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The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke
BACKGROUND: Few studies have investigated factors associated with depression among elderly people with and without stroke concurrently, using identical settings, procedures and study variables. The aim was to investigate the prevalence of stroke and depression and to compare the factors associated w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055663/ https://www.ncbi.nlm.nih.gov/pubmed/27717324 http://dx.doi.org/10.1186/s12877-016-0347-6 |
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author | Hörnsten, Carl Lövheim, Hugo Nordström, Peter Gustafson, Yngve |
author_facet | Hörnsten, Carl Lövheim, Hugo Nordström, Peter Gustafson, Yngve |
author_sort | Hörnsten, Carl |
collection | PubMed |
description | BACKGROUND: Few studies have investigated factors associated with depression among elderly people with and without stroke concurrently, using identical settings, procedures and study variables. The aim was to investigate the prevalence of stroke and depression and to compare the factors associated with depression in people with and without stroke. METHODS: A postal mail survey was sent to 65-, 70-, 75- and 80-year-olds in northern Sweden and Finland in 2010 (n = 6098). Stroke was defined as answering “yes” to the question “Have you had a stroke?” Depression was defined as answering “yes” to the question “Are you depressed?” or having a Geriatric Depression Scale-4 score ≥2. Dependence in personal activities of daily living was defined as not showering without human assistance. Associations were tested with log-binomial regression. RESULTS: The overall stroke prevalence was 7.0 ± 0.3 % and increased from 4.7 ± 0.4 % among 65-year-olds to 11.6 ± 1.0 % among 80-year-olds (p < 0.001). The overall depression prevalence was 12.8 ± 0.4 % and increased from 11.0 ± 0.6 % among 65-year-olds to 18.1 ± 1.2 % among 80-year-olds (p < 0.001). Depression was more common among people with stroke (Prevalence Ratio 1.77, 95 % Confidence Interval 1.48-2.12). In the non-stroke group, depression was independently associated with diabetes, dependence in instrumental activities of daily living, living alone, not having someone to talk to, poor finances, pain problems and having a life crisis in the preceding year. In the group with stroke, depression was independently associated with dependence in personal activities of daily living and having a life crisis the preceding year. CONCLUSIONS: Depression in people without stroke appeared to be independently associated with a broader range of external factors than depression in people with stroke. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12877-016-0347-6) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5055663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50556632016-10-19 The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke Hörnsten, Carl Lövheim, Hugo Nordström, Peter Gustafson, Yngve BMC Geriatr Research Article BACKGROUND: Few studies have investigated factors associated with depression among elderly people with and without stroke concurrently, using identical settings, procedures and study variables. The aim was to investigate the prevalence of stroke and depression and to compare the factors associated with depression in people with and without stroke. METHODS: A postal mail survey was sent to 65-, 70-, 75- and 80-year-olds in northern Sweden and Finland in 2010 (n = 6098). Stroke was defined as answering “yes” to the question “Have you had a stroke?” Depression was defined as answering “yes” to the question “Are you depressed?” or having a Geriatric Depression Scale-4 score ≥2. Dependence in personal activities of daily living was defined as not showering without human assistance. Associations were tested with log-binomial regression. RESULTS: The overall stroke prevalence was 7.0 ± 0.3 % and increased from 4.7 ± 0.4 % among 65-year-olds to 11.6 ± 1.0 % among 80-year-olds (p < 0.001). The overall depression prevalence was 12.8 ± 0.4 % and increased from 11.0 ± 0.6 % among 65-year-olds to 18.1 ± 1.2 % among 80-year-olds (p < 0.001). Depression was more common among people with stroke (Prevalence Ratio 1.77, 95 % Confidence Interval 1.48-2.12). In the non-stroke group, depression was independently associated with diabetes, dependence in instrumental activities of daily living, living alone, not having someone to talk to, poor finances, pain problems and having a life crisis in the preceding year. In the group with stroke, depression was independently associated with dependence in personal activities of daily living and having a life crisis the preceding year. CONCLUSIONS: Depression in people without stroke appeared to be independently associated with a broader range of external factors than depression in people with stroke. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12877-016-0347-6) contains supplementary material, which is available to authorized users. BioMed Central 2016-10-07 /pmc/articles/PMC5055663/ /pubmed/27717324 http://dx.doi.org/10.1186/s12877-016-0347-6 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Hörnsten, Carl Lövheim, Hugo Nordström, Peter Gustafson, Yngve The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title | The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title_full | The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title_fullStr | The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title_full_unstemmed | The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title_short | The prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
title_sort | prevalence of stroke and depression and factors associated with depression in elderly people with and without stroke |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055663/ https://www.ncbi.nlm.nih.gov/pubmed/27717324 http://dx.doi.org/10.1186/s12877-016-0347-6 |
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