High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

Tsehayneh, Fikru; Tafesse, Abenet

doi:10.1155/2020/8834299

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…The prevalence of post stroke depression found in the current study is comparable with the results of the studies done in Iran 45% [ 25 ], 47.4% [ 26 ], another systematic review and meta-analysis study of Iran 46.9% [ 27 ] and Finland 48.1% [ 28 ]. However, the reported prevalence of PSD in our study was found to be higher than the studies done in USA 31% [ 29 ], German 31.1 [ 30 ], New Zealand 23% [ 31 ], Ghanaians studies 36.5% [ 32 ], Uganda 31.5% [ 33 ], Nigeria 25.5 [ 34 ], Addis Ababa, Ethiopia 32.2% [ 22 ]. This discrepancy could be attributable to the difference in the study populations in terms of types of strokes, the tool used for screening depression or other socio-demographic variations and severity of depression considered.…”

Section: Discussioncontrasting

confidence: 83%

“…The samples were obtained from a relatively small population (N = 180). The following assumptions were used to determine the required sample: prevalence of post stroke depression is 32.2% taken from the previous study [ 22 ], a confidence level of 95%, 5% margin of error., the required sample size was obtained by the following calculation n = (za/2) 2 p (1-p)/d 2 , where n = sample size. Z = 95% confidence limit (1.96) p = proportion of the post stroke depression which take prevalence of 32.2% d = margin of error or degree of accuracy desired (0.05) n= (1.96) 2 x (0.322) (0.678)/(0.05) 2 = 336.…”

Section: Methodsmentioning

confidence: 99%

“…The studies done in Iran have reported conflicting prevalence rates for PSD, ranging from 18% to 72.5% [ 20 , 21 ]. Similarly, a study done in Ethiopia with small sample size and only on ischemic stroke patients has reported 32.2% of ischemic stroke patients have depressive symptoms [ 22 ]. Considering that to prevent and treat depression in stroke patients requires accurate statistical data, the small sample size of the previous studies, and given the lack of inclusiveness the type of stroke on the previous study, the present study aimed to assess the burden of depression and its predictors among stroke survivors with local version validated Patient Health Questionnaire (PHQ-9).…”

Section: Introductionmentioning

confidence: 99%

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Burden of depression and predictors among Ethiopian stroke survivors: Cross-sectional study

Zemed¹,

Sany²,

Gahaw³

2021

Annals of Medicine and Surgery

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Background stroke is a common cause of mortality and morbidity in low- and middle-income countries. It is a very sudden episode in the patients’ lives and can lead to multiple psychosocial, social, and economic consequences, and psychiatric problems. poststroke depression is the most common and major neuropsychiatric consequence of stroke that affects one-third of stroke survivors. The aim of this study to assess the burden of depression and its predictors among stroke survivors with local version validated Patient Health Questionnaire. Methods An institutional-based cross-sectional study was conducted among stroke patients at selected tertiary level hospitals. Data were collected by interview method using structured questionnaires, and patient medical record reviews and data were recruited by using consecutive sampling method. Bivariate and multivariable binary logistic regression model analysis was used with SPSS version 23 to identify factors associated with depression. Results A total of one hundred eighty stroke patients participated in the study with a response rate of 88.2%. The overall prevalence of depression is 49.6% (95% CI: 42.8, 56.7). Occupation, marital status, level of education of stroke patients was significantly associated with post stroke depression with P < 0.05. Conclusion The study findings presented that nearly half of the stroke patients suffered from post stroke depression. Post-stroke depression was strongly associated with patient occupation, marital status, and level of education There is urgent need for integration of screening for and management of post-stroke depression among stroke survivors.

