Burden and factors associated with post-stroke depression in East central Nigeria.

Sam Chidi Ibeneme,Dnyanesh Limaye,Gerhard Fortwengel,Muideen O Bakare,Akachukwu Nwosu,Canice Chukwudi Anyachukwu,Georgian C Ibeneme

doi:10.4314/ahs.v17i3.29

Abstract

To determine the burden and factors associated with post-stroke depression in East central Nigeria. We carried out this cross-sectional study of 50 stroke survivors (mean age=54.8 ± 8.8 years), at the physiotherapy Department of the University of Nigeria Teaching Hospital, Enugu. Data were collected using Becks Depression Inventory , it was analyzed using Z-scores, Chi-square test and univariate logistic regression. PSD was more common in females (45.45%); middle-age(60%) adults(27-36/47-56 years respectively); living with spouse (45%); left cerebral lesions (40.74%). Self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (p=0.03), and was related to the risk ofOR3.7 (95% CI 1.1-12.0 ). Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.

Highlights

An insight into the link between the biological, social, and interpretive orientations that determines an individual’s emotional behavior, elucidates the basis for likely differences in emotional expression in socio-cultural contexts[1]
Age was significantly associated with depression (p=0.03), and was related to the risk ofOR3.7 Conclusion: Age could be a risk factor for post-stroke depression (PSD), which was more prevalent in the elderly than young/middle-age adults, female gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed
Determining the distribution of symptoms PSD in an African population in relation to some predisposing factors may help to identify the modifiable characteristics of vulnerable individuals that may be peculiar to an African socio-cultural context, which may be targeted to enhance recovery from stroke

Summary

Introduction

An insight into the link between the biological, social, and interpretive orientations that determines an individual’s emotional behavior, elucidates the basis for likely differences in emotional expression in socio-cultural contexts[1]. This may have implications for etiopathology and treatment of mood disorders, including post-stroke depression (PSD). The occurrence of post-stroke depression (PSD) has been associated with poorer treatment outcomes and increased the length of stay in hospital[2]. The occurrence or persistence of PSD >3 years after stroke can impede the process of rehabilitation[2].

Methods

Results

Discussion

Conclusion