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  11. The Mediating Role Of Perceived Social Isolation In Feeding Methods And Depression Among Patients With Dysphagia After Ischemic Stroke: A Multicenter Study

The mediating role of perceived social isolation in feeding methods and depression among patients with dysphagia after ischemic stroke: A multicenter study

Hongji Zeng1, Jing Zeng2, Weijia Zhao1

  • 1School of Public Health, Zhengzhou University, Zhengzhou, China.

Nutrition (Burbank, Los Angeles County, Calif.)
|April 11, 2025

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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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View abstract on PubMed

Summary
This summary is machine-generated.

Intermittent Oro-Esophageal tube feeding (IOE) significantly reduces post-stroke depression compared to Nasogastric Tube feeding (NGT). This improvement is partly mediated by reduced perceived social isolation in stroke survivors.

Area of Science:

  • Neurology
  • Psychiatry
  • Clinical Nutrition

Background:

  • Post-stroke depression is a significant complication affecting recovery.
  • Feeding methods are potential modulators of depression in stroke survivors.
  • Perceived social isolation may play a role in the link between feeding methods and depression.

Purpose of the Study:

  • To investigate the impact of feeding methods on post-stroke depression.
  • To examine the mediating role of perceived social isolation in this relationship.

Main Methods:

  • Observational study of ischemic stroke survivors with dysphagia (2022-2024).
  • Data collected on depression (PHQ-9), social isolation, feeding method (NGT vs. IOE), and clinical factors.
  • Mediation analysis used after matching for confounding variables.
Keywords:
DepressiveEmotional statesEnteral nutritionPerception

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Main Results:

  • Intermittent Oro-Esophageal tube feeding (IOE) users showed significantly lower depression scores (PHQ-9) than Nasogastric Tube feeding (NGT) users post-stroke.
  • IOE was associated with significantly lower perceived social isolation compared to NGT.
  • Perceived social isolation partially mediated the effect of feeding method on depression, accounting for 47.19% of the effect.

Conclusions:

  • Intermittent Oro-Esophageal tube feeding (IOE) is superior to Nasogastric Tube feeding (NGT) in improving depression levels in stroke survivors.
  • Reduced perceived social isolation is a key factor linking feeding methods to post-stroke depression outcomes.