Psychosocial problems associated with depression at 18 months poststroke
作者： A. De Ryck , E. Fransen , R. Brouns , M. Geurden , D. Peij
DOI: 10.1002/GPS.3974
关键词: Epidemiology 、 Psychology 、 Quality of life 、 Psychosocial 、 Stroke 、 Odds ratio 、 Activities of daily living 、 Rating scale 、 Depression (differential diagnoses) 、 Physical therapy
摘要: ObjectiveWith a prevalence that varies between 20% and 65%, poststroke depression (PSD) is frequent sequel of stroke. The aim this study was to determine incidence risk factors for PSD 18months after MethodsAs part the Middelheim Interdisciplinary Stroke Study, patients were followed up in prospective longitudinal epidemiological study. Clinically significant signs symptoms quantified by means Cornell Scale Depression (CSD) Montgomery angstrom sberg Rating Scale. Activities, including social activities, measured with Impact (SIS). Relational problems since stroke onset defined questionnaire. ResultsData analysis performed on 125 who completed follow-up assessments. (CSD score 8) diagnosed 28% patients. Patients more dependent activities daily living displayed physical cognitive impairment than without PSD. become depressed decreased 5% when patient's increased one unit SIS (odds ratio (OR)=0.95; 95% confidence interval (CI)=0.93-0.97). persistent relational had approximately four half times greater becoming (OR=4.48; 95%CI=1.17-16.87). ConclusionsMultiple regression models indicated most determining features developing at include reduced activity relationship due Further studies are essential, psychosocial aspects, given its negative impact rehabilitation quality life. Copyright (c) 2013 John Wiley & Sons, Ltd.
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