A prospective study on the prevalence of and risk factors of poststroke depression

Autor: Annemie De Ryck, Raf Brouns, Marleen Geurden, Ghisele Van Gestel, Wilssens, I., Ceulenaer, L., Peter Marien, Peter Paul De Deyn, Sebastiaan Engelborghs
Přispěvatelé: Language and literature, Internal Medicine Specializations, Centre for Linguistics, Clinical sciences, Neurology
Předmět:
Zdroj: Vrije Universiteit Brussel
Popis: Background Poststroke depression (PSD) is common. Early detection of depressive symptoms and identification of patients with stroke at risk for depression are important as PSD may negatively affect stroke outcome, quality of life and costs of medical care. Methods The participants in this prospective and longitudinal epidemiological study were inpatients on a stroke unit who were admitted with a first or recurrent stroke. Signs and symptoms of depression were quantified by means of the Cornell Scale for Depression (CSD) and the Montgomery and Åsberg Depression Rating Scale (MADRS) at three months poststroke. Results A total of 167 patients were included in the study. Depression (CSD score ? 8) was diagnosed in 28,1% of the patients (n = X/135) at three months after stroke. Patients with PSD were significantly more dependent for activities of daily living (ADL functions) and displayed more severe physical and cognitive impairment than patients without PSD. Especially, a higher prevalence of speech and language dysfunction and apraxia were noted in patients with PSD (36,8% and 31,6% respectively) compared to non-depressed stroke patients (19,6% and 12,4%; P=0,036 and P Conclusion The risk of developing PSD is increased in patients with more pronounced functional and cognitive impairment (especially speech and language dysfunction, apraxia please specify), greater dependency in ADL functions, and overall lower quality of life.
Databáze: OpenAIRE