J Korean Acad Nurs.  2012 Aug;42(4):537-548. 10.4040/jkan.2012.42.4.537.

A Meta-analysis of the Variables related to Depression in Korean Patients with a Stroke

Affiliations
  • 1Department of Secondary Special Education, College of Education, Jeonju University, Jeonju, Korea.
  • 2Department of Education, College of Education, Jeonju University, Jeonju, Korea.
  • 3Department of Nursing, College of Medicine, Dankook University, Cheonan, Korea. jhee90@dankook.ac.kr

Abstract

PURPOSE
The purpose of this study was to use meta-analysis to evaluate the variables related to depression in patients who have had a stroke.
METHODS
The materials of this study were based on 16 variables obtained from 26 recent studies over a span of 10 years which were selected from doctoral dissertations, master's thesis and published articles.
RESULTS
Related variables were categorized into sixteen variables and six variable groups which included general characteristics of the patients, disease characteristics, psychological state, physical function, basic needs, and social variables. Also, the classification of six defensive and three risk variables group was based on the negative or positive effect of depression. The quality of life (ES=-.79) and acceptance of disability (ES=-.64) were highly correlated with depression in terms of defensive variables. For risk variables, anxiety (ES=.66), stress (ES=.53) showed high correlation effect size among the risk variables.
CONCLUSION
These findings showed that defensive and risk variables were related to depression among stroke patients. Psychological interventions and improvement in physical functions should be effective in decreasing depression among stroke patients.

Keyword

Stroke; Depression; Meta-analysis

MeSH Terms

Activities of Daily Living
Anxiety
Asian Continental Ancestry Group
*Depression
Humans
Quality of Life
Republic of Korea
Risk Assessment
Social Support
Stress, Psychological
Stroke/*psychology

Figure

  • Figure 1. Literature searches and results.


