Premium
Comparison of poststroke depression between acute ischemic and hemorrhagic stroke patients
Author(s) -
Zeng YaYing,
Cheng HaoRan,
Cheng Lin,
Huang GuiQian,
Chen YunBin,
Tang WenJie,
He JinCai
Publication year - 2021
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.5444
Subject(s) - hamd , medicine , depression (economics) , intracerebral hemorrhage , stroke (engine) , confounding , anxiety , odds ratio , rating scale , prospective cohort study , post stroke depression , physical therapy , psychiatry , subarachnoid hemorrhage , psychology , mechanical engineering , developmental psychology , engineering , economics , macroeconomics , treatment and control groups
Objectives Depression is the most common mental complication in stroke survivors with about one‐third of patients suffering from poststroke depression (PSD). This was the first prospective study aimed to compare the prevalence of PSD and its symptoms between two cohorts of patients with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH). Methods Both AIS and ICH patients were simultaneously enrolled in the study. Depression symptoms were measured using the 17‐item Hamilton Depression Rating Scale (HAMD‐17) after a 1‐month follow‐up. Patients were diagnosed with PSD according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition and the HAMD‐17 (HAMD scores >7). Results The prevalence of PSD (42.3%) in the ICH group was significantly higher than that (22.9%) in the AIS group ( p < 0.001). After adjustment for conventional confounding factors, the odds ratio of PSD was 2.65 (95% CI, 1.34–5.24, p = 0.005) for ICH compared to AIS. Depressive symptoms consisting of anxiety, loss of interest, insomnia, and fatigue were more frequent in patients with ICH than in AIS patients. Conclusions PSD was more prevalent, and the risk was over twofold higher in patients with ICH than AIS.