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Prevalence and correlates of depression among Nigerian stroke survivors.
South African Journal of Psychiatry ( IF 1 ) Pub Date : 2019-05-20 , DOI: 10.4102/sajpsychiatry.v25i0.1252
Olushola Olibamoyo 1 , Abiodun Adewuya 2 , Bolanle Ola 2 , Olurotimi Coker 2 , Olayinka Atilola 2
Affiliation  

Background There is mixed evidence for the hypothesis that the risk of depression after stroke is influenced by the location of lesions in the hemispheres, demographic and clinical factors, and disability of stroke survivors. Aim The current study determined the prevalence of depression and its socio-demographic and clinico-pathological correlates among stroke survivors in a tertiary hospital in Lagos, Nigeria. Method The cross-sectional study was carried out among 112 adult patients with a clinical history of stroke confirmed by neuroimaging. Depression was diagnosed using Mini International Neuropsychiatric Interview. The socio-demographic profile was obtained, and cognitive impairment was assessed using the Mini-Mental State Examination. Stroke severity was assessed retrospectively using the National Institute of Health Stroke Scale and current disability was measured using the Modified Rankin Scale. Results There were 48 (42.9%) stroke survivors with a clinical diagnosis of depression. Using binary logistic regression, the independent determinants of depression were younger age, unemployment, perceived poor social support, increasing number of previous admissions because of stroke, cognitive impairment, severity of stroke and current disability status. However, there was no significant association between depression and lesion location. Conclusion Depression is a common associate of stroke, and there is a need for sustained focus on young stroke survivors with severe stroke, especially those who do not have social support and have low socio-economic status, who may have a higher risk of developing depression following stroke.

中文翻译:

尼日利亚中风幸存者中抑郁症的患病率和相关性。

背景 中风后抑郁风险受大脑半球病变部位、人口统计学和临床​​因素以及中风幸存者残疾的影响这一假设的证据不一。目的 本研究确定了尼日利亚拉各斯一家三级医院中风幸存者的抑郁症患病率及其社会人口统计学和临床​​病理学相关性。方法 对 112 名经神经影像学证实有卒中临床病史的成年患者进行横断面研究。使用 Mini International Neuropsychiatric Interview 诊断抑郁症。获得社会人口学资料,并使用简易精神状态检查评估认知障碍。使用美国国立卫生研究院卒中量表回顾性评估卒中严重程度,并使用改良 Rankin 量表测量当前残疾。结果 48 名(42.9%)中风幸存者被临床诊断为抑郁症。使用二元逻辑回归,抑郁症的独立决定因素是年龄较小、失业、认为社会支持差、以前因中风而入院的人数增加、认知障碍、中风的严重程度和当前的残疾状况。然而,抑郁症与病变位置之间没有显着关联。结
更新日期:2019-05-20
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