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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...

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Autores principales: Al Qawasmeh, Majdi, Aldabbour, Belal, Abuabada, Amal, Abdelrahman, Khalid, Elamassie, Samah, Khweileh, Mays, Zahran, Mohammad, El-Salem, Khalid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
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.
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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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