Publication:
Anxiety and depressive symptoms after stroke in 9 rehabilitation centers

dc.contributor.authorPornpimon Masskulpanen_US
dc.contributor.authorKanchana Riewthongen_US
dc.contributor.authorPiyapat Dajprathamen_US
dc.contributor.authorVilai Kuptniratsaikulen_US
dc.contributor.otherThailand Ministry of Public Healthen_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2018-07-12T02:38:00Z
dc.date.available2018-07-12T02:38:00Z
dc.date.issued2008-10-01en_US
dc.description.abstractObjective: Determine the occurrence of anxiety and depressive symptoms in rehabilitation phase and identify the associated factors that include impact on functional outcome and quality of life in stroke patients. Design: Prospective analytical study. Material and Method: Two hundred fifty one stroke patients from nine rehabilitation centers admitted between March and December 2006 were enrolled into the present study. Anxiety and depressive symptoms were evaluated in stroke patients using the Hospital Anxiety and Depressive Scales (HADS) twice, on admission and at discharge to rehabilitation program. Factors associated with anxiety and depressive symptoms were identified using univariate and multiple logistic regression analyses. Functional ability and quality of life using Barthel ADL Index (BI) and WHOQOL-BREF questionnaires respectively were recorded and analyzed. Results: Two hundred fifty one patients were assessed for anxiety and depressive symptoms using HADS. It was found that 25.5% of the patients suffered from anxiety symptoms, 37.8% from depressive symptoms, and 17.5% from both. Anxiety symptoms were associated with depressive symptoms (OR 5.49, 95%CI 2.89-10.43) and negatively associated with dyslipidemia (OR 0.48, 95%CI 0.25-0.94). Depressive symptoms were related to anxiety symptoms (OR 5.88, 95%CI 3.15-10.99) and female gender (OR 1.81, 95%CI 1.04-3.16). Patients with anxiety and depressive symptoms had lower functional ability and quality of life than patients without symptoms on admission and at discharge. After the rehabilitation program, patients without anxiety symptoms showed improvement in functional outcome and QOL. However, patients with or without depression symptoms have improvement in functional outcome after rehabilitation. However, patients without depressive symptoms showed more items improvement in QOL than patients with depression. Conclusion: Symptoms of anxiety and depression are common after stroke. They are correlated with each other. Female gender also related to depressive symptoms. Patients with anxiety and depressive symptoms have lower functional ability and quality of life than those without symptoms.en_US
dc.identifier.citationJournal of the Medical Association of Thailand. Vol.91, No.10 (2008), 1595-1602en_US
dc.identifier.issn01252208en_US
dc.identifier.issn01252208en_US
dc.identifier.other2-s2.0-55249103631en_US
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/20.500.14594/19521
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=55249103631&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleAnxiety and depressive symptoms after stroke in 9 rehabilitation centersen_US
dc.typeArticleen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=55249103631&origin=inwarden_US

Files

Collections