Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients
Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2022/6506326 |
| _version_ | 1798025516914049024 |
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| author | Majdi Al Qawasmeh Belal Aldabbour Amal Abuabada Khalid Abdelrahman Samah Elamassie Mays Khweileh Mohammad Zahran Khalid El-Salem |
| author_facet | Majdi Al Qawasmeh Belal Aldabbour Amal Abuabada Khalid Abdelrahman Samah Elamassie Mays Khweileh Mohammad Zahran Khalid El-Salem |
| author_sort | Majdi Al Qawasmeh |
| collection | DOAJ |
| description | Poststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching hospital with ischemic or hemorrhagic strokes were enrolled. Participants were screened on admission for premorbid depression using the PHQ-9 questionnaire; then, screening for PSD was repeated one and three months after stroke using the same tool. Depression prevalence at each screening was reported, and logistic regression analysis was conducted to evaluate for significant predictors. PHQ-9 scores suggestive of depression were reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months, respectively. Scores suggesting severe depression were reported by 0.71%, 2.13%, and 6.52% of respondents, respectively. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependence (BI) after one month (p values 0.007, 0,002, 0.014, and 0.031, respectively). Patients with secondary and high school education levels were less likely to get depression compared with illiterate patients (p 0.042). This study showed that nearly one in four Jordanian stroke survivors experienced PSD after one month. In contrast, while the overall PSD prevalence declined towards the end of follow-up period, patients who remained depressed showed a tendency towards higher PSD severity. |
| first_indexed | 2024-04-11T18:19:57Z |
| format | Article |
| id | doaj.art-8f33ef179dec41b699ae525ab9e0be4a |
| institution | Directory Open Access Journal |
| issn | 2042-0056 |
| language | English |
| last_indexed | 2024-04-11T18:19:57Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj.art-8f33ef179dec41b699ae525ab9e0be4a2022-12-22T04:09:47ZengHindawi LimitedStroke Research and Treatment2042-00562022-01-01202210.1155/2022/6506326Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian PatientsMajdi Al Qawasmeh0Belal Aldabbour1Amal Abuabada2Khalid Abdelrahman3Samah Elamassie4Mays Khweileh5Mohammad Zahran6Khalid El-Salem7Neurology DepartmentNeuroscience DepartmentPsychiatry DepartmentPsychiatry DepartmentHealth ServicesNeurology DepartmentPsychiatry DepartmentNeurology DepartmentPoststroke depression (PSD) is common and remains a significant risk factor for poor outcomes. This prospective study is aimed at assessing the prevalence, severity, and predictors of PSD among Jordanian stroke survivors. A total of 151 patients who were consequently admitted to a tertiary teaching hospital with ischemic or hemorrhagic strokes were enrolled. Participants were screened on admission for premorbid depression using the PHQ-9 questionnaire; then, screening for PSD was repeated one and three months after stroke using the same tool. Depression prevalence at each screening was reported, and logistic regression analysis was conducted to evaluate for significant predictors. PHQ-9 scores suggestive of depression were reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months, respectively. Scores suggesting severe depression were reported by 0.71%, 2.13%, and 6.52% of respondents, respectively. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependence (BI) after one month (p values 0.007, 0,002, 0.014, and 0.031, respectively). Patients with secondary and high school education levels were less likely to get depression compared with illiterate patients (p 0.042). This study showed that nearly one in four Jordanian stroke survivors experienced PSD after one month. In contrast, while the overall PSD prevalence declined towards the end of follow-up period, patients who remained depressed showed a tendency towards higher PSD severity.http://dx.doi.org/10.1155/2022/6506326 |
| spellingShingle | Majdi Al Qawasmeh Belal Aldabbour Amal Abuabada Khalid Abdelrahman Samah Elamassie Mays Khweileh Mohammad Zahran Khalid El-Salem Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients Stroke Research and Treatment |
| title | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
| title_full | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
| title_fullStr | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
| title_full_unstemmed | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
| title_short | Prevalence, Severity, and Predictors of Poststroke Depression in a Prospective Cohort of Jordanian Patients |
| title_sort | prevalence severity and predictors of poststroke depression in a prospective cohort of jordanian patients |
| url | http://dx.doi.org/10.1155/2022/6506326 |
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