Longitudinal Impact of Depression on Quality of Life in Stroke Patients
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
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.
Abstract
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.
참고문헌 (28)
- Roger VL, "Heart disease and stroke statistics--2011 update: a report from the American Heart Association", Circulation, 123, pp.e18~e209 (2011)[DOI]
- Heuschmann PU, "Control of main risk factors after ischaemic stroke across Europe: data from the stroke-specific module of the EUROASPIRE III survey", Eur J Prev Cardiol, 22, pp.1354~1362 (2015)[DOI]
- Kielbergerova L, "Quality of life predictors in chronic stable post-stroke patients and prognostic value of SF-36 score as a mortality surrogate", Transl Stroke Res, 6, pp.375~383 (2015)[DOI]
- Niemi ML, "Quality of life 4 years after stroke", Stroke, 19, pp.1101~1107 (1988)[DOI]
- De Haan RJ, "Quality of life after stroke", Stroke, 26, pp.402~408 (1995)[DOI]
- Carod-Artal J, "Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit", Stroke, 31, pp.2995~3000 (2000)[DOI]
- Williams LS, "Poststroke depression affects quality of life (QOL) but not other stroke outcome measures", Stroke, 30, pp.236~239 (1999)
- Pan JH, "Longitudinal analysis of quality of life for stroke survivors using latent curve models", Stroke, 39, pp.2795~2802 (2008)[DOI]
- Ayerbe L, "Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis", Br J Psychiatry, 202, pp.14~21 (2013)[DOI]
- Paolucci S, "The Italian multicenter observational study on post-stroke depression (DESTRO)", J Neurol, 253, pp.556~562 (2006)[DOI]
- Christensen MC, "Depressed mood after intracerebral hemorrhage: the FAST trial", Cerebrovasc Dis, 27, pp.353~360 (2009)[DOI]
- Naess H, "Health-related quality of life among young adults with ischemic stroke on long-term follow-up", Stroke, 37, pp.1232~1236 (2006)[DOI]
- Kim JM, "Serotonergic and BDNF genes and risk of depression after stroke", J Affect Disord, 136, pp.833~840 (2012)[DOI]
- Kang Y, "A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients", J Korean Neurol Assoc, 15, pp.300~308 (1997)
- Min SK, "Development of Korean version of WHO quality of life scale abbreviated version (WHOQOLBREF)", J Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
- Sheehan D, "Diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- Yoo SW, "Validity of Korean version of the mini-international neuropsychiatric interview", Anxiety Mood, 2, pp.50~55 (2006)
- Kasner SE, "Reliability and validity of estimating the NIH stroke scale score from medical records", Stroke, 30, pp.1534~1537 (1999)[DOI]
- Mahoney FI, "Functional Evaluation: the Barthel Index", Md State Med J, 14, pp.61~65 (1965)
- Naess H, "Health-related quality of life among young adults with ischemic stroke on long-term follow-up", Stroke, 37, pp.1232~1236 (2006)[DOI]
- Gandolfo C, "The Italian multicenter observational study on post-stroke depression (DESTRO)", J Neurol, 253, pp.556~562 (2006)[DOI]
- Sturm JW, "Quality of life after stroke: the North East Melbourne Stroke Incidence Study (NEMESIS)", Stroke, 35, pp.2340~2345 (2004)[DOI]
- Towfighi A, "Poststroke depression: a scientific statement for healthcare professionals from the American Heart Association", American Stroke Association, 2017, pp.48, e30~e43
- Williams LS, "How valid are family proxy assessments of stroke patients' health-related quality of life?", Stroke, 37, pp.2081~2085 (2006)[DOI]
- Bhogal SK, "Lesion location and poststroke depression: systematic review of the methodological limitations in the literature", Stroke, 35, pp.794~802 (2004)[DOI]
- Berg A, "Poststroke depression in acute phase after stroke", Cerebrovasc Dis, 12, pp.14~20 (2001)[DOI]
- Hackett ML, "Frequency of depression after stroke: a systematic review of observational studies", Stroke, 36, pp.1330~1340 (2005)[DOI]
- Paolucci S, "Post-stroke depression, antidepressant treatment and rehabilitation results. A case-control study", Cerebrovasc Dis, 12, pp.264~271 (2001)[DOI]