Assessment of risk factors of Depression in the post-stroke phase of the stroke survivor patients: A cross-sectional study: Depression in the post-stroke phase of the stroke survivor patients

Amanullah  Bhutto; Tazeem  Hussain; Amjad  Ali Qureshi; Shahnaz  Shah; Santosh  kumar; . Lalchand

doi:10.54393/pjhs.v3i04.88

Authors

Amanullah Bhutto Department of Pathology, Ghulam Mohammad Mahar Medical College, Sukkur, Pakistan
Tazeem Hussain Family Medicine Academy & Family Medicine Department, Kingdom of Saudi Arabia
Amjad Ali Qureshi Department of Neurosurgery, Pir Abdul Qadir Shah Jillani (PAQSJ)Institute of Medical Science Gambat Pakistan
Shahnaz Shah Department of Neurology, Jinnah Postgraduate Medical Center/Jinnah Sindh Medical University, Karachi Pakistan
Santosh kumar Department of Psychiatry Neurological Institute, Psychiatry Department, Cleveland Clinic Abu Dhabi, UAE
. Lalchand Department of Neurology, Ghulam Mohammad Mahar Medical College, Sukkur SMBBMU Larkana Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i04.88

Keywords:

Depression, post-stroke depression, risk factors, gender

Abstract

Depression and mood changes are important complications of a stroke. A total of 30% of stroke survivors potentially develop depression, sooner or later. Despite its effect on the quality of life of the patient as well as functional recovery, it is often neglected resulting in a lack of treatment. However, regular antidepressant drugs play no beneficial role in the treatment of PSD. Objective: The present study aim is to the establishment of prevalence and factors responsible for causing post-stroke depression. Methods: The participants included in the study previously had strokes according to the definition given by WHO. Modified Motor Assessment Scale (MMAS) and Depression Anxiety Stress Scale-21 (DASS-21) were administered. Socio-demographic data of all the patients was collected. The risk factors were the laterality of the stroke, duration of the post-stroke phase, functional impairment after the stroke, and gender of the patient. Results: A total of 62 participants were included in the study. A total of 38 (61.29%) of the patients were male and 24 (38.71%) were female. The mean age of the patients was 51.86±5.3 years with a range of 41 to 63 years. Assessment through DASS-21 showed that 46 (74.19%) patients were normal and 16 (25.81%) were detected with depression. The statistically significant risk factors behind post-stroke depression (PSD) were gender and stroke laterality. However, the assessment through MMAS scores shows no significant participation of post-stroke disability and post-stroke duration in PSD. Conclusion: PSD is an important complication followed by stroke. Stroke laterality and gender are significant risk factors for PSD

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