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Section: Discussioncontrasting

confidence: 83%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Burden of depression and predictors among Ethiopian stroke survivors: Cross-sectional study

Zemed¹,

Sany²,

Gahaw³

2021

Annals of Medicine and Surgery

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“…In terms of stroke-related factors, ischemic stroke type was found statistically associated with depression and anxiety, and also significant relation was observed between lesion location of stroke (left side) and depression or anxiety corresponding to the study conducted by Tsehayneh and Tafesse [14] and Leppävuori et al [15].…”

Section: Discussionsupporting

confidence: 66%

Post Stroke Depression and Anxiety: Prevalance and Correlates

Noushad

Sachita

Varughese

et al. 2021

Asian J Pharm Clin Res

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Objectives: The objective of the study is to evaluate the prevalence of depression and anxiety in post-stroke patients and identify its predictors. Materials and Methods: This study was conducted for a period of 6 months among 81 patients admitted with stroke in SSIMS and RC, Davangere. The information compiled from patient data collection form was assessed for comorbid conditions and type of stroke. Assessment for depression and anxiety was conducted using Hamilton D (HAM-D) and HAM-A scale and information of location of lesion was obtained from patient’s neuroimaging results. Quality of life (QOL) of post-stroke was assessed using stroke and aphasia QOL (SAQOL) questionnaire. Follow-up was conducted for patients who were diagnosed with depression and anxiety within 1 to 3 months. Results: Depression was more prevalent as compared to anxiety in post-stroke patients and was predominant in males and between the ages 61 and 70 years. Hypertension and diabetes were found to be a major comorbid conditions in such patients. Factors contributing to increased risk of depression and anxiety after stroke include age, sex, comorbidities, lesion location, and type of stroke. Post-stroke depression (PSD) and anxiety showed statistically significant association with left-sided lesion. Conclusion: PSD and anxiety are a relatively common complications and can result in poor QOL in stroke patients. Early detection of depression and anxiety symptoms may assist functional recovery and improve QOL in stroke patients. Careful evaluation of PSD and post-stroke anxiety should be integrated into clinical care of stroke patients.

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“…The care burden is the physical, psychological, and social disruption related to the negative caring experience that was divided into objective and subjective components [10] . Studies have reported that 68.4% of the caregivers in China had a moderate burden and above [11] , rates that are higher than those reported among stroke patients [12,13] . Previous research has shown that care burden in caregivers of stroke patients will increase over time [14] and even contribute to depression if the proper intervention is not provided [11] .…”

Section: Introductionmentioning

confidence: 80%

Relationships Between Care Burden, Resilience, and Depressive Symptoms Among the Main Family Caregivers of Stroke Patients: a Cross-sectional Study

Fang¹,

Dong

Zheng

2021

Preprint

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Background Although studies indicate that resilience is related to care burden, and depressive symptoms, the underlying mechanism between those variables remains unknown. Thus, the present study aimed to explore the potential mediating role of resilience between care burden and depressive symptoms. Methods A cross-sectional study was conducted with a convenience sample of 245 main family caregivers of stroke patients recruited from the neurology department of Tertiary A hospital of China. The self-designed demographic characteristics for patients and caregivers、Barthel Daily Living Activities Index (BDLAI)、Zarit Caregiver Burden Interview (ZBI)、Connor-Davidson Resilience Scale (CD-RISC), and Center for Epidemiological Studies Depression Scale (CES-D) were used for investigation. Structural equation modeling (SEM) was conducted to explore the relationships between care burden, resilience, and depressive symptoms among the main family caregivers of stroke patients༎ Results The average scores of care burden, resilience, and depressive symptoms for caregivers were 43.89 ± 13.40, 55.68 ± 11.01, and 22.33 ± 9.85, respectively. Pearson correlation analysis results showed that the care burden was positively related to depressive symptoms (r = 0.578, p < 0.01), resilience was significantly negatively related to both care burden (r = -0.264, p < 0.01) and depressive symptoms (r = -0.697, p < 0.01). Structural equation models (SEM) analysis indicated that resilience partially mediated the relationship between care burden and depressive symptoms with the mediation effect ratio of 23.8%. Conclusions Our study signifies that resilience plays a mediating role between care burden and depressive symptoms among the main family caregivers of stroke patients. This finding shows us that resilience can be a critical source to alleviate depressive symptoms.

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High Prevalence of Poststroke Depression in Ischemic Stroke Patients in Ethiopia

Cited by 10 publications

References 15 publications

Burden of depression and predictors among Ethiopian stroke survivors: Cross-sectional study

Burden of depression and predictors among Ethiopian stroke survivors: Cross-sectional study

Post Stroke Depression and Anxiety: Prevalance and Correlates

Relationships Between Care Burden, Resilience, and Depressive Symptoms Among the Main Family Caregivers of Stroke Patients: a Cross-sectional Study

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