Post–stroke depression: frequency and determinants
Keywords:
Depression, Neurological impairments, Post–stroke depression, Risk factors, StrokeAbstract
OBJECTIVE: Determine the frequency of post–stroke depression (PSD) and identified factors those explain it. METHODS: We studied 120 stroke survivors who were classified according to Geriatric Depression Scale (GDS) as: without depression (GDS < 5), with depressive symptoms (GDS 5–9), and PSD (GDS =10). To defined factors associated to PSD we included some variables (demographics, comorbidity and toxic habits, disease–related and disease–consequences variables). We used bivariate and multivariate statistical methods (regression logistic). RESULTS: 76% of patients presented depressive symptoms and 33% PSD. Frontal lobe affectation (43% vs. 19%) and disability (42% versus 14%) were associated with DPI in bivariate analysis but lose their effect in multivariate analysis. Regression logistic model showed that cognitive impairment (OR: 2.6; IC 95%: 1.02–6.72) and degree of neurological impairments (OR: 0.20; IC 95%: 0.04–0.86 between severe and moderate and OR: 0.22; IC 95%: 0.07–0.65 between moderate and light) were factors whose independently explain the presence of PSD. CONCLUSIONS: One third of stroke survivors have PSD. Factors which explain PSD were: degree of neurological impairment and presence of cognitive impairment.Downloads
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