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Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients
Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759919/ https://www.ncbi.nlm.nih.gov/pubmed/35035872 http://dx.doi.org/10.1155/2022/6506326 |
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author | Al Qawasmeh, Majdi Aldabbour, Belal Abuabada, Amal Abdelrahman, Khalid Elamassie, Samah Khweileh, Mays Zahran, Mohammad El-Salem, Khalid |
author_facet | Al Qawasmeh, Majdi Aldabbour, Belal Abuabada, Amal Abdelrahman, Khalid Elamassie, Samah Khweileh, Mays Zahran, Mohammad El-Salem, Khalid |
author_sort | Al Qawasmeh, Majdi |
collection | PubMed |
description | Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching hospital with ischemic or hemorrhagic strokes were enrolled. Participants were screened on admission for premorbid depression using the PHQ-9 questionnaire; then, screening for PSD was repeated one and three months after stroke using the same tool. Depression prevalence at each screening was reported, and logistic regression analysis was conducted to evaluate for significant predictors. PHQ-9 scores suggestive of depression were reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months, respectively. Scores suggesting severe depression were reported by 0.71%, 2.13%, and 6.52% of respondents, respectively. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependence (BI) after one month (p values 0.007, 0,002, 0.014, and 0.031, respectively). Patients with secondary and high school education levels were less likely to get depression compared with illiterate patients (p 0.042). This study showed that nearly one in four Jordanian stroke survivors experienced PSD after one month. In contrast, while the overall PSD prevalence declined towards the end of follow-up period, patients who remained depressed showed a tendency towards higher PSD severity. |
format | Online Article Text |
id | pubmed-8759919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-87599192022-01-15 Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients Al Qawasmeh, Majdi Aldabbour, Belal Abuabada, Amal Abdelrahman, Khalid Elamassie, Samah Khweileh, Mays Zahran, Mohammad El-Salem, Khalid Stroke Res Treat Research Article Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching hospital with ischemic or hemorrhagic strokes were enrolled. Participants were screened on admission for premorbid depression using the PHQ-9 questionnaire; then, screening for PSD was repeated one and three months after stroke using the same tool. Depression prevalence at each screening was reported, and logistic regression analysis was conducted to evaluate for significant predictors. PHQ-9 scores suggestive of depression were reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months, respectively. Scores suggesting severe depression were reported by 0.71%, 2.13%, and 6.52% of respondents, respectively. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependence (BI) after one month (p values 0.007, 0,002, 0.014, and 0.031, respectively). Patients with secondary and high school education levels were less likely to get depression compared with illiterate patients (p 0.042). This study showed that nearly one in four Jordanian stroke survivors experienced PSD after one month. In contrast, while the overall PSD prevalence declined towards the end of follow-up period, patients who remained depressed showed a tendency towards higher PSD severity. Hindawi 2022-01-07 /pmc/articles/PMC8759919/ /pubmed/35035872 http://dx.doi.org/10.1155/2022/6506326 Text en Copyright © 2022 Majdi Al Qawasmeh 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 Al Qawasmeh, Majdi Aldabbour, Belal Abuabada, Amal Abdelrahman, Khalid Elamassie, Samah Khweileh, Mays Zahran, Mohammad El-Salem, Khalid Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title_full | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title_fullStr | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title_full_unstemmed | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title_short | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
title_sort | prevalence, severity, and predictors of poststroke depression in a prospective cohort of jordanian patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759919/ https://www.ncbi.nlm.nih.gov/pubmed/35035872 http://dx.doi.org/10.1155/2022/6506326 |
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