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Reference

References

Angelelli P.., Paolucci S.., Bivona U.., Piccardi L.., Ciurli P.., Cantagallo A., et al2004. Development of neuropsychiatric symptoms in poststroke patients: A cross-sectional study. Acta Psychiatrica Scandinavica. 110:55–63. http://dx.doi.org/10.1111/j.1600-0447.2004.00297.x.
Article
Borenstein M.., Hedges L. V.., Higgins J. P. T.., Rothstein H.R. 2009. Introduction to meta-anaylsis. West Sussex, UK: Wiley.
Bruggimann L.., Annoni J. M.., Staub F.., von Steinbuchel N.., Van der Linden M.., Bogousslavsky, J. 2006. Chronic posttraumatic stress symptoms after nonsevere stroke. Neurology. 66:513–516. http://dx.doi.org/10.1212/01.wnl.0000194210.98757.49.
Article
Carson K. P.., Schriesheim C. A.., Kinicki A.J. 1990. The usefulness of the "fail-safe" statistic (N) in meta-analysis. Educational and Psychological Measurement. 50:233–243.
Carter A.C. 2004. Post stroke depression. Journal of Psychosomatic Research. 56:634.
Chau J. P. C.., Thompson D. R.., Twinn S.., Chang A. M.., Woo, J. 2009. Determinants of participation restriction among community dwelling stroke survivors: A path analysis. BMC Neurology. 9(49):1–7. http://dx.doi.org/10.1186/1471-2377-9-49.
Article
Cohen, J. 1977. Statistical power analysis for the behavioral sciences. New York, NY: Academic Press.
Dafer R. M.., Rao M.., Shareef A.., Sharma, A. 2008. Poststroke depression. Topics in Stroke Rehabilitation. 15:13–21. http://dx.doi.org/10.1310/tsr1501-13.
Article
Hackett M. L.., Anderson C.S. 2005. Predictors of depression after stroke: Systemic review of observational studies. Stroke. 36:2296–2301. http://dx.doi.org/10.1161/01.STR.0000183622.75135.a4.
Huffcutt A. I.., Arthur W. Jr. 1995. Development of a new outlier statistic for meta-analytic data. Journal of Applied Psychology. 80:327–334.
Article
Jordge R. E.., Robinson R. G.., Arndt S.., Starkstein, S. 2003. Mortality and poststroke depression: A placebo-controlled trial of antidepressants. American Journal of Psychiatry. 160:1823–1829.
Kim J.H. 2008. Relationship among sexual knowledge, frequency, satisfaction, marital intimacy and levels of depression in stroke survivors and their spouses. Journal of Korean Academy of Nursing. 38:483–491. http://dx.doi.org/10.4040/jkan.2008.38.3.483.
Article
Kim J. H.., Kim, O. 2008. Influence of mastery and sexual frequency on depression in Korean men after a stroke. Journal of Psychosomatic Research. 65:565–569. http://dx.doi.org/10.1016/j.jpsychores.2008.06.005.
Article
Kimura M.., Robinson R. G.., Kosier J.T. 2000. Treatment of cognitive impairment after poststroke depression: A double-blind treatment trial. Stroke. 31:1482–1486. http://dx.doi.org/10.1161/01.STR.31.7.1482.
Kwon S.M. 2004. Depression. 4th ed.Seoul: Hakjisa.
Law M.., Stewart D.., Pollock N.., Letts L.., Bosch J.., Westmoreland, M. 1998. Critical review form-Quantitative studies. Retrieved September 13, 2011, from. http://www.srs-mcmaster.ca/Portals/20/pdf/ebp/quanreview_form1.doc.
Lee D. J.., Ko T.S. 2010. Relationships between symptoms of depression and cognitive function, physical functions, and activities of daily living in stroke patients. Journal of Special Education & Rehabilitation Science. 49(4):159–178.
Lee W.J. 2004. Adjustment of middle-aged people with hemiplegia after stroke. Unpublished doctoral dissertation;Seoul National University;Seoul:
Nys G. M.., Van Zandvoort M. J.., De Kort P. L.., Jansen B. P.., Van der Worp H. B.., Kappelle L. J., et al2005. Domain-specific cognitive recovery after first-ever stroke: A follow-up study of 111 cases. Journal of the International Neuropsychological Society. 11:795–806. http://dx.doi.org/10.1017/S1355617705050952.
Article
Orwin R.G. 1983. A fail-safe N for effect size in meta-analysis. Journal of Educational Statistics. 8:157–159.
Article
Park E. Y.., Shin I.S. 2011. The effects of transitional education programs on adaptive behavior in students with developmental disabilities: A meta analysis. Disability & Employment. 21:59–78.
Rosenthal, R. 1979. The file drawer problem and tolerance for null results. Psychological Bulletin. 86:638–641.
Article
Salter K.., Bhogal S. K.., Foley N.., Jutai J.., Teasell, R. 2007. The assessment of poststroke depression. Topics in Stroke Rehabilitation. 14(3):1–24. http://dx.doi.org/10.1310/tsr1403-1.
Article
Singh A.., Black S. E.., Herrmann N.., Leibovitch F. S.., Ebert P. L.., Lawrence J., et al2000. Functional and neuroanatomic correlations in poststroke depression: The sunnybrook stroke study. Stroke. 31:637–644. http://dx.doi.org/10.1161/01.STR.31.3.637.
Sterr A.., Herron K.., Dijk D. J.., Ellis, J. 2008. Time to wake-up: Sleep problems and daytime sleepiness in long-term stroke survivors. Brain Injury. 22:575–579. http://dx.doi.org/10.1080/02699050802189727.
Article
Sung T.J. 2005. Education research methodology. Seoul: Hakjisa.
Teoh V.., Sims J.., Milgrom, J. 2009. Psychosocial predictors of quality of life in a sample of community-dwelling stroke survivors: A longitudinal study. Topics in Stroke Rehabilitation. 16(2):157–166. http://dx.doi.org/10.1310/tsr1602-157.
Article
Verdelho A.., Henon H.., Lebert F.., Pasquier F.., Leys, D. 2004. Depressive symptoms after stroke and relationship with dementia: A three-year follow-up study. Neurology. 62:905–911. http://dx.doi.org/10.1212/01.WNL.0000115107.66957.8C.
Article
Warlow J.., van Gijn M.., Dennis J.., Wardlaw J.., Bamford G.., Hankey P., et al2007. Stroke practical management. Malden, MA: Blackwell publishing.
Whyte E. M.., Mulsant B.H. 2002. Post stroke depression: Epidemiology, pathophysiology, and biological treatment. Biological Psychiatry. 52(3):253–264. http://dx.doi.org/10.1016/S0006-3223(02)01424-5.
Article
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