Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis
Joint Authors
Ovbiagele, Bruce
Ojagbemi, Akin
Akpa, Onoja
Elugbadebo, Fisayo
Ojo Owolabi, Mayowa
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-27
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
We aimed to conduct a systematic review and meta-analysis of prevalence and characteristics of poststroke depression (PSD) in sub-Saharan Africa (SSA).
Methods.
We searched Medline, PsycINFO, and African Journals OnLine using keywords for stroke and depression and the .mp.
operator for all 54 SSA countries/regions.
Further information was retrieved through a manual search of references from relevant published and unpublished articles.
We included only peer-reviewed original studies with epidemiological or experimental designs, conducted random-effect meta-analysis, and identified the most commonly associated factors by weight (inverse of variance method).
Results.
Seventeen studies, comprising 1483 stroke survivors, met the criteria for syntheses.
The pooled frequency of clinically diagnosed PSD was 31% (95% CI = 26%–36%), versus 13.9% in healthy control pairs.
Prevalence did not vary much across healthcare settings but was affected by methods of depression ascertainment.
PSD was significantly associated with low education, cognitive impairment, physical disability, poor quality of life, and divorced marital status.
Conclusion.
Almost 1 in 3 individuals with stroke in SSA has clinical depression.
Despite limitations around quality of identified studies, results of the present systematic review overlap with findings in the global literature and highlight useful targets for the design and trial of tailored intervention for PSD in SSA.
American Psychological Association (APA)
Ojagbemi, Akin& Akpa, Onoja& Elugbadebo, Fisayo& Ojo Owolabi, Mayowa& Ovbiagele, Bruce. 2017. Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis. Behavioural Neurology،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1139770
Modern Language Association (MLA)
Ojagbemi, Akin…[et al.]. Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis. Behavioural Neurology No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1139770
American Medical Association (AMA)
Ojagbemi, Akin& Akpa, Onoja& Elugbadebo, Fisayo& Ojo Owolabi, Mayowa& Ovbiagele, Bruce. Depression after Stroke in Sub-Saharan Africa: A Systematic Review and Meta-Analysis. Behavioural Neurology. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1139770
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139770