Post Stroke Depression and Lesion Location: A Hospital based cross sectional study
Introduction: Depression is seen in about 40% of patients with stroke and is a common neuropsychiatric consequence. Post-stroke depression (PSD) can be related to the site and side of infarct and psychological stressors. There are conflicting results in this area of research and dearth of studies fr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Indian Psychiatric Society (Kerala State Branch
2020-12-01
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| Series: | Kerala Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://kjponline.com/index.php/kjp/article/view/223 |
| _version_ | 1818944902709379072 |
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| author | Sivin P Sam Joice Geo G I Lekshmi Roy Abraham Kallivayalil |
| author_facet | Sivin P Sam Joice Geo G I Lekshmi Roy Abraham Kallivayalil |
| author_sort | Sivin P Sam |
| collection | DOAJ |
| description | Introduction: Depression is seen in about 40% of patients with stroke and is a common neuropsychiatric consequence. Post-stroke depression (PSD) can be related to the site and side of infarct and psychological stressors. There are conflicting results in this area of research and dearth of studies from India. Thus the study aims to assess the prevalence of PSD in stroke patients and the relation between site and side of stroke with PSD. Methodology: A cross-sectional study was done among 40 stroke patients recruited by consecutive non-random sampling in Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla. A semi-structured proforma was used to collect the socio-demographic, illness-related and neuroimaging details. Hamilton depression rating scale was used to assess the severity of depression. SPSS 20.0 was used for statistical analysis. Results: 64% of the patients with left-sided lesion had PSD, whereas only 20% had PSD among the right-sided group which was significant with a p-value of 0.005.PSD was seen in 64% (N=9) of patients with subcortical lesions which were significantly high (p=0.006) when compared to 14% (N=2) of the patients with PSD among the cortical group. Conclusion: This study showed a high prevalence of PSD and its correlation with left-sided cortical and subcortical lesions. Eliciting the relationship between the lesion and depressive symptoms may help shed light on the neurobiology of depressive disorders. |
| first_indexed | 2024-12-20T07:50:36Z |
| format | Article |
| id | doaj.art-4a2164c9788247b2be1cfbe8797507c2 |
| institution | Directory Open Access Journal |
| issn | 0377-0699 2395-1486 |
| language | English |
| last_indexed | 2024-12-20T07:50:36Z |
| publishDate | 2020-12-01 |
| publisher | Indian Psychiatric Society (Kerala State Branch |
| record_format | Article |
| series | Kerala Journal of Psychiatry |
| spelling | doaj.art-4a2164c9788247b2be1cfbe8797507c22022-12-21T19:47:51ZengIndian Psychiatric Society (Kerala State BranchKerala Journal of Psychiatry0377-06992395-14862020-12-01332158161177Post Stroke Depression and Lesion Location: A Hospital based cross sectional studySivin P Sam0Joice Geo1G I Lekshmi2Roy Abraham Kallivayalil3Department of Psychiatry, Pushpagiri Institute of Medical Sciences and Research Centre, ThiruvallaAssociate Professor, Department of Psychiatry, Pushpagiri Institute of Medical Sciences and Research centre, ThiruvallaJunior Resident, Department of Psychiatry, Pushpagiri Institute of medical sciences and research centre, ThiruvallaProfessor & Head of Department, Department of Psychiatry, Pushpagiri Institute of medical sciences and research centre, ThiruvallaIntroduction: Depression is seen in about 40% of patients with stroke and is a common neuropsychiatric consequence. Post-stroke depression (PSD) can be related to the site and side of infarct and psychological stressors. There are conflicting results in this area of research and dearth of studies from India. Thus the study aims to assess the prevalence of PSD in stroke patients and the relation between site and side of stroke with PSD. Methodology: A cross-sectional study was done among 40 stroke patients recruited by consecutive non-random sampling in Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla. A semi-structured proforma was used to collect the socio-demographic, illness-related and neuroimaging details. Hamilton depression rating scale was used to assess the severity of depression. SPSS 20.0 was used for statistical analysis. Results: 64% of the patients with left-sided lesion had PSD, whereas only 20% had PSD among the right-sided group which was significant with a p-value of 0.005.PSD was seen in 64% (N=9) of patients with subcortical lesions which were significantly high (p=0.006) when compared to 14% (N=2) of the patients with PSD among the cortical group. Conclusion: This study showed a high prevalence of PSD and its correlation with left-sided cortical and subcortical lesions. Eliciting the relationship between the lesion and depressive symptoms may help shed light on the neurobiology of depressive disorders.https://kjponline.com/index.php/kjp/article/view/223post stroke depressionstrokelesion location |
| spellingShingle | Sivin P Sam Joice Geo G I Lekshmi Roy Abraham Kallivayalil Post Stroke Depression and Lesion Location: A Hospital based cross sectional study Kerala Journal of Psychiatry post stroke depression stroke lesion location |
| title | Post Stroke Depression and Lesion Location: A Hospital based cross sectional study |
| title_full | Post Stroke Depression and Lesion Location: A Hospital based cross sectional study |
| title_fullStr | Post Stroke Depression and Lesion Location: A Hospital based cross sectional study |
| title_full_unstemmed | Post Stroke Depression and Lesion Location: A Hospital based cross sectional study |
| title_short | Post Stroke Depression and Lesion Location: A Hospital based cross sectional study |
| title_sort | post stroke depression and lesion location a hospital based cross sectional study |
| topic | post stroke depression stroke lesion location |
| url | https://kjponline.com/index.php/kjp/article/view/223 |
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