Impact of depression following a stroke on the participation component of the International Classification of Functioning, Disability and Health

Silva, Soraia Micaela; Corrêa, João Carlos Ferrari; Mello, Thaís da Silva; Ferreira, Rosângela Rodrigues; Silva, Paula Fernanda da Costa; Corrêa, Fernanda Ishida

doi:10.3109/09638288.2015.1107774

Cited by 29 publications

(5 citation statements)

References 27 publications

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“…However, the relationship between post stroke depression and functional outcome after stroke is not well understood [45]. Previous studies on self-perceived participation and depression after stroke have shown that depression/depressive moods were associated with restricted participation in various life areas [10, 14, 17, 37, 47]. In terms of the IPA, depressive mood [17] was an explanatory factor associated with restrictions in all the domains.…”

Section: Discussionmentioning

confidence: 99%

Participation and autonomy five years after stroke: A longitudinal observational study

Palstam¹,

Sjödin²,

Sunnerhagen³

2019

PLoS ONE

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Objective Stroke is the second most common cause of disability in the world. The purpose of this study was to evaluate the participation and autonomy of persons with stroke, five years after a stroke, and to explore potential associations between factors and perceived restrictions in participation and autonomy. Methods This five-year follow-up survey study included individuals diagnosed with a first-time stroke during 2009–2010, in Gothenburg. The survey included the Impact of Participation and Autonomy-questionnaire (IPA-E), which comprised five domains: Autonomy Indoor, Family Role, Autonomy Outdoor, Work & Education, and Social Life & Relationships. Logistic regression analyses were used to analyze factors associated with participation restrictions. Results At 5 years after a stroke, 457 patients were alive; of these, 281 responded to the follow-up survey. Participation restrictions were most pronounced in the IPA-E domains of Autonomy Outdoors, Work/Education, and Social Life and Relationships. In contrast, restrictions were less pronounced in the IPA-E domains of Autonomy Indoors and Family Role. Severe stroke, older age, and female sex predicted participation restrictions at five years after a stroke. Participation restrictions were partly explained by feelings of depression at five years after stroke. Problems associated with participation restrictions were most frequently observed in the areas of mobility, leisure, and help/support from other people. Conclusion This study showed that participation and autonomy were restricted among persons with stroke at five years after the stroke. The domains perceived as most restricted were those that required high levels of physical, social, and cognitive abilities.

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Section: Discussionmentioning

confidence: 99%

Participation and autonomy five years after stroke: A longitudinal observational study

Palstam¹,

Sjödin²,

Sunnerhagen³

2019

PLoS ONE

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“…17% reported taking medication for their feelings of depression, which is in line with the reported prevalence of depression which ranges from 19% to 33% (Hackett, Yapa, Parag, & Anderson, ; Robinson, ). No studies were found about association between depression and occupational gaps, but depression has been identified as a negative factor for participation after stroke (D'Alisa, Baudo, Mauro, & Miscio, ; Micaela Silva et al., ), which strengthens the findings of association between depression and occupational gaps after stroke.…”

Section: Discussionmentioning

confidence: 61%

Occupational gaps 5 years after stroke

et al. 2019

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Objectives To investigate the incidence and number of occupational gaps 5 years after stroke and find possible predictors and explanatory factors for increased number of experienced gaps. Material and Methods The participants were diagnosed with first‐time stroke in Gothenburg during 2009–2010. Medical records from their hospital stay were used to obtain baseline data. The Occupational Gaps Questionnaire and the Swedish stroke registers follow‐up questionnaire were sent out. Data from the Occupational Gaps Questionnaire were used as a dependent variable and baseline data and questions from the stroke registry were used as independent variables in logistic regression. Results Five years poststroke, 49.5% experienced a higher number of occupational gaps compared to a healthy reference population. Predictors for an increased number of gaps were higher age at stroke onset and a higher degree of functional dependency. Explanatory factors for an increased number of gaps in the study population were higher age at follow‐up and feelings of depression. Conclusions Older age at the time of stroke and functional dependency can predict an increased number of occupational gaps. Older age and feelings of depression are connected to an increased number of occupational gaps. Individuals at risk should be provided with additional interventions to reduce participation restrictions.

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“…However, the presence of depression was associated with significantly more restriction in participation as assessed by the Participation Scale in cases of depressed patients with schizophrenia as compared to non-depressed individuals, which is a well-established fact that depression and social participation are inversely related (Micaela Silva et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Relationship of depression with cognitive insight and socio-occupational outcome in patients with schizophrenia

Grover

Nehra

Chakrabarti

2017

Int J Soc Psychiatry

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Impact of depression following a stroke on the participation component of the International Classification of Functioning, Disability and Health

Cited by 29 publications

References 27 publications

Participation and autonomy five years after stroke: A longitudinal observational study

Participation and autonomy five years after stroke: A longitudinal observational study

Occupational gaps 5 years after stroke

Relationship of depression with cognitive insight and socio-occupational outcome in patients with schizophrenia

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