Abstract

Aim and background: One of the most important psychological disorders after stroke is depression, which leads to reduced quality of life, optimal rehabilitation failure, loss of cognitive tasks and decrease in the recovery process. In this research, relation between patterns of depression and cognitive, motor and function deficits in people with chronic stroke was studied. Methods and materials: In a pilot cross-sectional study, 40 patients with chronic stroke (more than 6 months) were enrolled. Depression (Beck Depression Inventory), cognition (attention test TMT-A & B and Wechsler memory), motor (Motorcity index), basic activities of daily living (Barthel scale) and instrumental activities of daily living (Lawton scale) were evaluated. Results: The results of the study revealed a significant positive correlation between post stroke depression and verbal memory (r=0.440،P<.05), attention (r=0.615،P<.05), motor function(r-0.368،P<.05), independence in basic activities of daily living (r=0.781،P<.05) and instrumental activities of daily living (r=0.741, P<.05). Conclusion: According to the findings, further studies of factors affecting post stroke depression (PSD) clinical and practical aspects are necessary. Cognitive rehabilitation programs with motor rehabilitation can decrease depression and gain independence in activities of daily living and more participation in society activities.

Highlights

  • Stroke in cerebrvascular diseases (CVD)is a major health concern in the elderly [1]; the third cause of mortality in the world and one of the most common disabling neurological diseases in adults [2]

  • Depression is a complex complication after a stroke that increases mortality, decreases function, reduces quality of life, prolongs therapy requirements, reduces the recovery process, cognitive, and neurological function, hinders optimal rehabilitation therapy, increases therapy costs and delays returning to work and social participation [5,6,7,8,9,10,11]

  • There was a significant correlation between depression and cognitive impairments, motor side and functional (basic activities of daily life (Barthel) + instrumental activities of daily life(Lawton)) (p

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Summary

Introduction

Stroke in cerebrvascular diseases (CVD)is a major health concern in the elderly [1]; the third cause of mortality in the world and one of the most common disabling neurological diseases in adults [2]. Complications of stroke include: physical damage such as hemiplegia or monoplegia, urinary incontinence, impaired visual field, numbness, paralysis of brain nerves or aphasia and psychological disorders such as depression, anxiety and cognitive impairments [1]. The most common psychological disorder is post stroke depression (PSD) [1,3,4].

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