• Users Online: 1259
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2014  |  Volume : 1  |  Issue : 3  |  Page : 119-123

Depression in long-term stroke survivors


1 Department of Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria
2 Department of Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
3 Department of Psychiatry, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria

Correspondence Address:
Sani A Abubakar
Department of Medicine, Neurology Unit, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
Nigeria
Login to access the Email id


DOI: 10.4103/2384-5147.138935

Rights and Permissions

The long-term consequences of stroke, especially disability have been recognized but little attention has been paid to psychological and psychiatric consequences of stroke (particularly depression) in Nigeria. Patients with depression following stroke have poorer functional outcome and increased mortality. The aim of this study was to determine the frequency of depression at 1 year poststroke and risk factors associated with poststroke depression in Zaria, Nigeria. Materials and Methods: Consecutively presenting long-term stroke survivors attending neurology outpatients' clinic were prospectively examined 1 year poststroke, sociodemographic data were obtained from the patient using structured questionnaire. Admission stroke severity was obtained retrospectively using National Institute of Health Stroke Score. Modified Rankin scale (MRS) was used to assess the level of handicap, while screening for depression was done using the Hamilton Depression Rating Scale. Results: Sixty-eight consecutive patients (36 males, 32 females) were evaluated. The mean age of the subjects was 54.99 ± 11.8 years. Thirty-eight (55.9%) patients had right hemispheric localization of stroke lesion. Eight (11.8%) of the patients evaluated remained disabled 1 year postictus, while depression was present in 11 (16.2%). Using multiple logistic regression, the major independent determinant of depression at 1 year postictus was the presence of residual disability quantified using MRS. Conclusion: Depression occurred in 16.2% of long-term stroke survivors and the most independent determinant of depression at 1 year poststroke is degree of functional disability (handicap).


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2146    
    Printed81    
    Emailed1    
    PDF Downloaded183    
    Comments [Add]    
    Cited by others 1    

Recommend this journal