Variation in Functional Independence among Stroke Survivors Having Fatigue and Depression

Abstract

Objective. This study evaluated variation in functional independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) among individuals with poststroke fatigue (PSF) and poststroke depression (PSD). Methods. A cross-sectional survey involved 65 consenting poststroke survivors who were purposively recruited from physiotherapy clinics of the University College Hospital, Ibadan, Adeoyo Maternity Teaching Hospital, Ibadan, and Federal Medical Center, Gusau. Participants were assessed for symptoms of PSD with short geriatric depression scale-15, PSF with fatigue severity scale, ADL with Barthel Index and IADL with Nottingham extended ADL scale. Data analysis was done using Chi-square and unpaired t-test with significance level being 0.05. Results. Participants' age ranged from 58 to 80 years. PSD alone (P = 0.002) and both PSF and PSD (P = 0.02) were significantly associated with ADL, while PSF alone was not (P = 0.233). PSD alone (P = 0.001) and both PSF and PSD (P = 0.001) significantly negatively affected IADL, while PSF alone had no significant effect (P = 0.2). Conclusions. Participants with PSD alone and those with both PSF and PSD had lower functional independence in ADL and IADL.

Investigating post-stroke fatigue: An individual participant data meta-analysis

“…Datasets for 14 of the 24 studies in our previous review were obtained, with 2 then excluded because raw FSS scores were unavailable [29,30]. Fig.…”

An analysis of depressive symptoms in stroke survivors: verification of a moderating effect of demographic characteristics

“…The literature has shown that depressive symptoms can be reduced through interventions that aim to improve the self-concept and self-esteem, such as positive thinking, as well as social/family support [19–21]. Functional independence was also found to be a crucial factor contributing to the level of depressive symptoms [22]. Overall, the literature has found evidence for relationships between gender, age, education level, presence of a spouse, income status, and poststroke depressive symptoms.…”

Pioglitazone is an effective treatment for patients with post-stroke depression combined with type 2 diabetes mellitus

“…A similar trend was observed in ADL scores, in which the MM depression group had higher ADL scores than the severe depression group. Badaru et al (19) reported that PSD may have a passive effect on functional independence in ADL. In depressed or non-depressed patients the intake of antidepressant drugs within the first month post-stroke would be more likely to improve ADL scores than the intake of antidepressant drugs following the first month post-stroke (20).…”