The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

Franco-Urbano, María Salud; Rodríguez-Martínez, María del Carmen; García-Pérez, Patricia

doi:10.3390/healthcare10102110

Cited by 5 publications

(6 citation statements)

References 47 publications

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“…Moreover, it explained approximately 15% of the variation in satisfaction with life. These results are consistent with findings from a number of studies showing that mood and affective disorders have a negative impact on rehabilitation outcomes ( 16 , 17 , 42 , 43 ).…”

Section: Discussionsupporting

confidence: 92%

Depression and anxiety as predictors of performance status and life satisfaction in older adult neurological patients: a cross-sectional cohort study

Głowacka,

Przybyła,

Humańska

et al. 2024

Front. Psychiatry

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Neurological disorders are one of the leading causes of disability globally. Studies emphasise that the course and effectiveness of rehabilitation interventions may be influenced by emotional factors. The aim of the present study was to assess the prevalence of depressive and anxiety symptoms in patients with neurological disorders and examine whether depression and tendency to respond with anxiety are predictors of disability in these patients. The study included 229 individuals with neurological disorders aged over 55. Our findings show that stroke patients are more likely to experience depressive symptoms and are more likely to display trait anxiety as compared with patients with other neurological disorders. Advanced age, female sex, low level of education and the presence of trait anxiety are associated with a higher severity of depressive symptoms. Stroke survivors have significantly poorer ECOG performance scores and are more likely to be incapable for work. Both depression and trait anxiety are significant predictors of neurological patients’ performance status, and the presence of depressive symptoms is a determinant of these patients’ level of satisfaction with life. An understanding of psychological risk factors for poorer performance status in individuals with neurological disorders will make it possible to plan prophylactic interventions in order to minimise negative health impacts and facilitate access to mental health facilities.

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Section: Discussionsupporting

confidence: 92%

Depression and anxiety as predictors of performance status and life satisfaction in older adult neurological patients: a cross-sectional cohort study

Głowacka,

Przybyła,

Humańska

et al. 2024

Front. Psychiatry

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“…As patients witness improvement in their daily functioning, this could resonate positively with their selfesteem and life satisfaction, forging a pathway toward a more fulfilled life. However, it is essential to approach this with a nuanced understanding, incorporating individualized therapy plans that resonate with the unique needs and preferences of each individual, to truly harness the potential of occupational therapy in nurturing a richer quality of life in bipolar disorder patients [29][30].…”

Section: Discussionmentioning

confidence: 99%

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Özönder Ünal

2023

J Surg Med

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Background/Aim: Patients with bipolar disorder often experience praxia deficits, which might impede their functionality and quality of life. This study sought to delve into praxis defects in these patients, contrasting their praxia performance with healthy controls and illuminating the interrelation between praxia performance, functionality, and quality of life. Methods: In this cross-sectional study conducted from February to July 2023, we enrolled 203 patients diagnosed with bipolar disorder 1. Participants were recruited from the Ibni Sina and Sifa Community Mental Health Centers, both of which are affiliated with the Istanbul Tuzla State Hospital. Additionally, 201 healthy controls (HC) were recruited, primarily from the friends and relatives of the hospital staff. Patients diagnosed with bipolar disorder 1, between 18 and 65 years of age, were included based on their diagnosis as determined by the Structured Clinical Interview for DSM-5 Clinical Version (SCID-5-CV). Their right-handedness was ascertained via the Edinburgh Handedness Inventory. To minimize the confounding effects of acute mood episodes on praxia deficits, patients were required to score below 5 on the Young Mania Rating Scale (YMRS) and 7 or lower on the 17-item Hamilton Depression Rating Scale (HDRS). This criterion ensured the exclusion of individuals experiencing an active mood episode. Additionally, participants needed to have been in remission for at least six months. Healthy controls, aged 18-65 and confirmed as right-handed, were included, provided they had no personal or familial history of psychiatric conditions. A detailed interview using SCID-5-CV confirmed that the healthy controls had no history or suspicion of bipolar disorder (BD) or any other psychiatric disorder and no relatives with a psychiatric disorder. All participants (203 bipolar disorder patients and 201 healthy controls) underwent evaluations using the Test for Upper Limb Apraxia (TULIA), while the bipolar cohort received the Global Functioning Assessment-Functioning (GAF-F) and the World Health Organization Quality of Life-Brief Version (WHOQOL-BREF). Statistical analyses were conducted using SPSS 22.0. Results: We identified a critical TULIA score threshold of 217, which differentiates bipolar patients from healthy individuals with a sensitivity of 79.3% and a specificity of 77.1% (area under the curve (AUC) 0.799, P<0.001). TULIA scores in bipolar patients were significantly positively correlated with functionality (GAF-F; r=0.502, P<0.001) and quality of life-general health (WHOQOL; r=0.389, P<0.001). TULIA pantomime subscores (OR=0.92, 95% CI 0.86-0.99, P=0.022) and CPZ use of more than 250mg per day (OR=2.24, 95% CI 1.19-4.21, P=0.012) were independent predictors of impairment in functioning in bipolar patients. Conclusion: Praxia deficits in bipolar disorder patients may be intricately tied to specific clinical features that influence both their functionality and life quality. Comprehensive praxia deficit assessments can pave the way for devising tailored interventions, enhancing praxia and, by extension, the quality of life of bipolar patients.

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“…Stroke is a major cause of morbidity and mortality worldwide, with the hand ability being one of the most desired functions to recover for chronic stroke patients 1,2 . Exoskeletons have emerged as a promising technology for rehabilitation of the hand, but traditional exoskeletons actuated through a Bowden cable transmission can be heavy and complex 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Study and implementation of fluxgate current sensor with wireless connectivity for finger exoskeleton rehabilitation

Lin

Liao

et al. 2023

Circuit Theory & Apps

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SummaryA fully integrated fluxgate magnetometer has been developed to monitor motor current in a finger exoskeleton device. The use of a fluxgate sensor can provide more accurate and natural movement of the fingers, as well as reducing the weight and complexity of the exoskeleton design. The sensor we developed incorporates several advanced features that provide enhanced sensitivity and accuracy compared to existing state‐of‐the‐art sensors. These features include a fluxgate frontend readout circuit with chopping stabilization technology, which achieves a gain of 14.3 V/T, a low noise density of 4.5 nT/√Hz, and a wide measurement range of ±1.5 mT. The gain variation of the sensor is only 1.5% at an 850 kHz bandwidth, and it has a wide dynamic current range from 0.005 mA to 100 A. The sensor also features an integrated 2.4 GHz wireless circuit for easy data transmission. The use of a fluxgate sensor in monitoring motor torque in the proximal interphalangeal joint can provide more precise and natural finger movement and reduce the weight and complexity of the exoskeleton design.

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The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review

Cited by 5 publications

References 47 publications

Depression and anxiety as predictors of performance status and life satisfaction in older adult neurological patients: a cross-sectional cohort study

Depression and anxiety as predictors of performance status and life satisfaction in older adult neurological patients: a cross-sectional cohort study

Exploring praxia deficits in bipolar disorder: A cross-sectional analysis of functionality and quality of life

Study and implementation of fluxgate current sensor with wireless connectivity for finger exoskeleton rehabilitation

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