Depression after stroke at 12-month follow-up: a multicenter study

Abstract

Depression is a common complication after stroke. This study found one-fifth of stroke survivors developed depression at the 12-month follow-up. Complications at discharge and urinary incontinence were significantly correlated with depression in multivariate analysis. Further study concerning interventions in decreasing depression should be performed in order to improve the quality of life of those stroke patients.

Quality of life in patients with stroke at 1-year after discharge from inpatient rehabilitation: A multicenter study

“…The reasons why QoL of stroke in our study declined over the 1-year after discharge may be explained by 2 reasons, including: 1) More patients with stroke in the TSRR had developed depression by the 1-year after discharge than those that had depression at discharge (21.0% vs. 14.7%) [18]; and, 2) More than three-fourths (76.8%) of patients with stroke in the TSRR had developed at least one complication within 12 months after discharge from rehabilitation wards and nearly 60% of patients with complications at discharge still had the same complications one year later [19]. The strategies to prevent depression and other complications should be concerned in order to gain QoL score at 1-year period.…”

A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia

“…The complicated interaction between cognitive decline and depression is well known (Limampai, Wongsrithep, & Kuptniratsaikul, 2017;. After stroke, approximately 30% of patients experience depression and 20% anxiety (Hackett, Yapa, Parag, & Anderson, 2005;Knapp et al, 2017).…”

Stroke survivors’ and carers’ experiences of a systematic voiding programme to treat urinary incontinence after stroke

“…The psychological and physical impact of poststroke UI on stroke survivors has been explored in previous studies (Arkan et al., ; Kohler et al., ; Limampai et al., ; Pilcher & MacArthur, ; White et al., ). UI is associated with poststroke depression (Limampai et al., ; Pilcher & MacArthur, ); is seen as embarrassing (Pilcher & MacArthur, ), shameful and not to be discussed (Kohler et al., ); and is something that is never mentioned by health professionals (White et al., ). Participants in this study spoke of feeling “depressed” or “down” about UI even in the relatively short time period of their inpatient stay, but also felt that a key task for nurses and other health professionals in supporting people with UI early after stroke was to “get the person to admit that they've got incontinence,” which necessitated overcoming this shame and silence.…”

“…UI is a strong predictor of mortality risk (John, Bardinic, Mégevand, & Combescure, ) and poor functional outcome after stroke (Mehdi et al., ; Meijer et al., ; Patel, Coshall, Rudd, & Wolfe, ). It is associated with higher rates of psychological problems such as depression and loss of confidence (Brittain, Peet, & Castleden, ; Limampai, Wongsrithep, & Kuptniratsaikul, ) and can result in reduced independence, caregiver burden (Rigby et al., ) and the need for institutional living (Dutta, Thornton, & Bowen, ; Kolominsky‐Rabas et al., ; Patel et al., ). While the type and severity of UI varies, the most common symptoms (alone or in combination) are urinary frequency, urgency (a sudden compelling desire to urinate) and stress incontinence (involuntary leakage) (Marinkovic & Badlani, ).…”