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Association between Poststroke Depression and Psychological Crisis: A Retrospective Cross-Sectional Study
Han-Chin Hsieh1, Pei-Jin Yang1, Yu-Chi Huang1
1Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Biomed Research International
|February 12, 2021
Summary
Poststroke depression (PSD) is linked to psychological crisis in stroke survivors. Comprehensive psychological evaluation is crucial for effective treatment and improved outcomes in these patients.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Stroke is a leading cause of disability worldwide.
- Poststroke depression (PSD) is a common complication following a stroke.
- Psychological crisis can significantly impact recovery and quality of life in stroke patients.
Purpose of the Study:
- To investigate the association between poststroke depression (PSD) and psychological crisis.
- To identify factors influencing psychological crisis in stroke patients.
Main Methods:
- Retrospective cross-sectional study of 97 patients within 6 months post-stroke.
- Utilized Taiwanese Depression Questionnaire (TDQ) for depression assessment.
- Employed Triage Assessment System (TAS) for psychological crisis evaluation.
- Generalized linear model (GLM) used for statistical analysis.
Main Results:
- Significant differences in demographic and clinical factors between hemorrhagic and ischemic stroke groups.
- Lower TDQ scores observed in the hemorrhagic stroke group.
- PSD (TDQ score) was significantly associated with overall psychological crisis (TAS total score) and its domains.
- Heart disease correlated with poorer TAS scores in the behavioral domain.
Conclusions:
- Poststroke depression is a key component of psychological crisis in stroke patients.
- A thorough psychological assessment is essential for optimizing patient care and treatment strategies.
- Early identification and management of PSD can mitigate psychological distress.
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