Abstract Details

Title When to suspect depression among patients who suffered from stroke

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P10 - Poster Session 10 (8:00 AM-9:00 AM)

Poster/Presentation
Number 13-003

Background

Post stroke depression (PSD) is one of the most significant neuropsychiatric complications of stroke. It leaves patients at risk for poor functional outcomes and lower quality of life.

Objective

This study aims to assess the prevalence and severity of Post stroke depression(PSD) and its predictors in Jordanian stroke survivors.

Design/Methods This is a prospective study of 151 patients who were admitted to a tertiary teaching hospital with an ischemic or hemorrhagic stroke. Demographic data, clinical characteristics on admission, and other relevant study variables were collected. Stroke outcome was represented by one-month modified Rankin score (mRS) and Barthel Index(BI) scores

Results

Depression was screened one and three months after stroke using PHQ-9 scale with a cut-off score of five or more. Also, regression analysis was conducted to evaluate for the significant predictors.

Depression was reported by 15%, 24.83%, and 17.39% of respondents on admission and after one and three months respectively.

Severity increased with time as severe depression was found in 0.71%, 2.13%, and 6.52% of respondents on admission and after one and three months respectively.

The second and third questions of the PHQ-9 questionnaire were most likely to receive high scores. Significant predictors of PSD were having chronic kidney disease, current smoking status, moderate or severe disability (mRS score) at stroke onset, and severe dependency(BI) after one month (p values 0.007, 0,002, 0.014, and 0.031 respectively).

Conclusions One in four Jordanian stroke survivors in our study experienced PSD after one month. A higher severity was noted in those who screened positive for PSD three months after stroke although the total prevalence had decreased

Authors/Disclosures
Mays Khweileh, Jr., MD PRESENTER	Dr. Khweileh has nothing to disclose.
Majdi Al Qawasmeh	No disclosure on file
Belal A. Aldabbour, MD (Islamic University of Gaza)	Dr. Aldabbour has nothing to disclose.
Khalid I. El-Salem, MD, FAAN (Jordan University of Science and Technology)	Dr. El-Salem has nothing to disclose.
Haneen F. Al Refa'i (JUST)	Ms. Al Refa'i has nothing to disclose.
Raid M. Kofahi, MD	Dr. Kofahi has nothing to disclose.