Association between post-stroke psychological disorders, activity limitations and health-related quality of life in chronic stroke survivors in Benin.
| Autor: | Atigossou OLG; Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale (CIUSSS-CN), Quebec, Canada.; Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec, Canada.; Ecole Supérieure de Kinésithérapie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin., Ouédraogo F; Ecole Supérieure de Kinésithérapie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin.; School of Rehabilitation, Université de Montréal, Montreal, Canada.; Marie Enfant Rehabilitation Center, Sainte-Justine University Hospital Research Center, Montreal, Canada., Honado AS; Service de Rééducation, Centre Hospitalier Universitaire Départemental de l'Ouémé et du Plateau (CHUD-OP), Porto-Novo, Benin., Alagnidé E; Ecole Supérieure de Kinésithérapie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin.; Clinique Universitaire de Médecine Physique et Réadaptation, Centre National Hospitalier Universitaire Hubert Koutoukou MAGA (CNHU-HKM), Cotonou, Benin., Kpadonou TG; Ecole Supérieure de Kinésithérapie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin.; Clinique Universitaire de Médecine Physique et Réadaptation, Centre National Hospitalier Universitaire Hubert Koutoukou MAGA (CNHU-HKM), Cotonou, Benin., Batcho CS; Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale (CIUSSS-CN), Quebec, Canada.; Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2023 Jun; Vol. 45 (13), pp. 2087-2094. Date of Electronic Publication: 2022 Jun 11. |
| DOI: | 10.1080/09638288.2022.2083703 |
| Abstrakt: | Purpose: To evaluate the association between depression/anxiety and activity limitations and health-related quality of life (HRQoL) in chronic stroke survivors in Benin. Materials and Methods: One hundred and seventy-six chronic stroke survivors (113 males; mean age (±SD): 56.5 (±10.5) years old) were included. We used the Barthel index (BI) to assess activity limitations. Participants were screened for depression and anxiety symptoms using Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). Euroqol-5 Dimensions-3 Levels (EQ-5D-3L) including a Visual Analog Scale (EQ-VAS) was used to assess HRQoL. Multivariate linear regressions were performed to determine the impact of psychological disorders on activity limitations and HRQoL. Results: Depression ( β =-0.54; p < 0.0001) and anxiety ( β =-0.35; p < 0.0001) were negatively associated with activity limitations ( R 2 =0.60). Similar patterns of association were observed with HRQoL ( β ≤-0.28; p < 0.0001; R 2 ≥0.40). Inversely, occupational status showed positive association with EQ-5D-3L summary index scores ( β = 0.21; p = 0.015). Conclusions: Depression and anxiety had a negative impact on activity limitations and HRQoL in Beninese chronic stroke survivors. This call for action to integrate psychological interventions as part of rehabilitation programs in low and middle-income countries.Implications for rehabilitationPost-stroke depression and anxiety are quite common among stroke survivors in sub-Saharan Africa.Post-stroke depression and anxiety negatively impact activities and health-related quality of life in chronic stroke survivors in sub-Saharan Africa.Managing these post-stroke psychological disorders is necessary to promote the functional recovery and social reintegration of stroke survivors in their communities. |
| Databáze: | MEDLINE |
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