Clinical utility of chosen factors in predicting post-stroke depression: a one year follow-up.

Wichowicz, Hubert; Gąsecki, Dariusz; Landowski, Jerzy; Lass, Piotr; Świerkocka, Małgorzata; Wiśniewski, Grzegorz; Nyka, Waldemar N; Wilkowska, Aleksandra

doi:10.12740/pp/38439

Cited by 13 publications

(12 citation statements)

References 38 publications

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“…Our study has the following strengths. A large amount of publications on PSD were identified, resulting in a rich pooled cohort of studies that were not included in earlier meta-analyses (Chen et al 2013 , 2016 ; Gozzi et al 2014 ; Jiang et al 2014 ; Metoki et al 2016 ; Saxena and Suman 2015 ; Terroni et al 2015 ; Wei et al 2016 ; Wichowicz et al 2015 ; Zhang et al 2016 ). Furthermore, beside information on lesion laterality, also data on other imaging markers was retrieved for quantitative and qualitative analysis.…”

Section: Discussionmentioning

confidence: 99%

Imaging Markers of Post-Stroke Depression and Apathy: a Systematic Review and Meta-Analysis

et al. 2017

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Several brain imaging markers have been studied in the development of post-stroke depression (PSD) and post-stroke apathy (PSA), but inconsistent associations have been reported. This systematic review and meta-analysis aims to provide a comprehensive and up-to-date evaluation of imaging markers associated with PSD and PSA. Databases (Medline, Embase, PsycINFO, CINAHL, and Cochrane Database of Systematic Reviews) were searched from inception to July 21, 2016. Observational studies describing imaging markers of PSD and PSA were included. Pooled odds ratios (OR) and 95% confidence intervals (CI) were calculated to examine the association between PSD or PSA and stroke lesion laterality, type, and location, also stratified by study phase (acute, post-acute, chronic). Other imaging markers were reviewed qualitatively. The search retrieved 4502 studies, of which 149 studies were included in the review and 86 studies in the meta-analyses. PSD in the post-acute stroke phase was significantly associated with frontal (OR 1.72, 95% CI 1.34–2.19) and basal ganglia lesions (OR 2.25, 95% CI 1.33–3.84). Hemorrhagic stroke related to higher odds for PSA in the acute phase (OR 2.58, 95% CI 1.18–5.65), whereas ischemic stroke related to higher odds for PSA in the post-acute phase (OR 0.20, 95% CI 0.06–0.69). Frequency of PSD and PSA is modestly associated with stroke type and location and is dependent on stroke phase. These findings have to be taken into consideration for stroke rehabilitation programs, as this could prevent stroke patients from developing PSD and PSA, resulting in better clinical outcome.Electronic supplementary materialThe online version of this article (doi:10.1007/s11065-017-9356-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Imaging Markers of Post-Stroke Depression and Apathy: a Systematic Review and Meta-Analysis

et al. 2017

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“…Previous studies have found that the location of lesion was related to PSD (42)(43)(44), such as prefrontal, temporal lobe, etc. However, in this study the association between the lesion location and the onset of depression was not found, may be caused by including patients with lesion volume varied from lacunar infarction to large cerebral infarction, and there was a correlation between lesion volume and severity of depression (45,46).…”

Section: Discussionmentioning

confidence: 98%

Association of Cerebral Artery Stenosis With Post-stroke Depression at Discharge and 3 Months After Ischemic Stroke Onset

