A cross-sectional study of prevalence and determinants of depression among stroke patients

Litton, Jim; Lokesh, S.

doi:10.18203/2349-3933.ijam20162213

Cited by 4 publications

(7 citation statements)

References 8 publications

(10 reference statements)

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“…The prevalence of depression in this study was 75.8%. 1 In a study by Lara et al, the prevalence of acute depression was found to be 46%. 2 In another study by Vataja et al, it was found that 37.1% had stroke related depression.…”

Section: Discussionmentioning

confidence: 96%

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A cross sectional study of prevalence of depression among patients with cerebrovascular accident

et al. 2019

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Background: Depression is one of the most common neuropsychiatric condition in patients with stroke. Early identification of depression for stroke patients can improve the outcome leading to better quality of life. Prevalence and determinants of post stroke depression are highly variable and there is paucity of data in Indian literature.Methods: This cross-sectional study was conducted at neurology department of Saveetha Medical College, Chennai. All patients with history of stroke within past one month attending neurology department who fulfilled the inclusion criteria were taken up for the study after getting consent. Neurological examination and CT brain findings were noted with the site of lesion. All patients were evaluated for depression using ICD 10 criteria. MADRS score was used to assess the severity of depression. Chi square was used for statistical analysis.Results: The mean age of subjects in the study was 56.54±10.82 years. The prevalence of depression among patients with stroke in our study was 75.8%. Among classifying those with depression based on severity using MADRS score, 35% had mild depression and 65% had moderate depression. There was no severe depression in our sample. There was no statistically significant difference between prevalence of depression based on side of lesion.Conclusions: In this study the prevalence of depression among patients with cerebrovascular accident was found to be 75.8%. From this study we learn that the prevalence of depression in patients with stroke is high and this shows that regular screening of patients with stroke for depression might help in earlier detection and management of depression.

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Section: Discussionmentioning

confidence: 96%

“…Post stroke depression is one of the most common emotional disorders affecting stroke survivors. 1 This study aims to find the prevalence of depression in patients with stroke.…”

Section: Introductionmentioning

confidence: 99%

A cross sectional study of prevalence of depression among patients with cerebrovascular accident

et al. 2019

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“…The pooled prevalence of PSD in the total sample of 544 was 45.55% (95% CI = 6.29-88.71%) based on the random-effects model (I 2 = 99.21%, Q = 379.61, p < 0.001). Since Litton et al [38] provided us with a 100% prevalence, thereby appearing as an outlier, the prevalence of PSD as assessed by the PHQ-9 including the aforementioned study can be found separately in Figure 4. The estimated prevalence of PSD assessed by the PHQ-9 for three studies (without Litton et al [38]) is shown in Figure 5.…”

Section: Prevalence Of Post-stroke Depression (Psd) Assessed By the Hamilton Depression Rating Scale (Hdrs)mentioning

confidence: 99%

“…Since Litton et al [38] provided us with a 100% prevalence, thereby appearing as an outlier, the prevalence of PSD as assessed by the PHQ-9 including the aforementioned study can be found separately in Figure 4. The estimated prevalence of PSD assessed by the PHQ-9 for three studies (without Litton et al [38]) is shown in Figure 5. The pooled prevalence of PSD in the total sample of 444 was 20.87% (95% CI = 13.13-29.87%) based on the random-effects model (I 2 = 77.56%, Q = 8.91, p = 0.012).…”

Section: Prevalence Of Post-stroke Depression (Psd) Assessed By the Hamilton Depression Rating Scale (Hdrs)mentioning

confidence: 99%

Post-Stroke Psychiatric and Cognitive Symptoms in West Asia, South Asia and Africa: A Systematic Review and Meta-Analysis

