Poststroke Depression Among the Chinese Elderly in a Rural Community

Fuh, Jong Ling; Liu, Hsiu Chih; Wang, Shuu Jiun; Liu, Chia Yih; Wang, Pei Ning

doi:10.1161/01.str.28.6.1126

Cited by 68 publications

(62 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A population-based cohort study of the elderly 24 showed that physical functioning, as assessed by ADL, together with cognitive impairment predicted the outcomes of strokes. Previous findings for a Chinese population showed that physical functions were related to the prevalence of depression in stroke survivors, 25 which may imply that improvements in physical functioning may also reduce the severity of depression.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Survival Among Elders Suffering Strokes in Taiwan

Wang

Pan

Lee

et al. 2000

Stroke

View full text Add to dashboard Cite

Background and Purpose-Cerebrovascular disease was the leading cause of death in Taiwan from 1963 to 1982. Deaths due to stroke now rank second only to cancer, with more deaths resulting from strokes than from any other single pathology. It is important to understand stroke prognosis among elderly stroke survivors, with respect to survival and attendant predictive factors, because aged population in Taiwan is growing rapidly. The aim of the present study was to discern factors affecting survival in stroke patients from a nationally representative elderly sample. Methods-A total of 99 stroke survivors, from a representative national sample of elders aged Ն65 years on December 31, 1988, whose strokes occurred in the period 1989 -1993, were followed for mortality until July 1, 1995. Personal data were gathered through home interviews conducted by well-trained community nurses, and mortality data were obtained from the national census office by using identification card numbers. Cox proportional hazards regression analysis and the stepwise technique were used to search for important prognostic factors of survival. Results-Women experienced a higher mortality rate (139.8 per 1000 person-years) than men (126.4 per 1000 person-years), as age-adjusted for World Health Organization world-population figures. Stroke patients who received continuous treatment for diabetes experienced mortality risks similar to those of patients without diabetes and much lower risks than those with discontinuous diabetes treatment. Cognitive impairment was also an independent predictor of survival (relative risk 2.69, PϽ0.05). In addition, patients with both cognitive and mobility impairments had a 2-to 3-fold greater risk of mortality than those with only a single abnormality. Conclusions-This first report on the various prognostic factors related to survival of elderly stroke patients in Taiwan's Chinese population emphasized the benefit of continuous diabetes treatment in improving survival chances. These stroke patients should also be monitored for cognitive and mobility impairments and undergo rehabilitation. (Stroke.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Survival Among Elders Suffering Strokes in Taiwan

Wang

Pan

Lee

et al. 2000

Stroke

View full text Add to dashboard Cite

show abstract

“…CTT-2, MDRS I/P and MCST contributed to the executive composite score whereas the MMSE, HKLLT, category fluency and digit span forward and backward total contributed to the non-executive composite score. In addition, the Chinese Geriatric Depression Scale (GDS) [38] was administered and used as a covariate in the statistical models.…”

Section: Neuropsychological Assessmentmentioning

confidence: 99%

The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease

Wong¹,

Xiong²,

Kwan³

et al. 2009

Dement Geriatr Cogn Disord

249

204

View full text Add to dashboard Cite

Background/Aims: To evaluate the psychometric properties of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in patients with cerebral small vessel disease (SVD). Methods: 40 SVD patients and 40 matched controls were recruited. Concurrent and criterion validity, inter-rater and test-retest reliability, internal consistency of the HK-MoCA were examined and clinical observations were made. Results: Performance on the HK-MoCA was significantly predicted by both executive (β = 0.23, p = 0.013) and non-executive (β = 0.64, p < 0.001) composite scores. It differentiated SVD patients from controls (area under the curve = 0.81, p < 0.001) with an optimal cutoff at 21/22. Reliability, internal consistency and clinical utility were good. Conclusion: The HK-MoCA is a useful cognitive screening instrument for use in SVD patients.

show abstract

“…With the continued growth of Taiwanese older population, their mental health became an issue of concern especially the high incidence of depression in Taiwanese elders. The prevalence of depressive symptoms was found to be 34% to 56% in studies conducted in Taiwan (Fuh et al, 1997;Wang et al, 2001). Also, the mental health needs of older adults in Taiwan are not being met and many Taiwanese elderly people who are separated from their children experience depression (Chang, 1998).…”

Section: Introductionmentioning

confidence: 99%