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Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting

Poststroke depression has been shown to affect rehabilitation progress. This study evaluated patients after stroke who actively participated in a home-based rehabilitation program to determine variables that correlated with depressive symptoms in this population. A retrospective review of patients w...

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Autores principales: Vermeer, Julianne, McIntyre, Amanda, Janzen, Shannon, Rice, Danielle, Allen, Laura, Ure, David, Teasell, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925164/
https://www.ncbi.nlm.nih.gov/pubmed/29850242
http://dx.doi.org/10.1155/2018/1621830
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author Vermeer, Julianne
McIntyre, Amanda
Janzen, Shannon
Rice, Danielle
Allen, Laura
Ure, David
Teasell, Robert
author_facet Vermeer, Julianne
McIntyre, Amanda
Janzen, Shannon
Rice, Danielle
Allen, Laura
Ure, David
Teasell, Robert
author_sort Vermeer, Julianne
collection PubMed
description Poststroke depression has been shown to affect rehabilitation progress. This study evaluated patients after stroke who actively participated in a home-based rehabilitation program to determine variables that correlated with depressive symptoms in this population. A retrospective review of patients who were provided rehabilitation by Community Stroke Rehabilitation Team clinicians between January 1, 2009, and September 30, 2015, was completed. Logistic regression analysis was conducted to determine which demographic and outcome variables (Functional Independence Measure [FIM™] and Reintegration to Normal Living Index [RNLI]) were independently associated with depressive symptoms, as defined by Patient Health Questionnaire (PHQ-9) scores. 889 patients (53.2% male, mean age = 69.8 years) were included. Based on PHQ-9 scores, 89.7% of patients presented with no or mild depressive symptoms (PHQ-9 < 10) and 10.3% were considered to have moderate to severe depressive symptoms (PHQ-9 ≥ 10). The regression demonstrated that referral from outpatient, community care access centre, or community settings (OR = 1.89, p = 0.04), low RNLI scores (OR = 0.92; p = 0.001), and younger age (OR = 0.96; p < 0.001) predicted patients having moderate to severe depressive symptoms. Given the impact of poststroke depression on rehabilitation, clinicians should consider the potential impact of referral source, community reintegration, and age when monitoring and treating depressive symptoms.
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spelling pubmed-59251642018-05-30 Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting Vermeer, Julianne McIntyre, Amanda Janzen, Shannon Rice, Danielle Allen, Laura Ure, David Teasell, Robert Neurol Res Int Research Article Poststroke depression has been shown to affect rehabilitation progress. This study evaluated patients after stroke who actively participated in a home-based rehabilitation program to determine variables that correlated with depressive symptoms in this population. A retrospective review of patients who were provided rehabilitation by Community Stroke Rehabilitation Team clinicians between January 1, 2009, and September 30, 2015, was completed. Logistic regression analysis was conducted to determine which demographic and outcome variables (Functional Independence Measure [FIM™] and Reintegration to Normal Living Index [RNLI]) were independently associated with depressive symptoms, as defined by Patient Health Questionnaire (PHQ-9) scores. 889 patients (53.2% male, mean age = 69.8 years) were included. Based on PHQ-9 scores, 89.7% of patients presented with no or mild depressive symptoms (PHQ-9 < 10) and 10.3% were considered to have moderate to severe depressive symptoms (PHQ-9 ≥ 10). The regression demonstrated that referral from outpatient, community care access centre, or community settings (OR = 1.89, p = 0.04), low RNLI scores (OR = 0.92; p = 0.001), and younger age (OR = 0.96; p < 0.001) predicted patients having moderate to severe depressive symptoms. Given the impact of poststroke depression on rehabilitation, clinicians should consider the potential impact of referral source, community reintegration, and age when monitoring and treating depressive symptoms. Hindawi 2018-04-11 /pmc/articles/PMC5925164/ /pubmed/29850242 http://dx.doi.org/10.1155/2018/1621830 Text en Copyright © 2018 Julianne Vermeer et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Vermeer, Julianne
McIntyre, Amanda
Janzen, Shannon
Rice, Danielle
Allen, Laura
Ure, David
Teasell, Robert
Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title_full Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title_fullStr Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title_full_unstemmed Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title_short Depressive Symptoms in Individuals after Stroke in a Home-Based Rehabilitation Setting
title_sort depressive symptoms in individuals after stroke in a home-based rehabilitation setting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925164/
https://www.ncbi.nlm.nih.gov/pubmed/29850242
http://dx.doi.org/10.1155/2018/1621830
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