Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
Joint Authors
Teasell, Robert W.
Rice, D.
McIntyre, A.
Janzen, S.
Vermeer, Julianne
Allen, Laura
Ure, David
Source
Neurology Research International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Poststroke depression has been shown to affect rehabilitation progress.
This study evaluated patients after stroke who actively participated in a home-based rehabilitation program to determine variables that correlated with depressive symptoms in this population.
A retrospective review of patients who were provided rehabilitation by Community Stroke Rehabilitation Team clinicians between January 1, 2009, and September 30, 2015, was completed.
Logistic regression analysis was conducted to determine which demographic and outcome variables (Functional Independence Measure [FIM™] and Reintegration to Normal Living Index [RNLI]) were independently associated with depressive symptoms, as defined by Patient Health Questionnaire (PHQ-9) scores.
889 patients (53.2% male, mean age = 69.8 years) were included.
Based on PHQ-9 scores, 89.7% of patients presented with no or mild depressive symptoms (PHQ-9 < 10) and 10.3% were considered to have moderate to severe depressive symptoms (PHQ-9 ≥ 10).
The regression demonstrated that referral from outpatient, community care access centre, or community settings (OR = 1.89, p=0.04), low RNLI scores (OR = 0.92; p=0.001), and younger age (OR = 0.96; p<0.001) predicted patients having moderate to severe depressive symptoms.
Given the impact of poststroke depression on rehabilitation, clinicians should consider the potential impact of referral source, community reintegration, and age when monitoring and treating depressive symptoms.
American Psychological Association (APA)
Vermeer, Julianne& McIntyre, A.& Janzen, S.& Rice, D.& Allen, Laura& Ure, David…[et al.]. 2018. Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting. Neurology Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1210579
Modern Language Association (MLA)
Vermeer, Julianne…[et al.]. Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting. Neurology Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1210579
American Medical Association (AMA)
Vermeer, Julianne& McIntyre, A.& Janzen, S.& Rice, D.& Allen, Laura& Ure, David…[et al.]. Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting. Neurology Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1210579
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210579