The Association between Post-Stroke Depression and the Activities of Daily Living/Gait Balance in Patients with First-Onset Stroke Patients

Park, Geun-Young; Im, Sun; Lee, Soo-Jung; Pae, Chi‐Un

doi:10.4306/pi.2016.13.6.659

Cited by 21 publications

(19 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, PSD has a negative impact on functional outcome and rehabilitation results. In fact, PSD is associated with increased disability (13–15), reduced participation in rehabilitative programs (16, 17), and worse rehabilitation results (18–22). Conversely, a reduction of depressive symptoms has been associated with better functional recovery (23); furthermore, patients treated for depression show a better functional prognosis compared to untreated, depressed patients (24, 25).…”

Section: Introductionmentioning

confidence: 99%

Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study

et al. 2019

View full text Add to dashboard Cite

We performed a retrospective, case-control study in consecutive ischemic stroke patients admitted to our stroke rehabilitation unit. Patients were matched for severity of neurological impairment (evaluated with the Canadian Neurological Scale, CNS), age (difference within 1 year), and onset admission interval (difference within 3 days). Participants were divided into two subgroups according to the presence or absence of PSD. Aim was to assess the specific influence of post-stroke depression (PSD) and antidepressant treatment on both basal functional status and rehabilitation outcomes. All PSD patients were treated primarily with serotoninergic antidepressants (AD). The final sample included 280 patients with depression (out of 320 found in a whole case series of 993 ischemic patients, i.e., 32.25%) and 280 without depression. Forty patients with depression were excluded because they had a history of severe psychiatric illness or aphasia, with a severe comprehension deficit. On one hand, PSD patients obtained lower Barthel Index (BI) and Rivermead Mobility Index (RMI) scores at both admission and discharge, with minor effectiveness of rehabilitative treatment and longer length of stay; on the other hand, this group had a lower percentage of dropouts. Lastly, PSD patients showed a different functional outcome, based on their response to antidepressant therapy, that was significantly better in responders than in non-responders (13.13%). Our results confirm the unfavorable influence of PSD on functional outcome, despite pharmacological treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In addition, AD treatment was more prevalent upon the existence and severity of PSD at baseline in the present study. We previously reported the association of PSD and diverse clinical outcomes of patients with stroke in relation with ADL, physical dependence, and motor function, where we found that PSD was one of critical factors in the success of rehabilitation of stroke patients [17,18]. In this context we have also found substantial practicability of AD treatment for patients with stroke in the present study, where beneficial effects was found favoring PwAD over PwoAD in ADL, physical independence, and motor function, which were assessed by measure of multiple rating scales, although they failed to reach clear and statistical differences between the two groups.…”

Section: Discussionmentioning

confidence: 94%

The Usefulness and Clinical Characteristics of Antidepressant Use for Stroke Patients with Rehabilitation Program: An Exploratory Analysis

Lee

Park

Bahk

et al. 2020

Clin Psychopharmacol Neurosci

Self Cite

View full text Add to dashboard Cite

Objective: There has been a lack of data regarding the usefulness and clinical characteristic between patients-treated with and without antidepressants (Pw/Pwo ADs). Methods: One hundred and eighty inpatients were recruited and observed for a 6-month. The depressive, cognitive, daily activity, and motor symptoms were evaluated at baseline and tracked at month 6, with the use of rating scales including Beck Depression Inventory (BDI), Mini Mental State Examination (MMSE), Global Deterioration Scale (GDS), modified Rankin Scale (MRS), modified Barthel Index (MBI), and Berg Balance Scale (BBS). Results: Among 178 patients, 84 (47.2%) were treated with ADs. PwAD had numerically or significantly higher depressive cognitive, and motor symptoms along with daily activity impairment (8.3 point higher in BDI score, p ＜ 0.001; 3.6 point lower in MMSE, p = 0.003; 0.8 point higher in GDS score, p = nonsignificant; 8.2 point lower in BBS score, p = 0.053, and 0.4 point higher in MBI score, p = nonsignificant) than PwoAD. Psychiatric consultation was also significantly higher in PwAD than in PwoAD (p ＜ 0.001). The numbers need to treat for good clinical outcomes between PwAD and PwoAD were 5.8, 6.0, and 7.5, respectively, by MRS, MBI, and BBS scores. Conclusion: Our findings suggest the potential utility of AD treatment and different clinical parameters between patients-treated with and without ADs. Adequately-powered and well-controlled further studies are mandatory to confirm and fully elaborate such association.

show abstract

“…Outside of the stroke literature, in addition to its widely known deleterious effects on mood and interest or motivation,48 depression is associated with reduced self-efficacy,49 lower treatment adherence50 and exercise capacity among patients with cardiovascular disease,51 and worse response to exercise training in CR 52. Poststroke depression has been associated with lower PA28 29 and worse gait balance 53. Emotional distress measured with an anxiety/depression/stress scale was associated with lower quadriceps strength, worse balance, reduced walking and stair-climbing speed among 45 community-dwelling chronic stroke survivors 54.…”

Section: Factors Associated With Pa and Exercise After Strokementioning

confidence: 99%

Exercise for stroke prevention

Prior

Suskin

2018

Stroke Vasc Neurol

View full text Add to dashboard Cite

We review evidence concerning exercise for stroke prevention. Plausible biological reasons suggest that exercise would be important in preventing stroke. While definitive randomised controlled trials evaluating the impact of physical activity (PA) and exercise on preventing stroke and mortality are lacking, observational studies, small randomised controlled trials and meta-analyses have provided evidence that PA and exercise favourably modify stroke risk factors, including hypertension, dyslipidaemia, diabetes, sedentary lifestyle, obesity, excessive alcohol consumption and tobacco use. It is, therefore, important to understand the factors associated with poststroke PA/exercise and cardiorespiratory fitness. Positively associated factors include self-efficacy, social support and quality of patients’ relationships with health professionals. Negatively associated factors include logistical barriers, medical comorbidities, stroke-related deficits, negative exercise beliefs, fear of falling, poststroke fatigue, arthropathy/pain and depression. Definitive research is needed to specify efficacious behavioural approaches to increase poststroke exercise. Effective techniques probably include physician endorsement of exercise programmesto patients, enhancement of patient–professional relationships, providing patients an exercise rationale, motivational interviewing, collaborative goal-setting with patients, addressing logistical concerns, social support in programsmes, structured exercise programming, individualised behavioural instruction, behavioural diary recording, reviewing behavioural consequences of exercise efforts, reinforcing successful exercise performance. Exercise programming without counselling may increase short-term activity; simple advice or information-giving is probably ineffective. Older patients or those with cognitive impairment may need increased structure, with emphasis on behaviour per se, versus self-regulation skills. We support the latest American Heart Association/American Stroke Association guidelines (2014) recommending PA and exercise for stroke prevention, and referral to behaviourally oriented programmes to improve PA and exercise.

show abstract

The Association between Post-Stroke Depression and the Activities of Daily Living/Gait Balance in Patients with First-Onset Stroke Patients

Cited by 21 publications

References 27 publications

Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study

Post-stroke Depression Increases Disability More Than 15% in Ischemic Stroke Survivors: A Case-Control Study

The Usefulness and Clinical Characteristics of Antidepressant Use for Stroke Patients with Rehabilitation Program: An Exploratory Analysis

Exercise for stroke prevention

Contact Info

Product

Resources

About