Poststroke depression among stroke survivors in Sub-Himalayan region

Abstract

Introduction: Stroke is a leading cause of long-term disability and loss of productive life in developing countries, including India. Ischemic stroke accounts for 85% of all types of stroke with a prevalence of 5%–15% among acute stroke incidents. The prevalence of poststroke depression among acute stroke survivors is varied from 5 to 54%. The study focused on depression among stroke survivors who actively involved in a home-based rehabilitation. Materials and Methods: A descriptive cross-sectional survey was conducted by enrolling 138 stroke survivors consecutively at tertiary care public hospital, North India. A sociodemographic and clinical profile sheet was used to seek information on personal and clinical variables. Information on disability, depression, performance in the activity of daily living, and degree of stroke severity was ascertained by using the Modified Rankin Scale (MRS), Physical Health Questionnaire (PHQ-9), Barthel Index, and National Institutes of Health Stroke (NIHSS). After binary logistic regression model, a multivariate logistic regression was applied to detect the independent predictor of depression. Results: Over 86% (119) of the stroke survivors had no symptoms of depression, and only 14% (19) were reported to have symptoms of depression. Poststroke depression found significant association with disability ( P = 0.029) and functional independence ( P = 0.0001). A significant difference was observed in the gender ( P = 0.018), types of stroke ( P = 0.0001), and location of lesion ( P = 0.0001) with depression. Binary logistic regression model shows that disability (MRS) status of stroke survivor ( P < 0.0001; 95% CI 1.998–2.638) and functional independence (BI) ( P < 0.0001; 95% CI –0.034–0.020) are same as independent predictors for depression. Conclusion: Clinician should use the community reintegration, referral, and mandatory screening of the stroke survivors at follow-up visit to rule out the probability of occurrence of poststroke depression.

Factors Associated with Post-Non Hemorrhagic Stroke Depression: a cross-sectional study

“…Stroke patients rate themselves as low, feel tired, are physically disabled, and have a low quality of life that will support the occurrence of poststroke depression (Sibbritt et al, 2022). The prevalence of post-stroke depression is higher in patients with reduced mobility, high functional dependence, and more severe functional disabilities (Kumar et al, 2020). In this study, the majority of post-stroke depression was either minimally depressed or not depressed.…”

Stress-Induced Subarachnoid Hemorrhage: A Case Report

“…Strokes are the second leading cause of death worldwide and a major cause of disability in adults, impacting not only physical health but also psychological wellness [ 1 ]. A recent study reported that 14% of stroke survivors suffer post-stroke depression [ 2 ]. Subarachnoid hemorrhages (SAHs) are rare, accounting for only 5% of strokes.…”

Association between Poststroke Depression and Psychological Crisis: A Retrospective Cross-Sectional Study

“…In addition to neurologic and functional deficits, patients also encounter significant challenges in terms of their support system, alteration of self-esteem, change to self-image, and altered living standards [ 3 , 7 ]. Therefore, these patients are prone to development of depressive mood, anxiety, denial behavior, insomnia, or other psychological comorbidities [ 5 , 6 , 8 , 9 ] and have a poststroke depression (PSD) prevalence of 31.1% and a poststroke anxiety prevalence of 20.4% [ 10 , 11 ]. An increased prevalence of emotional disturbance may lead to psychological crisis [ 9 , 12 ], which can be defined as when the summation of stressors faced by an individual exceeds their capacity to cope [ 13 ].…”