Title |
Depression after minor stroke: the association with disability and quality of life – a 1‐year follow‐up study
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Published in |
International Journal of Geriatric Psychiatry, September 2015
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DOI | 10.1002/gps.4353 |
Pubmed ID | |
Authors |
Yu Zhi Shi, Yu Tao Xiang, Yang Yang, Ning Zhang, Shuo Wang, Gabor S Ungvari, Helen F K Chiu, Wai Kwong Tang, Yi Long Wang, Xing Quan Zhao, Yong Jun Wang, Chun Xue Wang |
Abstract |
Minor stroke is characterized by mild neurological functional impairment and relatively good outcome. Little is known about the association between post-stroke depression (PSD) and outcomes of minor stroke. The aim of this study was to investigate the association between PSD and disability and quality of life (QoL) at 1 year after minor ischemic stroke. Patients with first-ever minor ischemic stroke (n = 747) were followed up at 14 ± 2 days, 3 months, 6 months, and 1 year after stroke. Depressive symptoms were assessed at each follow-up. Patients diagnosed with depression at 14 ± 2 days formed the early-onset PSD group; those who were diagnosed with depression at any subsequent follow-ups for the first time constituted the late-onset PSD group. The outcomes of minor stroke including disability (modified Rankin score ≥2) and QoL (Short Form-36 Health Survey) were assessed at the 1-year follow-up. A total of 198 (26.5%) patients were diagnosed with PSD over the 1-year follow-up; 136 and 62 patients were allocated to the early-onset PSD group and late-onset PSD group, respectively. Both early-onset and late-onset PSD were independently associated with disability and poor physical and mental health at 1 year after stroke. Recovery from depression (n = 112) within 1 year decreased the adverse impacts of PSD on functional outcome and QoL. Post-stroke depression was independently associated with disability and poor QoL at 1 year after first-ever minor ischemic stroke. Recovery from PSD decreased but did not eliminate the adverse impacts of PSD on outcomes of minor stroke. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 77 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 21% |
Student > Doctoral Student | 7 | 9% |
Researcher | 6 | 8% |
Student > Bachelor | 6 | 8% |
Student > Ph. D. Student | 6 | 8% |
Other | 13 | 17% |
Unknown | 23 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 31% |
Psychology | 12 | 16% |
Nursing and Health Professions | 6 | 8% |
Agricultural and Biological Sciences | 2 | 3% |
Neuroscience | 2 | 3% |
Other | 6 | 8% |
Unknown | 25 | 32% |