Depression and anxiety one month after stroke

Chanam Shin, Mo Kyung Sin, Eunice Lee, Jongwon Lee, Kyungeh An, Jeongha Sim

Research output: Contribution to journalArticle

Abstract

Depression and anxiety after stroke negatively affect patient outcomes; however, health care professionals may overlook poststroke depression and anxiety while they focus on the physical disabilities of patients soon after a stroke. The purpose of this study was to investigate the prevalence and predictors of depression, anxiety, or both concurrently at one month after stroke. We conducted a cross-sectional, descriptive study in a sample of 231 hospitalized patients with ischemic stroke in Korea. Data were collected by interviews using a series of structured questionnaires in addition to clinical data retrieved from patients’ medical records. More than 70% were identified as depressed, 45.9% experienced anxiety, and 43.7% had concurrent depression and anxiety. Using a multiple logistic regression analysis, we identified anxiety as a predictor of depression; depression as a predictor of anxiety; and female sex, headaches, and swallowing difficulty as predictors of the comorbidity of depression and anxiety. Periodical screenings for poststroke depression and anxiety from an early stage in a hospital to years after stroke in a community are recommended to provide better chances for early identification of patients at risk because depression and anxiety may manifest at any stage of recovery. Special attention should be given to individuals with culture-bound somatic symptoms in addition to female patients and those who have difficulty swallowing among Korean stroke patients.

Original languageEnglish (US)
Pages (from-to)82-90
Number of pages9
JournalAsian Pacific Island Nursing Journal
Volume1
Issue number3
DOIs
StatePublished - Jan 1 2016

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Anxiety
Stroke
Depression
Deglutition
Korea
Medical Records
Headache
Comorbidity
Cross-Sectional Studies
Logistic Models
Regression Analysis
Interviews
Delivery of Health Care

Keywords

  • Anxiety
  • Depression
  • Korean
  • Poststroke
  • Predictors

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Depression and anxiety one month after stroke. / Shin, Chanam; Sin, Mo Kyung; Lee, Eunice; Lee, Jongwon; An, Kyungeh; Sim, Jeongha.

In: Asian Pacific Island Nursing Journal, Vol. 1, No. 3, 01.01.2016, p. 82-90.

Research output: Contribution to journalArticle

Shin, Chanam ; Sin, Mo Kyung ; Lee, Eunice ; Lee, Jongwon ; An, Kyungeh ; Sim, Jeongha. / Depression and anxiety one month after stroke. In: Asian Pacific Island Nursing Journal. 2016 ; Vol. 1, No. 3. pp. 82-90.
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