Mahadevan

Chan

Moghadas

et al. 2021

JCM

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Recent research has shown that the prevalence of stroke incidents and the number of survivors in developing countries surpass those from developed countries. This study aimed to enumerate the prevalence of post-stroke psychiatric and cognitive symptoms among stroke survivors from West and South Asia and Africa through a systematic review and meta-analysis. Data from each country was systematically acquired from five major databases (PsycINFO, Web of Science, Scopus, PubMed/Medline, and Google Scholar (for any missing articles and grey literature)). Meta-analytic techniques were then used to estimate the prevalence of various post-stoke psychiatric and cognitive symptoms. A total of 36 articles were accrued from 11 countries, of which 25 were evaluated as part of the meta-analysis. The pooled prevalence of post-stroke depression as per the Hospital Anxiety and Depression Scale (HADS), Hamilton Depression Rating Scale, Patient Health Questionnaire, Schedules for Clinical Assessment in Neuropsychiatry (SCAN), Geriatric Depression Scale, and the Montgomery–Asberg Depression Rating Scale ranged from 28.00 to 50.24%. Pooled prevalence of post-stroke anxiety based on the HADS and SCAN was 44.19% and 10.96%, respectively. The pooled prevalence of post-stroke cognitive impairment as per the Mini-Mental Status Examination was 16.76%. This present review has suggested that both psychiatric and cognitive symptoms are common among stroke survivors. Concerted efforts are needed to institute robust studies using culturally sensitive measures to contemplate mechanisms that address the unmet needs of this vulnerable population.

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“…It takes 15 to 20 minutes to complete and score (13,14) . In this study we have used the 21 items, but four other questions are included but not added to the total score and were only used to provide additional clinical information. Each item on the questionnaire is scored on a 3-or 5point scale depending on the item and the total score is compared to the corresponding descriptor.…”

Section: Introductionmentioning

confidence: 99%

A Study on Prevalence of Post Stroke Depression and Associated Factors using Hamilton Depression Rating Scale (HAM-D)

Narang¹,

Dalal²,

Jakhotia

2022

Int J Health Sci Res

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Introduction: Post Stroke Depression (PSD) is considered the most frequent and important neuropsychiatric consequence of stroke. Early assessments can help determine possible treatment options and gauge progress. The present study was conducted to estimate the prevalence of PSD and associated factors among stroke patients and to find out the correlation between duration of stroke and depression through HAM-D. Aims: -To measure PSD using HAM-D in stroke patients. -To find out correlation between duration of stroke with level of depression experienced by stroke patients through HAM-D Materials and Method: This is a cross-sectional observational study conducted across various OPDs and hospitals attached to SPB Physiotherapy College, Surat. Hamilton Depression Rating Scale (21-points) was used to assess the level of depression among a total of 50 patients. 32 males and 18 female patients of age group 40 to 75 years having acute, sub-acute or chronic stroke were included in the study. The study was conducted after obtaining a written and informed consent from the subjects. Results: Out of total 50 patients, 39 were depressed i.e., 78% of the total population had PSD. The findings also indicate that there is a strong negative correlation between the time duration since the stroke had occurred and the level of depression. Acute and sub-acute phase patients had HAM-D scores higher than chronic patients. Conclusion: The present study concludes that there is high prevalence of PSD in Stroke patients and 78% of the population included in the study was depressed. We concluded this by our study that PSD is a very imp aspect, and majority of stroke patient have high level of depression. That is why it is important to measure PSD so that we can develop some strategy to combat depression. Key words: Stroke, Post Stroke Depression (PSD), HAM-D

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A cross-sectional study of prevalence and determinants of depression among stroke patients

Cited by 4 publications

References 8 publications

A cross sectional study of prevalence of depression among patients with cerebrovascular accident

A cross sectional study of prevalence of depression among patients with cerebrovascular accident

Post-Stroke Psychiatric and Cognitive Symptoms in West Asia, South Asia and Africa: A Systematic Review and Meta-Analysis

A Study on Prevalence of Post Stroke Depression and Associated Factors using Hamilton Depression Rating Scale (HAM-D)

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