Does the severity of depressive symptoms after stroke affect long-term survival? An 18-year follow-up

Kellermann, Mónika; Berecz, Roland; Bereczki, Dániel

doi:10.1371/journal.pone.0209157

Cited by 6 publications

(6 citation statements)

References 40 publications

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“…In another prospective study, depression detected 3 months after stroke has been independently associated with poor functional outcome [ 14 ]. These findings are not consistent, and another study showed the severity of depressive symptoms was not found to be independent predictor of length of survival in the short- and long-term follow-up of 18 years [ 15 ].…”

Section: Introductionmentioning

confidence: 95%

High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

Tsehayneh

Tafesse

2020

Neurology Research International

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Background. There is limited information and research carried out regarding the prevalence of poststroke depression (PSD) in the study area. Psychiatric disorders complicate a significant proportion of patients suffering from stroke. This of course have a great negative impact on our knowledge about poststroke depression in Ethiopia, and poststroke depression complicates a significant number of stroke patients and their rehabilitation. Methods. A cross-sectional study on all patients aged above 18 years and diagnosed with stroke in the past two years who attended the neurology follow-up clinics of Tikur Anbessa Specialized Hospital (TASH) and Zewditu Memorial Hospital (ZMH) was done by using a structured questionnaire containing Patient Health Questionnaire-9 (PHQ-9) depression screening tool. Result. Of 84 patients who were eligible for the study, 32.2% of patients have depressive symptoms. Women (OR 0.001, 95% CI 0.12–0.87) and aphasic patients (OR 0.034, 95% CI 0.19–1.27) were more likely to have depressive symptoms. Conclusion. Depressive symptoms after stroke are common in Ethiopian patients. Our study demonstrates female and aphasic patients are more likely to screen positive for PSD. Hence, screening all poststroke patients with different screening tools is practical, and further studies are needed to assess the validity of these screening tools and also to assess PSD as a predictor of stroke outcome.

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Section: Introductionmentioning

confidence: 95%

High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

Tsehayneh

Tafesse

2020

Neurology Research International

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“…Arm function and daily life activities of the patients in the JM+ AC group might be improved through the increase in muscle activity induced by JM and the recovery of neurological damage by AC treatment. Depression is associated with pain in poststroke patients [7], and depression in these patients are associated with mortality, suicide risk, and quality of life [42][43][44].…”

Section: Discussionmentioning

confidence: 99%

“…Depression is associated with pain in poststroke patients [7], and depression in these patients are associated with mortality, suicide risk, and quality of life [42–44]. Thus, depression must be verified in rehabilitation process for functional recovery after stroke, in general.…”

Section: Discussionmentioning

confidence: 99%

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Effects of joint mobilization combined with acupuncture on pain, physical function, and depression in stroke patients with chronic neuropathic pain: a randomized controlled trial

Lee

Akimoto

Lee

2023

Preprint

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Objective: To investigate the effectiveness of joint mobilization (JM) combined with acupuncture (AC) for treatment pain, physical function and depression in poststroke patients. Methods: A total of 69 poststroke patients were randomly assigned to the JM+AC group (n = 23), the JM group (n = 23), and the control group (n = 23). Patients in the JM+AC group and the JM group received JM for 30 minutes, twice a week for 12 weeks, and the JM+AC group received AC for 30 minutes separately once a week. The control group did not receive JM or AC. Pain (visual analog scale, shoulder pain and disability index, Western Ontario and McMaster universities osteoarthritis index), physical function (range of motion, 10-m walking speed test, functional gait assessment, manual function test, activities of daily living scale, instrumental activities of daily living scale), and depression (center for epidemiologic studies depression scale, Beck depression inventory) were assessed for each patient before and after the 12 weeks of intervention. Results: Pain and physical function were improved significantly in the JM+AC group compared with the JM and control groups. Physical function and depression were improved significantly in the JM+AC and JM groups compared with the control group. Conclusion: The treatment of JM combined with AC improved pain, depression, and physical function of poststroke patients with chronic neuropathic pain in this study. This valuable finding provides empirical evidence for the designing therapeutic interventions and identifying potential therapeutic targets.

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“…13 In our previous study we found that depressive symptoms may persist long after stroke, and scores on the depression scales at 4 years after stroke correlated with both stroke severity and depressive scores in the acute phase. 14 Pre-stroke socioeconomic factors may also contribute to PSD. 15 Living alone and having few social contacts have been found to predict depression.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Factors Predicting Depression Differ in the Acute Stage and at 1 year After Ischemic Stroke or TIA

Mirolovics

Bokor

Dobi

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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Introduction: Considerable depressive symptoms follow stroke in about one third of patients. Initial depressive symptoms may wane after the acute phase of stroke, but persisting depressive symptoms adversely affect rehabilitation and quality of life. We set forth to evaluate predictors of depressive symptoms with a focus on socioeconomic factors. Methods: We evaluated clinical features and socioeconomic characteristics in 233 consecutive patients with acute ischemic stroke or TIA. Depressive symptoms could be evaluated in 168 subjects in the acute phase with a repeated testing after a mean of 14.7 months via telephone interview in 116 patients. Survival status, scores on the Center for Epidemiologic Studies-Depression Scale (CES-D), Beck Depression Inventory (BDI) and disability (modified Rankin scale, mRS) were recorded. Results: In the acute phase, employment status (p = 0.037) and level of education (p = 0.048) whereas one year later dependency (mRS3, p = 0.002) and income (p = 0.012) were the significant predictors of the severity of depressive symptoms. A change from independent (mRS2) to dependent living predicted worsening depressive symptoms (p = 0.008), whereas improving to functional independence from an initially dependent condition was associated with diminishing depressive symptoms (p = 0.077 for CES-D and p = 0.044 for BDI) in the first year after an acute ischemic cerebrovascular event. Conclusions: Predictors of the severity of depressive symptoms differed in the acute phase and at follow-up. In addition to disability, education and employment status in the acute phase and income in the late phase predict the severity of depressive symptoms after ischemic stroke or TIA.

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Does the severity of depressive symptoms after stroke affect long-term survival? An 18-year follow-up

Cited by 6 publications

References 40 publications

High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

Effects of joint mobilization combined with acupuncture on pain, physical function, and depression in stroke patients with chronic neuropathic pain: a randomized controlled trial

Socioeconomic Factors Predicting Depression Differ in the Acute Stage and at 1 year After Ischemic Stroke or TIA

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