Abstract TP86: Depression And Anxiety After Stroke In A Young Adult Population

Abstract

Background and Objectives: We aimed to determine the prevalence of poststroke depression (PSD) and anxiety as well as to identify their predictors in a population of young Filipino adults. Methods: We performed a cross-sectional epidemiologic study in the largest tertiary hospital in the Philippines. The study involved the administration of a structured survey tool and review of medical records. The Hospital Anxiety and Depression Score was used to screen for anxiety and depression. Chi-square tests and Fisher’s exact tests were used to compare between groups with anxiety or depression and those without. Multivariable logistic regression analysis was performed to determine significant socio-economic and clinical risk factors of PSD and anxiety. Results: In our study population of 114 young adult stroke patients, the prevalence of depression was 20.2% while the prevalence of anxiety was 34.2%. Significant predictors of PSD were the presence of anxiety (OR 1.84; CI 1.05-3.22), lower mRS scores (mRS 3-5 OR 5.52; 95% CI 1.09-8.03) and diabetes (OR 2.09; 95% CI 1.67-6.26). Meanwhile, significant predictors of poststroke anxiety included depression (OR 7.5; 95% CI 5.02-21.94) and dependence (Barthel Index scores 95-100; OR 0.32; 95% CI 0.14-0.71). Relationship status, educational attainment, stroke subtype and stroke location were not found to be significant predictors of PSD and anxiety. Conclusion: Our study showed that young adult patients who suffer from stroke are at risk for adverse socio-economic and psychiatric consequences. A significant proportion of the population had depression and anxiety after stroke. Clinicians should be aware of these conditions that influence the outcomes of young adult stroke patients.