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The factors related to early‐onset depression after first stroke
Author(s) -
Karakus Kadir,
Kunt Refik,
Memis Cagdas O.,
Kunt Duygu A.,
Dogan Bilge,
Ozdemiroglu Filiz,
Sevincok Levent
Publication year - 2017
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/psyg.12266
Subject(s) - depression (economics) , stroke (engine) , anxiety , medicine , lateralization of brain function , psychology , lesion , psychiatry , audiology , mechanical engineering , engineering , economics , macroeconomics
Background The biological and psychological aspects of p ost‐stroke depression ( PSD ) may vary based on the time since stroke onset. The sociodemographic and clinical correlates of early‐onset PSD are not yet well understood. In the present study, we aimed to investigate the clinical correlates of early‐onset depression following first stroke. We hypothesized that the severity of a stroke or disability (other than lesion characteristics) would likely be related to PSD in a sample of first stroke patients with single and unilateral lesions. Methods Post‐stroke patients with ( n = 40) and without ( n = 51) early‐onset depression were compared with respect to several demographic and clinical variables. Results There were no significant differences between the groups with respect to lesion location, lateralization, or volume. Scores on the B rief D isability Q uestionnaire, N ational I nstitutes of H ealth S troke S cale, and M odified R ankin S cale were significantly higher in depressed post‐stroke patients than in non‐depressed patients. The anxiety, depression, and total scores of the Hospital Anxiety and Depression Scale were positively correlated with the M odified R ankin S cale, N ational I nstitutes of H ealth S troke S cale, and B rief D isability Q uestionnaire scores. A previous history of depression and B rief D isability Q uestionnaire score were strongly associated with the occurrence of early‐onset PSD . Conclusion Our findings suggest that early‐onset PSD is likely to be correlated with the severity of stroke and functional disability.