The prevalence of Post Stroke Depression (PSD) & its relationship with post stroke disability and lesion localization
Journal Title: Telangana Journal of Psychiatry - Year 2018, Vol 4, Issue 1
Abstract
Introduction Depression is a common neuropsychiatric sequel of stroke PSD Post stroke depression can be due to psychological reaction to clinical consequences of stroke like disability or can be consequences of specific brain lesion PSD is associated with poor long term functional and rehabilitation outcome Aims To determine the prevalence of PSD and its association with sociodemographical factors To study PSD and its association with post stroke disability To study the relationship between PSD side and site of lesion Materials and Methods Consecutive 52 patients with diagnosis of cerebrovascular stroke were included in the study The written informed consent was taken Detailed sociodemographical variables stroke related factors medical and psychiatric history was obtained using a semi structured Performa Neuroimaging provided information on lesion location Subjects were given HAMD to assess depression and WHODAS 20 to assess disabilityCollected data analyzed using SPSS version 16ResultsOf 52 patients 38 were depressed 7308 The association between the disability and PSD was nearly significant The association between PSD and side of lesion was not significant The association between the site of lesion and PSD was significant Association between bilateral cortical and sub cortical lesion with PSD was also found significant ConclusionsThe results of our study show the high prevalence of PSD and its correlation with site cortical and sub cortical of lesions as well as severity of disability which support biopsychosocial model of post stroke depressionKeywords Disability Lesion Localization Post stroke depression Stroke
Authors and Affiliations
Ankita V Patel, Prakash I Mehta, Kamlesh Patel, Sanjiv H. Prajapati
Keywords
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