Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug;28(8):2253-9.
doi: 10.1589/jpts.28.2253. Epub 2016 Aug 31.

Post-stroke depression inhibits improvement in activities of daily living in patients in a convalescent rehabilitation ward

Kenji Tsuchiya  1 , Takaaki Fujita  1 , Daisuke Sato  2 , Manabu Midorikawa  2 , Yasushi Makiyama  2 , Kaori Shimoda  3 , Fusae Tozato  1
Affiliations

Post-stroke depression inhibits improvement in activities of daily living in patients in a convalescent rehabilitation ward

Kenji Tsuchiya et al. J Phys Ther Sci. 2016 Aug.

Abstract

[Purpose] There have been no investigations into the improvement of activities of daily living among patients suffering from post-stroke depression on admission to convalescent rehabilitation wards in Japan. This study aimed to assess the improvement of activities in daily living in patients with or without post-stroke depression at the time of admission to a convalescent rehabilitation ward. [Subjects and Methods] This retrospective study included 108 stroke patients divided into two groups according to their Geriatric Depression Scale 15-item short form scores. Activities of daily living were assessed using the Functional Independence Measure. The degree of improvement on the Functional Independence Measure was defined as the difference between scores on admission and at discharge. [Results] The Functional Independence Measure gain score was significantly different from the Functional Independence Measure total score. There was a significant interaction between time period and post-stroke depression factors for the Functional Independence Measure total score. A multiple regression analysis revealed a significant association between Geriatric Depression Scale score and Functional Independence Measure total score. [Conclusion] The present study suggests that post-stroke depression has a negative impact on recovery of activities of daily living and on rehabilitation outcomes in a convalescent rehabilitation ward setting.

Keywords: Activities of daily living; Convalescent rehabilitation ward; Post-stroke depression.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Flow chart of participant selection
See this image and copyright information in PMC

References

    1. Kauhanen M, Korpelainen JT, Hiltunen P, et al. : Poststroke depression correlates with cognitive impairment and neurological deficits. Stroke, 1999, 30: 1875–1880. - PubMed
    1. Aben I, Verhey F, Strik J, et al. : A comparative study into the one year cumulative incidence of depression after stroke and myocardial infarction. J Neurol Neurosurg Psychiatry, 2003, 74: 581–585. - PMC - PubMed
    1. Aben I, Lodder J, Honig A, et al. : Focal or generalized vascular brain damage and vulnerability to depression after stroke: a 1-year prospective follow-up study. Int Psychogeriatr, 2006, 18: 19–35. - PubMed
    1. Bhogal SK, Teasell R, Foley N, et al. : Lesion location and poststroke depression: systematic review of the methodological limitations in the literature. Stroke, 2004, 35: 794–802. - PubMed
    1. Morris PL, Robinson RG, Andrzejewski P, et al. : Association of depression with 10-year poststroke mortality. Am J Psychiatry, 1993, 150: 124–129. - PubMed

LinkOut - more resources