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Depression among Rural Stroke Survivors: A Cross-Sectional Study
Soumya Sadanandan1, Fatima D Silva2, Vishnu Renjith3
1Department of Medicine, Government Medical College, Kozhikode, Kerala, India.
Summary
Poststroke depression (PSD) affects many stroke survivors, leading to poor recovery. This study highlights the significant challenge of undiagnosed depression in primary care settings for these patients.
Area of Science:
- Neuroscience
- Psychiatry
- Public Health
Background:
- Poststroke depression (PSD) is a common and serious complication following a stroke.
- PSD significantly impairs functional recovery, social engagement, quality of life, and can increase suicidal ideation.
Purpose of the Study:
- To investigate the prevalence and characteristics of poststroke depression (PSD) among rural stroke survivors in India.
Main Methods:
- A cross-sectional survey was conducted with 151 purposively selected rural stroke survivors.
- The Patient Health Questionnaire-9 (PHQ-9) was utilized to screen for and assess the severity of PSD.
Main Results:
- Participants' ages ranged from 28 to 80 years (mean 64.58).
- The majority were male (53.6%), had ischemic stroke (76.2%), and left-sided brain lesions (75.5%).
- Median PHQ-9 scores were 9, with most participants experiencing mild (47%), moderate (21.2%), or moderately severe (11.9%) depression. Common symptoms included low energy, sleep disturbances, low self-esteem, and anhedonia.
Conclusions:
- A high prevalence of undiagnosed depression exists among stroke survivors.
- Addressing PSD is a critical challenge for primary healthcare providers to improve patient outcomes.
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