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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2384-5147.138935

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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).

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