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. 2024 Dec 4;24(1):470.
doi: 10.1186/s12883-024-03974-9.

Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals

Ermiyas Yemane Debebe  1 , Mulugeta Biyadgie  2 , Hanamariam Abebe Chekol  3 , Lakew Asmare  4 , Zeamanuel Anteneh Yigzaw  5
Affiliations

Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals

Ermiyas Yemane Debebe et al. BMC Neurol. .

Abstract

Background: Post-stroke depression is among the most common neuropsychiatric complications in stroke survivors. Post-stroke depression is commonly under-recognized and under-treated. This study aimed to assess the prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar City public specialized hospitals.

Method: An institutional-based prospective cross-sectional study was conducted from September to December 2023 on 394 patients. Public Health Questionnaire-9 was used to diagnose depression. Data was checked for cleanness manually and then exported to SPSS version 25 software for analysis. A systematic randomized sampling method was used to identify study participants. Bivariate and multivariate logistic regression analysis was performed to identify independent predictors of post-stroke depression. A p-value less than 0.05 is considered as significant with a 95% confidence interval.

Result: The overall prevalence of post-stroke depression was found to be 42.9%. Employment status (AOR = 0.282, 95% CI: 0.112-0.709 C, P-value = 0.007), depression before stroke (AOR = 3.237, 95% CI: 1.098-9.544, P-value = 0.033), ischemic heart disease (AOR = 4.090, 95% CI: 1.745-9.583, P-value = 0.001) and physical disability (AOR = 4.051 95% CI: 2.239-7.332, P-value = 0.000) were found to be statistically significant independent predictors of post-stroke depression (PSD).

Conclusion: The prevalence of post-stroke depression was found to be high relative to other similar studies. Patients with known depression before stroke, ischemic heart disease, and significant physical disability were at a higher risk of developing PSD. Employed patients had less risk of developing PSD. Sufficient and comprehensive evaluation of stroke patients for depression is recommended.

Keywords: Bahir Dar; Medical referral clinic; Post-stroke depression; Stroke.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethical clearance was obtained from the Bahir Dar University College of medicine and health sciences Ethical Review Committee (Meeting No.: Expedia/2023, Protocol number: 838/2023). A support letter was sent to TGCSH and FHCSH. Names were not used in collecting the data from the medical files. Confidentiality was maintained by keeping the data collection forms locked in a secure cabinet and the electronic data file was kept securely in a password-protected computer. The study was conducted according to the declaration of Helenski. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Prevalence of post-stroke depression
See this image and copyright information in PMC

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