African Health Sciences
Makerere University Medical School
Vol. 15, No. 4, 2015, pp. 1220-1231
Bioline Code: hs15168
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 15, No. 4, 2015, pp. 1220-1231
© Copyright 2015 - African Health Sciences
Post-stroke depression among stroke survivors attending two hospitals in Kampala Uganda|
Ogavu Gyagenda, Joseph; Ddumba, Edward; Odokonyero, Raymond; Kaddumukasa, Mark; Sajatovic, Martha; Smyth, Kathyleen & Katabira, Elly
Background: The burden of stroke worldwide is increasing rapidly. There is paucity of data on post-stroke depression
(PSD) among stroke survivors in Uganda, despite the high prevalence of PSD reported elsewhere.
Methods: In a cross-sectional study, we assessed adult participants with confirmed first stroke with a standardized questionnaire.
The Patient Health Questionnaire-9 was used to assess for depression among non-aphasic patients while the Aphasic
Depression Rating Scale was administered to aphasic patients. Univariable and multivariable analyses performed to describe
associations with PSD.
Results: Forty three females (58.9%) and 30 males (41.1%) who had a stroke participated. Fifty eight (79.5%) had ischemic
strokes and 12 participants (16.4%) were aphasic. The prevalence of PSD among the study participants was 31.5%. PSD was
higher among patients assessed within 6 months after the onset of stroke. PSD was strongly associated with the total Barthel
index of activities of daily living (BIADL) score; p=0.001. There was no significant association between demographic characteristics
Conclusion: There is a high prevalence of unrecognized post-stroke depression. Post-stroke depression was strongly associated
with the patient’s inability to undertake activities of daily life. There is urgent need for integration of screening for and
management of post-stroke depression among stroke survivors.
Stroke; post-stroke depression