Post stroke depression and related factors

Objective: Depressive symptoms are frequently observed in patients with stroke. In this study, we investigated the prevalence of depression and the factors affecting depression in patients with chronic stroke. Method: The study included 90 patients having had sustained a stroke attack at least 6 months previously. The demographic characteristics, time since stroke, hemiplegic side, etiology of stroke, stroke-related risk factors, complications and accompanying neurological disorders, drug use, and the presence of additional diseases were questioned. Depressive symptoms were assessed by using the Beck Depression Scale (BDS). The patients were divided into two groups according to the BDS score: group 1 included those with depression (BDS score ≥17), and group 2 included those without depression (BDS score

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Torbey MT, Selim MH (editors). The Stroke Book. Second ed., Cambridge: Cambridge University Press, 2013, 12-13.

WHO. Global Status Report on Noncommunicable Diseases 2014. http://www.who.int/nmh/publications/ncd-statusreport-2014/en/. Accessed February 2, 2018.

Robert GR. Neuropsychiatric consequences of stroke. Annu Rev Med 1997; 48:217-229.

Bozluolcay M, Ince B. Post-stroke depression. Turkiye Klinikleri Journal of Neurology 2004; 2:57-61. (Turkish)

Whyte EM, Mulsant BH. Post stroke depression: epidemiology, pathophysiology, and biological treatment. Biol Psychiatry 2002; 52:253-264.

Verdelho A, Henon H, Lebert F, Pasquier F, Leys D. Depressive symptoms after stroke and relationship with demantia: a threeyear follow-up study. Neurology 2004; 62:905-911.

Karahan AY, Kaydok E. Depression and anxiety levels in geriatric patients with hemiplegia. The Medical Bulletin of Sisli Etfal Hospital 2013; 47:130-137.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:561-571.

Hisli N. The validity and reliability of Beck Depression Inventory for university students. Turkish Journal of Psychology 1989; 7:3- 13. (Turkish)

Hackett ML, Pickles K. Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. Int J Stroke 2014; 9:1017-1025.

Robinson RG. Poststroke depression: prevalence, diagnosis, treatment and disease progression. Biol Psychiatry 2003; 54:376- 387.

Altinbas K, Oral ET, Soysal A. Poststroke depression. Turkish Journal of Clinical Psychiatry 2006; 9:148-153. (Turkish)

Gainotti G, Azzoni A, Marra C. Frequency, phenomenology, and anatomical-clinical correlates of major post-stroke depression. Br J Psychiatry 1999; 175:163-167.

Morris P, Robinson R, Raphael B, Bishop D. The relationship between the perception of social support and post-stroke depression in hospitalized patients. Psychiatry 1991; 54:306-316.

Paradiso S, Robinson RG. Gender differences in poststroke depression. J Neuropsychiatry Clin Neurosci 1998; 10:41-47.

Burvill P, Johnson GA, Jamrozik KD, Anderson JS, StewartWynne EG, Chakera TM. Prevalence of depression after stroke The Perth Community Stroke Study. Br J Psychiatry 1995; 166:320-327.

Kotila M, Numminen H, Waltimo O, Kaste M. Depression after stroke: results of the FINNSTROKE study. Stroke 1998; 29:368- 372.

Pohjasvaara T, Leppavuori A, Siira R, Vataja R, Kaste M, Erkinjuntti T. Frequency and clinical determinants of poststroke depression. Stroke 1998; 29:2311-2317.

Nys GM, Van Zandvoort MJ, Van der Worp HB, DeHaan EH, de Kort PL, Kappelle LJ. Early depressive symptoms after stroke: neuropsychological correlates and lesion characteristics. J Neurol Sci 2005; 228:27-33.

Fuh JL, Liu HC, Wang SJ, Liu CY, Wang PN. Poststroke depression among Chinese elderly in a rural community. Stroke 1997; 28:1126-1129.

Dilek A, Karatas M, Erkan H, Cetin N, Akman MN. Poststroke depression; relationship to functional impairment and rehabilitation outcome. Turkish Journal of Physical Medicine and Rehabilitation 2005; 51:120-122. (Turkish)

Kumral E, Ozkaya B, Sagduyu A, Sirin H, Vardarli E, Pehlivan M. The Ege Stroke Registry: A hospital-based study in the Aegean region, Izmir, Turkey. Analysis of 2,000 stroke patients. Cerebrovasc Dis 1998; 8:278-288.

Karatepe AG, Kaya T, Sen N, Gunaydin R, Gedizlioglu M. The Risk Factors in Patients with Stroke and Relations with Functional Independence. Turkish Journal of Physical Medicine and Rehabilitation 2007; 53:89-93. (Turkish)

Francisco GE. How common is spastic hypertonia after stroke? 2002 Academy Annual Assembly Abstracts. Arch Phys Med Rehabil 2002; 83:1644-1645.

Snels IA, Beckerman H, Lankhorst GJ, Bouter LM. Treatment of hemiplegic shoulder pain in the Netherlands: results of a national survey. Clin Rehabil 2000; 14:20-27.

Bender L, McKenna K. Hemiplegic shoulder pain: defining the problem and its management. Disabil Rehabil 2001; 23:698-705.