Distribution of symptoms of post-stroke depression in relation to some characteristics of the vulnerable patients in socio-cultural context.|
Ibeneme, Sam C.; Nwosu, Akachukwu O.; Ibeneme, Georgian C.; Bakare, Muideen O.; Fortwengel, Gerhard & Limaye, Dnyanesh
Objective: To determine the distribution of symptoms of post-stroke depression (PSD) in relation to some predisposing factors
in an African population.
Relevance: Environment is a key determinant of behavior, and varied socio-cultural contexts must have implications for modifiable
characteristics (age, duration of the stroke, marital status, type of employment, gender, the location of cerebral lesion and
complications) of individuals vulnerable to PSD, which may be targeted to enhance recovery.
Method: This was a cross-sectional observational study of 50 (22 females and 28 males) stroke survivors (mean age=54.76±8.79
years), at the physiotherapy department, the University of Nigeria teaching hospital, Enugu, selected using convenience sampling
technique. Data were collected using Becks Depression Inventory and analyzed using Z-score, Chi-square test and univariate
logistic regression, at p<0.05.
Results: PSD was more prevalent in females (45.45%); young(100%); middle-age(60%) adults(27-36/47-56 years respectively);
living with spouse (45%); left cerebral lesions (40.74%); complications(45%); cold case >3 years(47.05%); self-employed and
unemployed (66.67%), respectively. Age was significantly associated with depression (χ2 =4.92,df=1,p=0.03), and was related to
the risk of PSD (3.7[1.1-12.0], p=0.03, Φ = +0.31, Φ2=0.1).
Conclusion: Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female
gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.
Symptoms of post-stroke depression; modifiable characteristics of the vulnerable patients; African socio-cultural context