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Titre : | Depression Improvement Is Related to Social Role Functioning After Stroke (2012) |
Auteurs : | Arlène A. Schmid ; Teresa Damush ; Wanzhu Tu |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/6, 2012) |
Article en page(s) : | pp. 978-982 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Dépression ; Rééducation et réadaptation |
Mots-clés: | Stroke |
Résumé : |
Objectives To (1) examine the relationships between baseline demographic, clinical, and psychological characteristics and social role functioning (SRF) at 4 months after stroke, and (2) assess whether depression improvement is associated with 4-month SRF. Design We completed a secondary data analysis using data from a completed cohort study including people with stroke with or without depression. We used multiple linear regression to identify variables independently associated with 12-week SRF. Setting Hospital and patients' homes. The intervention was via phone calls. Participants People with a new stroke recruited during the inpatient stay (N=371, depressed only n=176). All survived an ischemic stroke, were 18 years and older, spoke and understood English, owned a telephone, had no severe language or cognitive impairments, and were expected to live at least 6 months. Interventions Not applicable. Main Outcome Measures We measured depression with the Patient Health Questionnaire-9 (PHQ-9), and depression improvement was defined by a 50% decrease in PHQ-9 scores from baseline to 12 weeks or a 12-week PHQ-9 score Results Depression and comorbidities were found to be independently associated with 12-week SRF. Importantly, depression response (or depression improvement) was the only variable to independently predict SRF in the depressed-only group. Conclusions Among stroke survivors with depression, improvement of that depression was independently associated with improved SRF. This is a reminder of the importance for rehabilitation providers to screen for and treat poststroke depression. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2901143-9/abstract |