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. 2021 Apr-Jun;46(2):309-312.
doi: 10.4103/ijcm.IJCM_875_20. Epub 2021 May 29.

Depression among Rural Stroke Survivors: A Cross-Sectional Study

Soumya Sadanandan  1 , Fatima D Silva  2 , Vishnu Renjith  3
Affiliations

Depression among Rural Stroke Survivors: A Cross-Sectional Study

Soumya Sadanandan et al. Indian J Community Med. 2021 Apr-Jun.

Abstract

Background: Depression is a major neuropsychiatric complication of stroke. Poststroke depression (PSD) can lead to inadequate functional recovery, social withdrawal, poor quality of life, and suicidal ideations.

Objective: The study explored the PSD among stroke survivors.

Materials and methods: A cross-sectional survey was conducted among 151, purposively selected rural stroke survivors of Kozhikode district, Kerala, India. Patient health questionnaire-9 (PHQ-9) was used to assess PSD.

Results: The age of participants ranged from 28 to 80 years with a mean (standard deviation) age of 64.58 (10.3) years. The majorities of the participants were males (53.6%), had an ischemic stroke (76.2%), and had left-sided brain lesions (75.5%). The median (interquartile range) depression scores on PHQ-9 were 9 (12-6). Most of the participants had either mild (47%), moderate (21.2%), or moderately severe depression (11.9%). Low energy, sleep disturbances, low self-esteem, and anhedonia were the common depressive symptoms experienced by the stroke survivors.

Conclusions: High prevalence of undiagnosed depression remains as a significant challenge to primary care.

Keywords: Patient health questionnaire; poststroke depression; stroke.

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Conflict of interest statement

There are no conflicts of interest.

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