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The World Health Organization has highlighted the emergence of non-communicable chronic diseases, including stroke, in developing countries. As a cause of death, stroke ranks first in Africa. Stroke is the foremost cause of neuropsychiatric disease, including post-stroke depression (PSD) which is a very common disease. Surveys of this condition in Congolese patients are virtually non-existent. The objectives of this study were to assess the prevalence of PSD in Congolese patients and identify associated sociodemographic factors. Age, sex, address, province of origin, social and professional status, education, religion and consumption habits were chosen as indicators or parameters of interest to be examined in this study. The results of descriptive analyses are presented as frequencies for categorical variables and as mean ± standard deviation for quantitative variables. The association between different variables was assessed using tables of comparisons of proportions and the Chi-square test. Logistic regression was performed to predict the occurrence of PSD. There were more male than female patients. The mean age was 54.67 ± 12.51 years. Nearly 3 fourths of the patients were aged less than 65. The family was the primary source of social support. The majority was satisfied by the social support received from the family. Just over half the study patients (53.6%) had mild to severe depression as assessed by the PHQ9. Univariate analysis and logistic regression indicated a statistically significant association between low educational level and the occurrence of PSD. However, there was no relationship between age, sex or drinking habits and the onset of PSD. The majority of the subjects were satisfied by the social support from their families. Depression was common after stroke with the occurrence of 53.6%. These results highlight the need to investigate, diagnose and treat PSD, which is a risk factor for morbidity and mortality after stroke.

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IntroductionL'objectif général poursuivi dans cette étude est de décrire le tableau clinique de la dépression post-accident vasculaire cérébral (DPAVC) à Kinshasa.MéthodesIl s'agit d'une étude transversale descriptive portant sur 56 patients suivis pour hémiplégie post-accident vasculaire cérébral au Centre de réhabilitation pour personnes handicapées de Kinshasa (CRPHK) du 1er au 31 août 2011.RésultatsAu Patient Health Questionnaire (PHQ9), 21. 40 % des patients présentaient une dépression modérée à sévère. A l’échelle de Rankin, 63. 8% des patients étaient capables de marcher sans aide. L'apathie modérée à sévère était présente chez 44. 64%; à l’échelle de sévérité de la fatigue, le score de 12. 7 % des sujets était compatible avec un état dépressif. La dépression était associée à la sévérité des troubles neurologiques, à l'incapacité évaluée avec l’échelle de Rankin, à l'apathie et à une appréciation mauvaise de son propre état de santé par le patient.ConclusionLa DPAVC est fréquente à Kinshasa parmi les patients en réhabilitation. La fréquence observée est comparable à celles retrouvées dans des travaux antérieurs dans le monde et aux rares travaux publiés en Afrique. La DPAVC est associée de manière significative à la sévérité des troubles neurologiques, au degré d'handicap, à la fatigue, à l'apathie et à la mauvaise perception de son état de santé.

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