Maria L van Mierlo1, Caroline M van Heugten2, Marcel W Post3, Paul L de Kort4, Johanna M Visser-Meily5. 1. Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. 2. Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands; Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, The Netherlands. 3. Department of Rehabilitation Medicine, Center for Rehabilitation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. 4. Department of Neurology, St. Elisabeth Hospital, Tilburg, The Netherlands. 5. Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. Electronic address: j.m.a.visser-meily@umcutrecht.nl.
Abstract
OBJECTIVE: To identify psychological factors related to poststroke depressive symptoms. DESIGN: Cross-sectional study, with patients assessed at 2 months poststroke. SETTING: Patients with stroke from 6 general hospitals. PARTICIPANTS: Stroke patients (N=344; mean age ± SD, 66.9±12.3y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The presence of clinical depressive symptoms was determined with the depression subscale of the Hospital Anxiety and Depression Scale 2 months poststroke. Psychological factors assessed were extraversion, neuroticism, optimism, pessimism, self-efficacy, helplessness, acceptance, perceiving benefits, proactive coping, and passive coping. RESULTS: Bivariate correlations and multivariate backward logistic regression were used to analyze associations between psychological factors and poststroke depressive symptoms, accounting for demographic and stroke-related factors. More neuroticism, pessimism, passive coping, and helplessness, and less extraversion, optimism, self-efficacy, acceptance, perceived benefits, and proactive coping were bivariately associated with the presence of depressive symptoms. Multivariate logistic regression analysis showed that more helplessness (odds ratio [OR]=1.17) and passive coping (OR=1.19) and less acceptance (OR=.89) and perceived benefits (OR=.89) were independently significantly associated with the presence of poststroke depressive symptoms (Nagelkerke R(2)=.49). CONCLUSIONS: We found a relationship between psychological variables and the presence of depressive symptoms 2 months poststroke. It is important to take these factors into account during poststroke rehabilitation.
OBJECTIVE: To identify psychological factors related to poststroke depressive symptoms. DESIGN: Cross-sectional study, with patients assessed at 2 months poststroke. SETTING:Patients with stroke from 6 general hospitals. PARTICIPANTS: Strokepatients (N=344; mean age ± SD, 66.9±12.3y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The presence of clinical depressive symptoms was determined with the depression subscale of the Hospital Anxiety and Depression Scale 2 months poststroke. Psychological factors assessed were extraversion, neuroticism, optimism, pessimism, self-efficacy, helplessness, acceptance, perceiving benefits, proactive coping, and passive coping. RESULTS: Bivariate correlations and multivariate backward logistic regression were used to analyze associations between psychological factors and poststroke depressive symptoms, accounting for demographic and stroke-related factors. More neuroticism, pessimism, passive coping, and helplessness, and less extraversion, optimism, self-efficacy, acceptance, perceived benefits, and proactive coping were bivariately associated with the presence of depressive symptoms. Multivariate logistic regression analysis showed that more helplessness (odds ratio [OR]=1.17) and passive coping (OR=1.19) and less acceptance (OR=.89) and perceived benefits (OR=.89) were independently significantly associated with the presence of poststroke depressive symptoms (Nagelkerke R(2)=.49). CONCLUSIONS: We found a relationship between psychological variables and the presence of depressive symptoms 2 months poststroke. It is important to take these factors into account during poststroke rehabilitation.
Authors: Elles Douven; Syenna H J Schievink; Frans R J Verhey; Robert J van Oostenbrugge; Pauline Aalten; Julie Staals; Sebastian Köhler Journal: BMC Neurol Date: 2016-05-12 Impact factor: 2.474