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Risk factors for post‐stroke depression
Author(s) -
Andersen G.,
Vestergaard K.,
IngemannNielsen M.,
Lauritzen L.
Publication year - 1995
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1995.tb09567.x
Subject(s) - depression (economics) , stroke (engine) , psychology , crying , cohort , etiology , mood , distress , psychiatry , clinical psychology , medicine , mechanical engineering , engineering , economics , macroeconomics
An unselected cohort of 285 stroke patients, median age 69 years, were studied for correlation between potential risk factors and the 1‐year incidence of post‐stroke depression (PSD). The following factors correlated significantly with PSD: a history of previous stroke, a history of previous depression, female gender, living alone and social distress prestroke. Further, social inactivity, decrease in social activity, pathological crying and intellectual impairment at 1 month but not functional outcome correlated to PSD. A multivariate regression analysis showed that intellectual impairment explained 42% of variance of mood score. Major depression was unrelated to lesion location. We conclude that etiology to PSD is a complex mixture of prestroke personal and social factors, and stroke induced social, emotional and intellectual handicap.