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[Post stroke depression: predictive factors at one year follow up]
F J Carod-Artal1, J L González-Gutiérrez, J A Egido-Herrero
1Unidad de Patología Cerebrovascular, Servicio de Neurología, Hospital Universitario San Carlos, Madrid, España. javier@bsb.sarah.br
Revista De Neurologia
|September 11, 2002
Summary
Post-stroke depression is common, affecting two-thirds of survivors one year after a stroke. Depression is linked to social factors and disability, not stroke type.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Context:
- Depression is a treatable complication following stroke.
- Long-term prevalence and triggers of post-stroke depression are not well understood.
- Depression can impede patient rehabilitation and affect family dynamics.
Purpose:
- To determine the long-term prevalence of depression in stroke survivors.
- To identify factors associated with post-stroke depression.
- To assess the impact of depression on daily functioning and rehabilitation.
Summary:
- A one-year follow-up study of 90 stroke survivors revealed a significant increase in depression prevalence from 33% at discharge to 67%.
- Post-stroke depression was associated with socio-demographic factors (female gender, homemaker status, occupational disability) and severity of disability (Barthel index < 60).
- Biological stroke characteristics and motor deficits were not significant predictors of depression.
Impact:
- Highlights the high and increasing prevalence of post-stroke depression.
- Identifies key socio-demographic and disability-related risk factors for late-onset depression.
- Informs targeted interventions for stroke survivors at risk of depression.