Screening for depression in stroke: Relationship to rehabilitation efficiency

Gillen, Robert W.; Eberhardt, Tara L.; Tennen, Howard; Affleck, Glenn; Groszmann, Yvette

doi:10.1016/s1052-3057(99)80004-4

Cited by 22 publications

(16 citation statements)

References 38 publications

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“…Gillen et al29,30 and Morris et al31 have reported that patients with post-stroke depression showed delayed functional recovery, compared to those without depression, and this was because of the depression-induced lower motivation and various cognitive symptoms associated with learning and processing of information. In addition, You and Ann32 reported that motivation for rehabilitation and quality of life were correlated, and thus, depressive symptoms and quality of life can be considered as major factors that may affect the effectiveness of rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia

et al. 2012

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ObjectiveTo examine the effects of a bedside exercise program on the recovery of swallowing after a stroke.MethodFifty stroke patients with dysphagia (<6 months post-stroke) were enrolled and classified into two groups, the experimental (25 subjects) and control groups (25 subjects). The control group was treated with conventional swallowing therapy. The experimental group received additional bedside exercise training, which consisted of oral, pharyngeal, laryngeal, and respiratory exercises, 1 hour per day for 2 months, and they were instructed regarding this program through the nursing intervention. All patients were assessed for their swallowing function by Videofluoroscopic Swallowing Study (VFSS), using the New VFSS scale, the level of functional oral intake, the frequency of dysphagia complications, the presence (or not) of tube feeding, the mood state and quality of life before the treatment and at 2 months after the treatment.ResultsAfter 2 months of treatment, the experimental group showed a significant improvement in the swallowing function at the oral phase in the New VFSS Scale than that of the control group (p<0.05). Further, they also showed less depressive mood and better quality of life than the control group. However, there was no significant change in the incidence of dysphagia complication and the presence (or not) of tube feeding between the two groups.ConclusionBedside exercise program showed an improvement of swallowing function and exhibited a positive secondary effect, such as mood state and quality of life, on subacute stroke patients with dysphagia. For improvement of rehabilitation results on subacute stroke patients with dysphagia, this study suggests that additional intensive bedside exercise would be necessary.

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Section: Discussionmentioning

confidence: 99%

The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia

et al. 2012

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“…Based on main available evidence, together with worse long term functional outcomes [29], depression after stroke is associated with reduction in rehabilitation treatment efficacy [30], limitations in daily living activities [29, 31], cognitive impairment [32, 33], and a higher risk of recurrent stroke [34]. Furthermore, depression after stroke was reported to be related to a high mortality risk [35].…”

Section: Introductionmentioning

confidence: 99%

Depression after Stroke and Risk of Mortality: A Systematic Review and Meta-Analysis

Bartoli

Lillia

Lax

et al. 2013

Stroke Research and Treatment

197

160

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Background. Depression after stroke may have great burden on the likelihood of functional recovery and long-term outcomes. Objective. To estimate the association between depression after stroke and subsequent mortality. Methods. A systematic search of articles using PubMed and Web of Science databases was performed. Odds ratios (ORs) and hazard ratios (HRs) were used as association measures for pooled analyses, based on random-effects models. Results. Thirteen studies, involving 59,598 subjects suffering from stroke (6,052 with and 53,546 without depression), had data suitable for meta-analysis. The pooled OR for mortality at followup in people suffering from depression after stroke was 1.22 (1.02–1.47). Subgroups analyses highlighted that only studies with medium-term followup (2–5 years) showed a statistically significant association between depression and risk of death. Four studies had data suitable for further analysis of pooled HR. The meta-analysis revealed a HR for mortality of 1.52 (1.02–2.26) among people with depression after stroke. Conclusions. Despite some limitations, this paper confirms the potential role of depression on post stroke mortality. The relationship between depression and mortality after stroke seems to be related to the followup duration. Further research is needed to clarify the nature of the association between depression after stroke and mortality.

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“…This is notable because depressive symptoms after stroke have frequently been demonstrated to impede rehabilitation outcome as well as use of rehabilitation services (Gillen et al, 1999; Robinson et al, 2016; Sinyor et al, 1986; van de Weg, Kuik, & Lankhorst, 1999). Despite this common finding, depressive symptom severity does not appear to be associated with worse motor recovery of patients treated in this laboratory with CIMT.…”

Section: Discussionmentioning

confidence: 99%

“…Depressive disorders are generally a negative prognostic indicator after stroke, and have been associated with increased mortality, less efficient use of rehabilitation services, and greater functional impairment than outcomes for those who experienced similar stroke symptoms but were not depressed (Hadidi, Treat-Jacobson, & Lindquist, 2009; Matsuzaki, Hashimoto, Yuki, Koyama, Hirata, & Ikeda, 2015; Paolucci, Antonucci, Pratesi, Traballesi, Grasso, & Lubich, 1999). Depressive disorders limit motivation and are associated with increased fatigue and feelings of hopelessnesss (Gillen, 2006; Gillen, Eberhardt, Tennen, Affleck, & Groszmann, 1999; Schubert, Taylor, Lee, Mentari, & Tamaklo, 1992). These factors may interfere with patients’ participation in rehabilitation, creating a vicious cycle whereby depressed individuals become increasingly physically disabled, which in turn worsens depressive symptoms (Herrmann, Black, Lawrence, Szekely, & Szalai, 1998; O’Dell, Lin, & Harrison, 2009).…”

Section: Introductionmentioning

confidence: 99%

Relation of depressive symptoms to outcome of CI movement therapy after stroke.

Haddad¹,

Uswatte²,

Taub³

et al. 2017

Rehabilitation Psychology

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Objective Depressive symptoms after stroke have been associated with negative outcomes, including poorer functional ability, less efficient use of rehabilitation services, decreased quality of life, and increased mortality. It has been anecdotally noted that depressive symptoms do not limit motor recovery in patients who undergo Constraint-Induced Movement therapy (CIMT), an efficacious intervention for chronic post-stroke hemiparesis. Here we analyze depressive symptom and motor scores from 40 participants who received CIMT in two previously published studies. Method Adults more than 1-year after stroke with mild to moderate upper-extremity hemiparesis completed the Zung Self-Rating Depression Scale and Motor Activity Log (MAL) before and after CIMT. We used regression analysis to test whether Zung scores predicted response to CIMT and paired t-tests to test whether depressive symptoms changed from pre- to post-treatment. Results Pre-treatment Zung score did not predict outcome on the MAL Arm Use scale, ΔR2 (1,30) = 0.004, p = .19, after controlling for pre-treatment MAL scores. Additionally, participants had a small but statistically significant decrease in Zung score, t(39) = 3.0, p = 0.005, mean change = −3.6. Conclusions These results suggest that depressive symptoms do not significantly limit motor recovery in patients treated with CIMT for chronic post-stroke hemiparesis. Additionally, treatment with CIMT may improve depressive symptoms.

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Screening for depression in stroke: Relationship to rehabilitation efficiency

Cited by 22 publications

References 38 publications

The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia

The Effect of Bedside Exercise Program on Stroke Patients with Dysphagia

Depression after Stroke and Risk of Mortality: A Systematic Review and Meta-Analysis

Relation of depressive symptoms to outcome of CI movement therapy after stroke.

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