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Published on: May 22, 2019
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From stroke to depression: The need for systematic screening for post-stroke depression
Mundih N Njohjam1, Swirri S Nji2, Ebsiy M Nongse3
1Department of Neurology, Faculty of Medicine, Pharmacy and Odonto-stomatology, Cheikh Anta Diop University, Dakar, Senegal.
Summary
Post-stroke depression (PSD) affects nearly 37% of stroke survivors in Cameroon. Key risk factors include functional impairment, fatigue, and social support, highlighting the need for systematic screening.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Post-stroke depression (PSD) significantly impairs recovery and well-being in stroke survivors.
- Limited data exists on PSD prevalence and risk factors in African populations, including Cameroon.
Purpose of the Study:
- To determine the prevalence of PSD among stroke survivors in Cameroon.
- To identify factors associated with PSD to inform clinical practice and interventions.
Main Methods:
- A hospital-based cross-sectional study was conducted at Nkwen Baptist Hospital, Cameroon.
- 103 stroke patients were screened for PSD using the Patient Health Questionnaire (PHQ-9).
- Multivariate analysis identified associations between PSD and functional impairment, fatigue, social support, stroke recency, and marital status.
Main Results:
- The prevalence of PSD was 36.89% among the 103 stroke survivors studied.
- Higher levels of functional impairment, post-stroke fatigue, and perceived social support were associated with increased PSD.
- Recent stroke and being divorced were also identified as factors linked to higher PSD scores.
Conclusions:
- A high prevalence of PSD necessitates systematic screening for early detection and management in stroke survivors.
- Integrating mental health support into routine stroke care is crucial for improving patient outcomes.
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