Article

OBJECTIVE: To identify psychological factors related to poststroke depressive
symptoms. DESIGN: Cross-sectional study, with patients assessed at 2 months
poststroke. SETTING: Patients with stroke from 6 general hospitals. PARTICIPANTS:
Stroke patients (N=344; mean age +/- SD, 66.9+/-12.3y). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: The presence of clinical depressive symptoms
was determined with the depression subscale of the Hospital Anxiety and
Depression Scale 2 months poststroke. Psychological factors assessed were
extraversion, neuroticism, optimism, pessimism, self-efficacy, helplessness,
acceptance, perceiving benefits, proactive coping, and passive coping. RESULTS:
Bivariate correlations and multivariate backward logistic regression were used to
analyze associations between psychological factors and poststroke depressive
symptoms, accounting for demographic and stroke-related factors. More
neuroticism, pessimism, passive coping, and helplessness, and less extraversion,
optimism, self-efficacy, acceptance, perceived benefits, and proactive coping
were bivariately associated with the presence of depressive symptoms.
Multivariate logistic regression analysis showed that more helplessness (odds
ratio [OR]=1.17) and passive coping (OR=1.19) and less acceptance (OR=.89) and
perceived benefits (OR=.89) were independently significantly associated with the
presence of poststroke depressive symptoms (Nagelkerke R(2)=.49). CONCLUSIONS: We
found a relationship between psychological variables and the presence of
depressive symptoms 2 months poststroke. It is important to take these factors
into account during poststroke rehabilitation.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS