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Related Experiment Videos

Mental health problems after stroke.

H Ueki1, K Washino, T Fukao

  • 1Department of Neurology and Psychiatry, Gifu University School of Medicine, Japan. uekih@cc.gifu-u.ac.jp

Psychiatry and Clinical Neurosciences
|February 25, 2000
PubMed
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Mental health problems after stroke are more linked to how patients feel about their physical recovery than their actual impairments. A simple visual analog scale for recovery can help assess mental health issues in stroke survivors.

Area of Science:

  • Neurology
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Mental health problems are common after stroke.
  • Assessing mental health in stroke survivors in community settings is crucial.
  • Previous studies have explored various factors influencing post-stroke mental health.

Purpose of the Study:

  • To investigate the factors associated with mental health problems (MHP) in Japanese stroke survivors living in a rural community.
  • To identify the most significant predictors of MHP using multivariate logistic regression.
  • To evaluate the utility of subjective physical recovery assessment for MHP in post-stroke care.

Main Methods:

  • A cohort of 47 stroke survivors (mean age 63.8 years) was assessed 2-3 years post-stroke using the 60-item General Health Questionnaire (GHQ).

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  • Variables included demographics, motor paralysis, paresthesia, rehabilitation participation, social support, and overall physical recovery assessed via a visual analog scale (VAS).
  • Multiple logistic regression analysis was employed to determine independent predictors of MHP (GHQ score >= 17).

    • Main Results:

    • 18 subjects (38.3%) exhibited signs of mental health problems.
    • Univariate analysis revealed significant associations between MHP and all variables except age and sex.
    • Multivariate analysis identified overall physical recovery (assessed by VAS) as the sole independent predictor of MHP (Odds ratio 4.39).

    Conclusions:

    • Subjective assessment of overall physical recovery is a stronger determinant of mental health status post-stroke than objective physical impairments or psychosocial factors.
    • The visual analog scale for overall physical recovery offers a simple and valid method for assessing mental health problems in community-dwelling stroke survivors.
    • Clinical practice should consider subjective recovery perceptions when addressing mental health in stroke rehabilitation.