| Titre : | Risk Factors for Symptoms of Depression and Anxiety One Year Poststroke: A Longitudinal Study (2016) |
| Auteurs : | Joyce A. Kootker ; Maria L. van Mierlo ; Jan C. Hendriks |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2016/6, 2016) |
| Article en page(s) : | pp. 919–928 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Anxiété ; Dépression ; Rééducation et réadaptation |
| Mots-clés: | Anxiety |
| Résumé : |
Objective To estimate the relative contribution of psychological factors next to sociodemographic and premorbid/stroke-related factors to the risk of developing symptoms of depression and anxiety after stroke. Design Multicenter, longitudinal cohort study. Setting Patients after stroke from 6 general hospitals. Participants Patients (N=331) were included at stroke onset and followed up 2 and 12 months after stroke. Interventions Not applicable. Main Outcome Measures Sociodemographic and premorbid/stroke-related information was recorded during hospital admission, whereas psychological characteristics were determined with postal questionnaires 2 months poststroke. Symptoms of depression and anxiety were assessed with the Hospital Anxiety and Depression Scale (HADS) 2 and 12 months poststroke. Multivariable logistic analysis was performed to analyze the influence of sociodemographic, premorbid/stroke-related, and psychological characteristics on depressive symptoms (depression subscale of HADS >7) and symptoms of anxiety (anxiety subscale of HADS >7) 1 year after stroke. Results Early depression, stroke severity, posterior cerebral artery stroke, and neuroticism independently explained the variance of depressive symptoms 1 year poststroke (discriminative power, 83%; adjusted R2 value, 36%). Neuroticism and early anxiety independently explained the variance of symptoms of anxiety 1 year poststroke (discriminative power, 88%; adjusted R2 value, 44%). Based on these predictive models, nomograms were constructed to visually reflect the individual contribution of each risk factor to the development of long-term mood disorders after stroke. Conclusions Psychological characteristics are important risk factors for poststroke symptoms of depression and anxiety. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316000861 |
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