et al. 2020

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Background: Post-stroke depression (PSD) is one of the most common complications after stroke, which seriously affects patients' recovery outcome. Although vascular depression has been extensively studied, the relationship between cerebral artery stenosis and PSD has not been clarified so far.Methods: Two hundred ninety-eight patients with ischemic stroke (72 women, 226 men) with computed tomography angiography (CTA) or magnetic resonance angiography (MRA) were included in this study. Cerebral artery stenosis ≥50% was used as the cut-off value. The DSM-V diagnostic criteria of PSD was met and the 17-item Hamilton Rating Scale for Depression (HAMD-17) score over 7 at discharge and 3 months after stroke onset was regarded as the primary outcome. The χ2-test, Mann-Whitney U-test, and t-test were used to check for statistical significance.Results: At discharge, Barthel index (p < 0.001), left middle cerebral artery stenosis (p = 0.019), drinking history (p = 0.048), basilar artery stenosis (p = 0.037) were significantly associated with PSD. At 3 months after ischemic stroke onset, Barthel index (p = 0.011), left middle cerebral artery stenosis (p = 0.012), female gender (p = 0.001) were significantly associated with PSD.Conclusions: The findings demonstrated that left middle cerebral artery and basilar artery stenosis are associated with PSD. It was suggested that cerebral artery stenosis was a risk factor of PSD and should be recognized and intervened early.Registration Number: ChiCTR-ROC-17013993.

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“…Only a few studies reported male gender as an independent predictor for PSD (28). Some studies showed no association with gender [ 21 ]. PSD is consistently linked with low social support levels.…”

Section: Discussionmentioning

confidence: 99%

“…Various factors like age, gender, psychiatric illness, family history of psychiatric illness, hypertension, diabetes mellitus (DM), angina pectoris, current cigarette smokers, low socioeconomic status, low monthly income, unemployment, marital status, and educational background as well as the involvement of the left hemisphere of the brain of the patient are associated with PSD [ 2 – 5 , 7 , 12 – 21 ]. Most of these prestroke and poststroke risk factors reduce the potential to cope with disability and are more relevant predictors of PSD in developing countries of SSA.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Associated Factors of Poststroke Depression among Outpatient Stroke Patients Who Have a Follow-Up at the Outpatient Neurology Clinic of Zewditu Memorial Hospital in Addis Ababa, Ethiopia

Wubshet

Geberemichael

Adilo

et al. 2022

Depression Research and Treatment

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Background. Poststroke depression is the most common and burdensome poststroke psychiatric complication. Studies showed discrepancies in reporting frequencies and risk factors for poststroke depression. Updated local data are relevant for efficient strategies of poststroke depression screening and prevention. Objectives. To determine the prevalence and associated factors of poststroke depression among outpatient stroke patients from the outpatient neurology clinic of Zewditu Memorial Hospital in Addis Ababa, Ethiopia. Methods. An institution-based cross-sectional study was conducted on 249 stroke patients. Data was collected through structured questionnaire using interviews and a review of medical charts. PHQ-9 depression questionnaire was used to diagnose poststroke depression. Descriptive analysis was used to see the nature of the characteristics of interests. Bivariate analysis was used to sort out variables at p values less than 0.05 for multivariate logistic regression. Significance level was obtained using an odds ratio with 95% CI and p value < 0.05. Results. Point prevalence for poststroke depression was 27.5 percent. Female gender, unemployment, low social support level, diabetes mellitus, and poststroke period under 2 years were statistically significant and independent predictors for poststroke depression. Conclusions. The point prevalence estimate of poststroke depression was comparable with other studies. Low social support levels increased the odds for poststroke depression by more than eight folds. It appeared that external factors are more important in the pathogenesis of poststroke depression in the African population. Detection and prevention programs should consider disparities of poststroke depression incidence and risk factors.

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Clinical utility of chosen factors in predicting post-stroke depression: a one year follow-up.

Abstract: We found the association between the presence of PSD and location of lesions (frontal lobes or basal ganglia), as well as with the degree of functional improvement during 12 months after stroke.

Cited by 13 publications

References 38 publications

Imaging Markers of Post-Stroke Depression and Apathy: a Systematic Review and Meta-Analysis

Imaging Markers of Post-Stroke Depression and Apathy: a Systematic Review and Meta-Analysis

Association of Cerebral Artery Stenosis With Post-stroke Depression at Discharge and 3 Months After Ischemic Stroke Onset

Prevalence and Associated Factors of Poststroke Depression among Outpatient Stroke Patients Who Have a Follow-Up at the Outpatient Neurology Clinic of Zewditu Memorial Hospital in Addis Ababa, Ethiopia

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