دانلود رایگان مقاله انگلیسی افسردگی پس از سکته مغزی در اردن: مقادیر و پیش بینی های شیوع - الزویر 2017

Background: Post-stroke depression is among the most frequent neuropsychiatric complications of stroke, and it is associated with poor prognosis and outcomes. This study aimed to assess the prevalence of depression; its correlates, and predictors among patients with stroke in Jordan. Methods: A cross-sectional, descriptive correlation design was used among 198 patients with stroke admitted to 9 hospitals all over Jordan. Depression was assessed using the validated hospital depression subscale (HDS) of the Hospital Anxiety and Depression scale. Results: Study patients (mean age 56.62 years [SD = 14.2], 53% were males) experienced high prevalence of depression (76%); of these, 51.6% were categorized as higher depression category (a case of depression; HDS = 11-21). Factors that correspondingly predicted higher depression categories were low level of education (odds ratio [OR] = 3.347, 95% confidence interval [CI] = 2.920-23.949, P < .001), having a preparatory level of education (OR = 8.363, 95% CI = 1.24-9.034, P = .017), having comorbid chronic diseases (OR = .401, 95% CI = .190-.847), being a smoker (OR = 2.488, 95% CI = 1.105- 5.604, P = .028), patients who reported inability to perform daily activities by themselves (OR = 3.688, 95% CI = 1.746-7.790, P = .001), and patients with comorbid dysphasia (OR = 12.884, 95% CI = 4.846-34.25, P < .001). Conclusions: Post-stroke depression is a significant health problem among Jordanian patients with stroke and warrants serious attention. Clinicians need to consider these important predictors when assessing and managing depression among patients at risk.

Conclusion

The alarming high prevalence of depression among stroke patients in Jordan emphasizes the need to develop policies aimed to assess and manage PSD and provide community-based follow-up and rehabilitation treatments. Clinicians should pay particular attention to patients with disability, as the risk of depression after stroke seems to be higher in these groups. Patients with advanced age, less educational level, being smoker, and those who have medical history of diabetes, hypertension, and cardiac diseases deserve close monitoring and consideration for preventive interventions to reduce the risk of depression and improve stroke survivors’ outcomes. It is important to consider that the high proportion of case category of depression does not necessarily mean the presence of major depression. The HDS is an assessment tool that quantifies depressive symptoms without confirming a clinical diagnosis. Those patients who had the borderline or case categories of depression are in need for further assessment to confirm the diagnosis of depression.