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KMID : 1007420110090020057
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Mood and Emotion
2011 Volume.9 No. 2 p.57 ~ p.63
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Prevalence and Risk Factors of Post-Stroke Depression
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Kang Hee-Ju
Bae Kyung-Yeol
Kim Sung-Wan
Kim Jae-Min
Shin Il-Seon
Kim Joon-Tae
Park Man-Seok
Cho Ki-Hyun
Yoon Jin-Sang
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Abstract
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Objectives : This study aimed to investigate the prevalence and risk factors of depression within two weeks after stroke.
Methods : A total of 362 stroke patients were recruited. Depression (major and minor depressive disorders) was diagnosed by applying DSM-IV criteria. Data on socio-demographic characteristics (age, gender, education, marital state, living state, religion, occupation, income, life event, and social support), stroke severity (NIHSS), disability (BI), stroke hemisphere and location, vascular risk and disease, and previous history of stroke and depression were obtained.
Results : Depression was present in 90 (24.9%) patients: major depression 29 (8%) and minor depression 61 (16.9%) patients. In the univariate analyses, depression was associated with older age, higher number of stressful life event, poorer social support, severe disability, anterior stroke location, previous history of stroke and depression. In the multivariate analyses, depression was independently associated with higher number of stressful life events and poorer social support.
Conclusion : Depression was common and was determined by premorbid levels of stress and social support in stroke patients at acute stage. More intensive psychiatric care and intervention is needed for the high risk group.
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KEYWORD
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Poststroke depression, Prevalence, Risk factor, Life events, Social support, Disability
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