also were associated with an increased likelihood of hemorrhagic strokes, which are strokes caused by bleeding in the brain.

This type of stress doesn’t have to get you down, though. Check out our tips on how to manage stress and negative feelings.