open access

Vol 44, No 1 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2009-07-02
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Predictors of depressive symptoms in patients with stroke – a three-month follow-up

Halina Sienkiewicz-Jarosz, Danuta Milewska, Anna Bochyńska, Adrianna Chełmniak, Natalia Dworek, Katarzyna Kasprzyk, Katarzyna Gałecka, Anna Szczepańska-Szerej, Kamil Chwojnicki, Beata Zyluk, Agnieszka Słowik, Danuta Ryglewicz
DOI: 10.1016/S0028-3843(14)60402-3
·
Neurol Neurochir Pol 2010;44(1):13-20.

open access

Vol 44, No 1 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2009-07-02

Abstract

Background and purpose

Depression is one of the most common post-stroke complications, which could impair rehabilitation outcome and quality of life, and could also increase mortality after stroke. The aim of the present study was to assess the association between demographic, socioeconomic and clinical (stroke risk factors, type of stroke, location of vascular lesion, cognitive functions) factors on the presence and severity of post-stroke depressive symptoms in patients after first ever stroke as well as on their social functioning.

Material and methods

A prospective, cohort study with a three-month observation period was performed in seven centres. Severity of depressive symptoms was assessed with the help of a short, 15-item version of the Geriatric Depression Scale (GDS), 3 months after stroke onset.

Results

On the basis of GDS (GDS ≤ 5 points or > 5 points) patients were allocated to a group without (n = 160) or with symptoms suggestive of depression (n = 82). The study groups did not differ with respect to age, sex or place of residence. Univariate logistic regression analysis showed that independent predictors for the presence of symptoms suggestive of depression at 3 months after stroke were: low level of education, low income, greater severity of stroke, worse functional status, self-reported problems with daily-living activities and need of help in daily living activities. More than 60% of patients with depressive symptoms limited their social contacts. Patients with depressive symptoms were unsatisfied with their relations with life partners and friends.

Conclusions

Our study showed a complex aetiology of post-stroke depressive symptoms with an important role of socioeconomic factors. Depressive symptoms after stroke worsen existing health, social and economic problems, and cause social isolation of patients.

Abstract

Background and purpose

Depression is one of the most common post-stroke complications, which could impair rehabilitation outcome and quality of life, and could also increase mortality after stroke. The aim of the present study was to assess the association between demographic, socioeconomic and clinical (stroke risk factors, type of stroke, location of vascular lesion, cognitive functions) factors on the presence and severity of post-stroke depressive symptoms in patients after first ever stroke as well as on their social functioning.

Material and methods

A prospective, cohort study with a three-month observation period was performed in seven centres. Severity of depressive symptoms was assessed with the help of a short, 15-item version of the Geriatric Depression Scale (GDS), 3 months after stroke onset.

Results

On the basis of GDS (GDS ≤ 5 points or > 5 points) patients were allocated to a group without (n = 160) or with symptoms suggestive of depression (n = 82). The study groups did not differ with respect to age, sex or place of residence. Univariate logistic regression analysis showed that independent predictors for the presence of symptoms suggestive of depression at 3 months after stroke were: low level of education, low income, greater severity of stroke, worse functional status, self-reported problems with daily-living activities and need of help in daily living activities. More than 60% of patients with depressive symptoms limited their social contacts. Patients with depressive symptoms were unsatisfied with their relations with life partners and friends.

Conclusions

Our study showed a complex aetiology of post-stroke depressive symptoms with an important role of socioeconomic factors. Depressive symptoms after stroke worsen existing health, social and economic problems, and cause social isolation of patients.

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Keywords

stroke, depressive symptoms, Geriatric Depression Scale, social functioning

About this article
Title

Predictors of depressive symptoms in patients with stroke – a three-month follow-up

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 44, No 1 (2010)

Pages

13-20

DOI

10.1016/S0028-3843(14)60402-3

Bibliographic record

Neurol Neurochir Pol 2010;44(1):13-20.

Keywords

stroke
depressive symptoms
Geriatric Depression Scale
social functioning

Authors

Halina Sienkiewicz-Jarosz
Danuta Milewska
Anna Bochyńska
Adrianna Chełmniak
Natalia Dworek
Katarzyna Kasprzyk
Katarzyna Gałecka
Anna Szczepańska-Szerej
Kamil Chwojnicki
Beata Zyluk
Agnieszka Słowik
Danuta Ryglewicz

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