A prospective study of predictors of poststroke depression
| Autor: | Alexandre Berney, Selma Aybek, Patrice Guex, Lawrence Annable, Antonio Carota, Giuseppe Iaria, Julien Bogousslavsky, Fabienne Staub, F. Ghika-Schmid |
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| Rok vydání: | 2005 |
| Předmět: |
Male
endocrine system medicine.medical_specialty media_common.quotation_subject Emotions Brain Ischemia Predictive Value of Tests Risk Factors medicine Humans Apathy Prospective Studies Psychiatry Prospective cohort study Stroke Depression (differential diagnoses) Aged media_common Aged 80 and over Depression Crying Incidence Psychiatric assessment Middle Aged medicine.disease Sadness Tears Female Neurology (clinical) medicine.symptom Comprehension Psychology |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1526-632X 0028-3878 |
| Popis: | To investigate the association between early depressive behavior after stroke onset and occurrence of poststroke depression (PSD) at 3- and 12-month follow-up evaluations.The study prospectively included 273 patients with first-ever single uncomplicated ischemic stroke. In the stroke unit, nurses scored crying, overt sadness, and apathy daily using an observational method to include patients with comprehension deficits. The Barthel Index was used to assess disability. Follow-up evaluation at months 3 and 12 included psychiatric assessment based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition.Crying (19.8%), overt sadness (50.5%), and apathy (47.6%) were observed. Of the patients observed crying, 4 showed pathologic crying, 19 emotionalism, and 12 catastrophic reactions. Crying and overt sadness, but not apathy, were associated with a subjective experience of depression (p0.05). Thirty of 52 (58%) patients observed crying, 12 of 19 (63%) patients with emotionalism, and 5 of 12 (41%) patients with catastrophic reactions developed PSD within the first year. Multiple logistic regression analysis showed that only severe functional disability (odds ratio [OR], 4.31; 95% CI, 2.41 to 7.69), crying behaviors (OR, 2.66; 95% CI, 1.35 to 5.27), and an age68 years (OR, 2.32; 95% CI, 1.30 to 4.13) were (p0.05) predictors of late PSD development (13% of the variance).In the stroke unit, crying and overt sadness are more reliable indicators of depressed mood than apathy. In patients with first-ever stroke, crying behaviors soon after stroke, a younger age, and severe disability are predictors of poststroke depression occurrence within the first year after stroke onset. |
| Databáze: | OpenAIRE |
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