Article

OBJECTIVE: To explore the impacts of social participation and the environment on
depression among people with stroke. DESIGN: Cross-sectional survey. SETTING:
Structured interviews in the participants' homes.
SUBJECTS: Community-dwelling
persons with stroke in the rural areas of China ( N = 639). INTERVENTIONS: Not applicable. MAIN MEASURES: Depression (Hamilton Rating Scale for Depression-6),
activity and social participation (Chinese version of the World Health
Organization's Disability Assessment Schedule 2.0), environmental barriers (Craig
Hospital Inventory of Environmental Factors), neurological function (Canadian
Neurological Scale). RESULTS: A total of 42% of the variance in depression was
explained by the environmental barriers, neurological function, activity, and
social participation factors studied. Social participation, services/assistance,
and attitudes/support were directly related to depression; their standardized
regression coefficients were 0.530, 0.162, and 0.092, respectively ( p 0.01).
The physical environment, policies, and neurological function indirectly impacted
depression. Depression influences social participation in turn, with a
standardized regression coefficient of 0.29 ( p 0.01). CONCLUSIONS: Depression
and social participation are inversely related.
The physical environment,
services/assistance, attitudes/support, and policies all impact post-stroke depression.

Langue : ANGLAIS