The Association between Post-Stroke Depression and the Activities of Daily Living/Gait Balance in Patients with First-Onset Stroke Patients
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
This study evaluated the association between post-stroke depression (PSD) and clinical outcomes, including activities of daily living (ADL) and gait balance, in patients with first-onset stroke. One hundred and eighty inpatients were recruited and followed-up for a 6-month. The depressive, cognitive, and stroke symptoms were assessed using the Beck Depression Inventory (BDI), the Global Deterioration Scale (GDS), the modified Rankin Scale (MRS), and the Berg Balance Scale (BBS). All patients were assessed at baseline and at the end of the observation (6-month). Among 180 patients, 127 (70.6%) were diagnosed with minimal-to-mild depression (MMD) while 53 (29.4%) were diagnosed with moderate-to-severe depression (MSD). The odd ratio (OR) for poor outcome in the MSD group was approximately 3.7 relative to the MMD group. The proportion of patients with better balance classified by the BBS score at 6-month was significantly higher in the MMD group than in the MSD group (OR=1.375). Our findings demonstrate the potential relationship between PSD and rehabilitation outcomes measured by different rating scales in Korean stroke patients. Our study suggests that clinicians should carefully evaluate depressive symptoms in patients with stroke during routine clinical practice. Adequately-powered and wellcontrolled further studies are necessary to confirm and fully characterize this relationship.
Abstract
This study evaluated the association between post-stroke depression (PSD) and clinical outcomes, including activities of daily living (ADL) and gait balance, in patients with first-onset stroke. One hundred and eighty inpatients were recruited and followed-up for a 6-month. The depressive, cognitive, and stroke symptoms were assessed using the Beck Depression Inventory (BDI), the Global Deterioration Scale (GDS), the modified Rankin Scale (MRS), and the Berg Balance Scale (BBS). All patients were assessed at baseline and at the end of the observation (6-month). Among 180 patients, 127 (70.6%) were diagnosed with minimal-to-mild depression (MMD) while 53 (29.4%) were diagnosed with moderate-to-severe depression (MSD). The odd ratio (OR) for poor outcome in the MSD group was approximately 3.7 relative to the MMD group. The proportion of patients with better balance classified by the BBS score at 6-month was significantly higher in the MMD group than in the MSD group (OR=1.375). Our findings demonstrate the potential relationship between PSD and rehabilitation outcomes measured by different rating scales in Korean stroke patients. Our study suggests that clinicians should carefully evaluate depressive symptoms in patients with stroke during routine clinical practice. Adequately-powered and wellcontrolled further studies are necessary to confirm and fully characterize this relationship.
참고문헌 (28)
- Williams LS, "Depression and other mental health diagnoses increase mortality risk after ischemic stroke", Am J Psychiatry, 161, pp.1090~1095 (2004)
- Haghgoo HA, "Depression, activities of daily living and quality of life in patients with stroke", J Neurol Sci, 328, pp.87~91 (2013)
- Mutai H, "Long-term outcome in stroke survivors after discharge from a convalescent rehabilitation ward", Psychiatry Clin Neurosci, 67, pp.434~440 (2013)
- Farner L, "Depressive symptoms in stroke patients : a 13 month follow-up study of patients referred to a rehabilitation unit", J Affect Disord, 127, pp.211~218 (2010)
- Dafer RM, "Poststroke depression", Top Stroke Rehabil, 15, pp.13~21 (2008)
- Sienkiewicz-Jarosz H, "Predictors of depressive symptoms in patients with stroke-a three-month follow-up", Neurol Neurochir Pol, 44, pp.13~20 (2010)
- Carota A, "A prospective study of predictors of poststroke depression", Neurology, 64, pp.428~433 (2005)
- Huang HC, "The impact of timing and dose of rehabilitation delivery on functional recovery of stroke patients", J Chin Med Assoc, 72, pp.257~264 (2009)
- Kijowski S, "Difficulties in post-stroke gait improvement caused by post-stroke depression", Chin Med J, 127, pp.2085~2090 (2014)
- Park GY, "The association between the severity of poststroke depression and clinical outcomes after first-onset stroke in Korean patients", Gen Hosp Psychiatry, 37, pp.245~250 (2015)
- 배치운, "Evidence-Based Treatment for Depressive Disorder", PSYCHIATRY INVESTIGATION, 12(2), pp.278~279 (2015), 대한신경정신의학회[DOI]
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Jo SA, "Usefulness of Beck Depression Inventory(BDI)in the Korean elderly population", Int J Geriatr Psychiatry, 22, pp.218~223 (2007)
- Shin MS, "The cut-off score for the Korean version of beck depression inventory", Korean J Clin Psychol, 12, pp.71~81 (1993)
- van Swieten JC, "Interobserver agreement for the assessment of handicap in stroke patients", Stroke, 19, pp.604~607 (1988)
- Berg KO, "Measuring balance in the elderly: validation of an instrument", Can J Public Health, 83(Suppl 2), pp.S7~S11 (1992)
- Reisberg B, "The Global Deterioration Scale for assessment of primary degenerative dementia", Am J Psychiatry, 139, pp.1136~1139 (1982)
- Sulter G, "Use of the Barthel index and modified Rankin scale in acute stroke trials", Stroke, 30, pp.1538~1541 (1999)
- Mackintosh SF, "Balance score and a history of falls in hospital predict recurrent falls in the 6months following stroke rehabilitation", Arch Phys Med Rehabil, 87, pp.1583~1589 (2006)
- Murtezani A, "Factors associated with reintegration to normal living after stroke", Med Arh, 63, pp.216~219 (2009)
- Baseman S, "The relationship of physical function to social integration after stroke", J Neurosci Nurs, 42, pp.237~244 (2010)
- Schmid AA, "Fear of falling among people who have sustained a stroke : a 6-month longitudinal pilot study", Am J Occup Ther, 65, pp.125~132 (2011)
- Kerse N, "Falls after stroke: results from the Auckland Regional Community Stroke (ARCOS) Study, 2002 to 2003", Stroke, 39, pp.1890~1893 (2008)
- Jonsson AC, "Functional status and patient-reported outcome 10 years after stroke : the Lund Stroke Register", Stroke, 45, pp.1784~1790 (2014)
- Ayerbe L, "The long-term outcomes of depression up to 10 years after stroke; the South London Stroke Register", J Neurol Neurosurg Psychiatry, 85, pp.514~521 (2014)
- Kim SY, "Influences of personality traits on quality of life after stroke", Eur Neurol, 69, pp.185~192 (2013)
- Morris JH, "Predicting health related quality of life 6 months after stroke : the role of anxiety and upper limb dysfunction", Disabil Rehabil, 35, pp.291~299 (2013)
- Chapman J, "Changes in depressive symptoms and impact on treatment course among hepatitis C patients undergoing interferon-alpha and ribavirin therapy : a prospective evaluation", Am J Gastroenterol, 106, pp.2123~2132 (2011)