Longitudinal Impact of Depression on Quality of Life in Stroke Patients

被引:49
作者
Kim, Eun-Song [1 ]
Kim, Ju-Wan [1 ]
Kang, Hee-Ju [1 ]
Bae, Kyung-Yeol [1 ]
Kim, Sung-Wan [1 ]
Kim, Joon-Tae [2 ]
Park, Man-Seok [2 ]
Cho, Ki-Hyun [2 ]
Kim, Jae-Min [1 ]
机构
[1] Chonnam Natl Univ, Dept Psychiat, Med Sch, 42 Jebong Ro, Gwangju 61469, South Korea
[2] Chonnam Natl Univ, Dept Neurol, Med Sch, Gwangju, South Korea
基金
新加坡国家研究基金会;
关键词
Stroke; Depression; Longitudinal study; Quality of life; Outcome assessment; POSTSTROKE DEPRESSION; LESION LOCATION; ISCHEMIC-STROKE; PREDICTORS; SCORE; RISK;
D O I
10.30773/pi.2017.10.11
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective Stroke is associated with significant long-term morbidity and poor quality of life (QOL). Depression is one of the most common complications after stroke and has been associated with QOL cross-sectionally. We investigated the longitudinal impact of depression in the acute phase of stroke on QOL 1 year after stroke. Methods In total, 423 patients were evaluated 2 weeks after stroke, and 288 (68%) were followed 1 year later. QOL was assessed using the World Health Organization Quality of Life-Abbreviated form (WHOQOL-BREF) at baseline and follow-up. Depression was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders-IV criteria; demographic and clinical characteristics data, including stroke severity, were obtained at baseline. The longitudinal associations of post-stroke depression (PSD) at baseline with QOL across two evaluation points were assessed using a repeated-measures analysis of variance. Results The WHOQOL-BREF scores were significantly and persistently lower 1 year after stroke in patients with PSD at baseline compared with those without PSD at baseline independent of demographic and clinical characteristics, including stroke severity. Conclusion PSD in the acute phase of stroke is an independent predictor of QOL in both the acute and chronic phases of stroke. Our findings underscore the importance of evaluating depression in the acute phase of stroke.
引用
收藏
页码:141 / 146
页数:6
相关论文
共 26 条
[1]   Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis [J].
Ayerbe, Luis ;
Ayis, Salma ;
Wolfe, Charles D. A. ;
Rudd, Anthony G. .
BRITISH JOURNAL OF PSYCHIATRY, 2013, 202 (01) :14-21
[2]   Poststroke depression in acute phase after stroke [J].
Berg, A ;
Palomäki, H ;
Lehtihalmes, M ;
Lönnqvist, J ;
Kaste, M .
CEREBROVASCULAR DISEASES, 2001, 12 (01) :14-20
[3]   Lesion location and poststroke depression - Systematic review of the methodological limitations in the literature [J].
Bhogal, SK ;
Teasell, R ;
Foley, N ;
Speechley, M .
STROKE, 2004, 35 (03) :794-802
[4]   Quality of life among stroke survivors evaluated 1 year after stroke -: Experience of a stroke unit [J].
Carod-Artal, J ;
Egido, JA ;
González, JL ;
de Seijas, EV .
STROKE, 2000, 31 (12) :2995-3000
[5]   Depressed Mood after Intracerebral Hemorrhage: The FAST Trial [J].
Christensen, Michael C. ;
Mayer, Stephan A. ;
Ferran, Jean-Marc ;
Kissela, Brett .
CEREBROVASCULAR DISEASES, 2009, 27 (04) :353-360
[6]   QUALITY-OF-LIFE AFTER STROKE - IMPACT OF STROKE TYPE AND LESION LOCATION [J].
DEHAAN, RJ ;
LIMBURG, M ;
VANDERMEULEN, JHP ;
JACOBS, HM ;
AARONSON, NK .
STROKE, 1995, 26 (03) :402-408
[7]   Frequency of depression after stroke - A systematic review of observational studies [J].
Hackett, ML ;
Yapa, C ;
Parag, V ;
Anderson, CS .
STROKE, 2005, 36 (06) :1330-1340
[8]   Control of main risk factors after ischaemic stroke across Europe: data from the stroke-specific module of the EUROASPIRE III survey [J].
Heuschmann, Peter U. ;
Kircher, Julia ;
Nowe, Tim ;
Dittrich, Ralf ;
Reiner, Zeljko ;
Cifkova, Renata ;
Malojcic, Branko ;
Mayer, Otto ;
Bruthans, Jan ;
Wloch-Kopec, Dorota ;
Prugger, Christof ;
Heidrich, Jan ;
Keil, Ulrich .
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2015, 22 (10) :1354-1362
[9]  
Kang Y., 1997, J Korean Neurol Assoc, V15, P300
[10]   Reliability and validity of estimating the NIH Stroke Scale score from medical records [J].
Kasner, SE ;
Chalela, JA ;
Luciano, JM ;
Cucchiara, BL ;
Raps, EC ;
McGarvey, ML ;
Conroy, MB ;
Localio, AR .
STROKE, 1999, 30 (08) :1534-1537