The factors related to early‐onset depression after first stroke
- 7 April 2017
- journal article
- research article
- Published by Wiley in Psychogeriatrics
- Vol. 17 (6), 414-422
- https://doi.org/10.1111/psyg.12266
Abstract
The biological and psychological aspects of post-stroke depression (PSD) may vary based on the time since stroke onset. The sociodemographic and clinical correlates of early-onset PSD are not yet well understood. In the present study, we aimed to investigate the clinical correlates of early-onset depression following first stroke. We hypothesized that the severity of a stroke or disability (other than lesion characteristics) would likely be related to PSD in a sample of first stroke patients with single and unilateral lesions. Post-stroke patients with (n = 40) and without (n = 51) early-onset depression were compared with respect to several demographic and clinical variables. There were no significant differences between the groups with respect to lesion location, lateralization, or volume. Scores on the Brief Disability Questionnaire, National Institutes of Health Stroke Scale, and Modified Rankin Scale were significantly higher in depressed post-stroke patients than in non-depressed patients. The anxiety, depression, and total scores of the Hospital Anxiety and Depression Scale were positively correlated with the Modified Rankin Scale, National Institutes of Health Stroke Scale, and Brief Disability Questionnaire scores. A previous history of depression and Brief Disability Questionnaire score were strongly associated with the occurrence of early-onset PSD. Our findings suggest that early-onset PSD is likely to be correlated with the severity of stroke and functional disability.Keywords
This publication has 76 references indexed in Scilit:
- Mood after stroke: a case control study of biochemical, neuro-imaging and socio-economic risk factors for major depression in stroke survivorsBMC Neurology, 2010
- Management of depression in elderly stroke patientsNeuropsychiatric Disease and Treatment, 2010
- Sex Differences in the Prevalence of Post-Stroke Depression: A Systematic ReviewPsychosomatics, 2009
- The neuroanatomical model of post-stroke depression: Towards a change of focus?Journal of the Neurological Sciences, 2009
- Depression in Older AdultsAnnual Review of Clinical Psychology, 2009
- Risk factors of post-stroke depression among stroke survivors in Lagos, NigeriaAfrican Journal of Psychiatry, 2009
- Post-stroke and vascular depression: a critical reviewNeurological Sciences, 2002
- Interobserver agreement for the assessment of handicap in stroke patients.Stroke, 1988
- A two-year longitudinal study of post-stroke mood disorders: findings during the initial evaluation.Stroke, 1983
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983