Prevalence and predictors of post stroke depression among elderly stroke survivors

Santos, Emanuella Barros dos; Rodrigues, Rosalina Aparecida Partezani; Pontes-Neto, Octávio Marques

doi:10.1590/0004-282x20160088

Cited by 23 publications

(17 citation statements)

References 24 publications

(38 reference statements)

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“…The results for the relationship between PSD and demographic data are controversial [22]. Some of the earlier reports are in agreement with our results [5,23], while others are not [21,24].…”

Section: Discussionsupporting

confidence: 80%

“…Previous history of depression, the severity of neurological deficit, functional dependency, and pre-stroke depression have been reported as predictive factors of PSD in developed countries. Some authors also report the relationship between post-stroke depression and sociodemographic characteristics (gender, age), but the results are still controversial [5].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for post-stroke depression in Sohag University Hospital

Mohammed

Azab

Sayed

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Depression is one of the important complications of stroke. Post-stroke depression is associated with more physical disability, especially in daily activities, poor functional outcome, and high mortality rate. Objective: Our study aimed to investigate the risk factors for development of post-stroke depression 3 months following stroke. Methods: This is a comparative study, comparing stroke patients with and without depression 3 months after the onset. Hamilton Depression Rating Scale (HDRS), Mini-Mental State Examination (MMSE), Scandinavian Stroke Scale (SSS), and modified Rankin scale (mRS) were used to evaluate patients 3 months post-stroke for depression, cognition, and physical disability. The patients were divided into two groups: patients' group with depression and patients' group without depression according to DSM-IV criteria. The clinical characteristics and scores on the HDRS, MMSE, SSS, and mRS were compared between depressive group and non-depressive group. Logistic regression analysis was performed to identify risk factors for depression 3 months after stroke. Results: A total 102 stroke patients were recruited. Of these, 62 patients (60.78%) had depression. Multivariate logistic regression indicated that smoking, hypertension, increased physical disability, and impaired cognitive function were associated with post-stroke depression. Conclusion: Important risk factors found for PSD included smoking, hypertension, increased physical disability, and impaired cognitive function.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Risk factors for post-stroke depression in Sohag University Hospital

Mohammed

Azab

Sayed

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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show abstract

“…Reproducibility and reliability tests have shown its ability to measure functional mobility [6]. This scale is widely used with elderly people [7]; people with physical disabilities [8][9][10]; intensive care unit patients [11]; stroke patients [12]; and children [13].…”

Section: Introductionmentioning

confidence: 99%

Functional independence profile of people with physical disabilities

et al. 2019

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Introduction: The Functional Independence Measure is an evaluation instrument that recognizes the functional evolution of the characteristics of physically disabilities and their abilities. Objective: To analyze the motor items of the functional independence level of people with physical disabilities in the municipality of Itajaí, state of Santa Catarina. Method: A cross-sectional quantitative study was carried out with 164 people with physical disabilities who lived in Itajaí/SC. Socioeconomic variables, and type and cause of disability were collected. To analyze the aspects that limit or contribute to functional independence, the Functional Independence Measure scale was applied. Statistical tests were used for comparisons according to the nature of the variables. Results: Most individuals (39%) were 41 to 60 years old; 44.5% had elementary education; only 10.4% are in the labor market, and 60.4% earns up to two minimum wages. Regarding the type of disability, 58% of participants presented plegia; 26.2%, paresis; and 15.8%, amputations. The etiology of disability was mainly related to neurological problems (43.3%). In the distribution of the average score of people with physical disabilities, half of the sample had average scores above six, and 67% above five, with significant differences in the mean independence scores according to occupation and type of disability. Conclusion: The results obtained support the decision-making process of physical therapists and health professionals.

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“…Stoke severity has previously been associated with the risk of PSD, but in small studies, in highly selected cohorts, or in restricted time periods after stroke. [23][24][25] Our findings could suggest that clinicians should have special focus on the more severe strokes with regard to identifying patients with symptoms requiring antidepressant treatment. Another possibility is that the more severe strokes were more likely to be treated with an antidepressant as they had longer hospital stays.…”

Section: Discussionmentioning

confidence: 89%

“…Stoke severity has previously been associated with the risk of PSD, but in small studies, in highly selected cohorts, or in restricted time periods after stroke [23][24][25]. Estimates in bold highlights statistically significant results.…”

mentioning

confidence: 98%