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Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up

Author

Listed:
  • Fidel López-Espuela

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain
    These authors contributed equally to this work.)

  • Raúl Roncero-Martín

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain
    These authors contributed equally to this work.)

  • Maria de la Luz Canal-Macías

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain)

  • Jose M. Moran

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain)

  • Vicente Vera

    (Department of Stomatology II, School of Dentistry, Complutense University, 28040 Madrid, Spain)

  • Adela Gomez-Luque

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain)

  • Alejandro Lendinez-Mesa

    (Nursing Department, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain)

  • Juan Diego Pedrera-Zamorano

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain)

  • Ignacio Casado-Naranjo

    (Department of Neurology, Complejo Hospitalario De Cáceres, 10004 Cáceres, Spain)

  • Jesus Lavado-García

    (Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain)

Abstract

We aimed to know the prevalence of post-stroke depression (PSD) in our context, identify the variables that could predict post-stroke depression, by using the Hamilton Depression Rating Scale, occurring within six months after stroke, and identify patients at high risk for PSD. Methods: descriptive, cross-sectional and observational study. We included 173 patients with stroke (transient ischemic attack (TIA) included) and collected sociodemographic and clinical variables. We used the Hamilton Depression Scale (HDS) for depression assessment and Barthel Index and modified Rankin Scale (mRS) for functional assessment. The neurological severity was evaluated by the National Institutes of Health Stroke Scale (NIHSS). Results: 35.5% were women, aged 71.16 (±12.3). Depression was present in 42.2% patients ( n = 73) at six months after stroke. The following variables were significantly associated with PSD: diagnosis of previous depression ( p = 0.005), the modified Rankin Scale at discharge ( p = 0.032) and length of hospital stay ( p = 0.012). Conclusion: PSD is highly prevalent after stroke and is associated with the severity, left location of the stroke, and the degree of disability at discharge. Its impact justifies the evaluation and early treatment that still continues to be a challenge today.

Suggested Citation

  • Fidel López-Espuela & Raúl Roncero-Martín & Maria de la Luz Canal-Macías & Jose M. Moran & Vicente Vera & Adela Gomez-Luque & Alejandro Lendinez-Mesa & Juan Diego Pedrera-Zamorano & Ignacio Casado-Nar, 2020. "Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9542-:d:465288
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    References listed on IDEAS

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    1. Ellen V Backhouse & Caroline A McHutchison & Vera Cvoro & Susan D Shenkin & Joanna M Wardlaw, 2018. "Cognitive ability, education and socioeconomic status in childhood and risk of post-stroke depression in later life: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-15, July.
    2. Richard Ofori-Asenso & Ella Zomer & Ken Lee Chin & Si Si & Peter Markey & Mark Tacey & Andrea J. Curtis & Sophia Zoungas & Danny Liew, 2018. "Effect of Comorbidity Assessed by the Charlson Comorbidity Index on the Length of Stay, Costs and Mortality among Older Adults Hospitalised for Acute Stroke," IJERPH, MDPI, vol. 15(11), pages 1-11, November.
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    Cited by:

    1. Małgorzata Paprocka-Borowicz & Mona Wiatr & Maria Ciałowicz & Wojciech Borowicz & Agnieszka Kaczmarek & Adilson Marques & Eugenia Murawska-Ciałowicz, 2021. "Influence of Physical Activity and Socio-Economic Status on Depression and Anxiety Symptoms in Patients after Stroke," IJERPH, MDPI, vol. 18(15), pages 1-14, July.

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