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Poststroke Depression : A Long-Term Problem for Stroke Survivors

The aim of the study was to ascertain the prevalence of depressive
mood and its determinants in the chronic phase after stroke. DESIGN: Five hundred
seventy-six consecutive patients were invited to participate 2 to 5 yrs after
hospitalization for a first-ever stroke. Stroke characteristics at
hospitalization were collected retrospectively from medical records. Patients and
their caregivers completed questionnaires on depression (Hospital Anxiety and
Depression Scale [HADS]), sociodemographic characteristics, healthcare usage,
daily activities, quality of life, and caregiver strain. Patients with HADS
depression scores of less than 8 were compared with patients with HADS depression
scores of 8 or higher by means of univariate logistic regression analyses,
adjusted for age, sex, and Barthel Index at discharge. RESULTS: Two hundred seven
patients (36%) returned the questionnaires. After a mean follow-up of 36.3 mos,
67 patients (34%) had a HADS depression score of 8 or higher. Male sex and being
born abroad were statistically significantly associated with a high HADS
depression score, adjusted for age, sex, and stroke severity. Depressed patients
had higher anxiety levels, a more avoidant coping style, less daily activities,
and a lower quality of life; their caregivers experienced a higher burden.
CONCLUSIONS: In the chronic phase after stroke, a considerable proportion of
patients has depressive symptoms. This seems to be related to sex, country of
origin, anxiety, coping style, daily activities, quality of life, and caregivers'
strain. Future research should focus on causal relationships and opportunities for treatment.

Langue : ANGLAIS

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