Ann Rehabil Med.  2015 Feb;39(1):74-80. 10.5535/arm.2015.39.1.74.

The Effect of Post-Stroke Depression on Rehabilitation Outcome and the Impact of Caregiver Type as a Factor of Post-Stroke Depression

• Ahn DH
• Lee YJ
• Jeong JH
• Kim YR
• Park JB

• KMID: 2273022
• DOI: http://doi.org/10.5535/arm.2015.39.1.74

Abstract

OBJECTIVE
To evaluate the effect of post-stroke depression (PSD) on rehabilitation outcome and to investigate the risk factors of PSD, especially, the role of caregivers type (family or professional) in subacute stroke patients.
METHODS
Two hundred twenty-six stroke patients were enrolled retrospectively. All the subjects' basic characteristics, Korean version of the Beck Depression Inventory (K-BDI), Korean version of the Modified Barthel Index (K-MBI), and the modified Rankin Scale (mRS) were recorded when the patient was transferred into the Department of Rehabilitation Medicine and at the time of discharge. The results were statistically analyzed by using SPSS ver. 20.0.
RESULTS
The patients' K-BDI score showed a significantly negative association with K-MBI at discharge (beta=-0.473, p<0.001) and a significantly positive association with the mRS score at discharge (beta=0.316, p<0.001). Patients with lesions on the left hemisphere (odds ratio [OR], 3.882; 95% confidence interval [CI], 1.726-8.733) and professional caregiver support (OR, 0.028; 95% CI, 0.012-0.065) had a higher rate of depression.
CONCLUSION
Depression was prevalent in stroke patients, and it had a negative effect on patients' functional outcome. Patients who had a lesion on the right hemisphere had less depression. The type of caregiver was related to the incidence of subacute PSD, and family caregivers were found to lower the frequency of stroke patients' depression.

Keyword

Post-stroke depression; Family; Caregivers; Risk factors

MeSH Terms

Caregivers*
Depression*
Humans
Incidence
Rehabilitation
Retrospective Studies
Risk Factors
Stroke
Treatment Outcome*

Figure

• 

  Fig. 1 (A) Scatter plot showing the relationship between Korean version of Beck Depression Inventory (K-BDI) and Korean version of Modified Barthel Index (K-MBI). (B) Scatter plot showing the relation between K-BDI and modified Rankin Scale (mRS).

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