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Depression after minor stroke: The association with disability and quality of life - A 1-year follow-up study
Shi Y.Z.1; Xiang Y.T.6; Yang Y.1; Zhang N.1; Wang S.1; Ungvari G.S.5; Chiu H.F.K.4; Tang W.K.4; Wang Y.L.1; Zhao X.Q.1; Wang Y.J.1; Wang C.X.1
2016-04-01
Source PublicationInternational Journal of Geriatric Psychiatry
ISSN10991166 08856230
Volume31Issue:4Pages:425-431
Abstract

Objective Minor stroke is characterized by mild neurological functional impairment and relatively good outcome. Little is known about the association between post-stroke depression (PSD) and outcomes of minor stroke. The aim of this study was to investigate the association between PSD and disability and quality of life (QoL) at 1 year after minor ischemic stroke. Methods Patients with first-ever minor ischemic stroke (n = 747) were followed up at 14 ± 2 days, 3 months, 6 months, and 1 year after stroke. Depressive symptoms were assessed at each follow-up. Patients diagnosed with depression at 14 ± 2 days formed the early-onset PSD group; those who were diagnosed with depression at any subsequent follow-ups for the first time constituted the late-onset PSD group. The outcomes of minor stroke including disability (modified Rankin score ≥2) and QoL (Short Form-36 Health Survey) were assessed at the 1-year follow-up. Results A total of 198 (26.5%) patients were diagnosed with PSD over the 1-year follow-up; 136 and 62 patients were allocated to the early-onset PSD group and late-onset PSD group, respectively. Both early-onset and late-onset PSD were independently associated with disability and poor physical and mental health at 1 year after stroke. Recovery from depression (n = 112) within 1 year decreased the adverse impacts of PSD on functional outcome and QoL. Conclusions Post-stroke depression was independently associated with disability and poor QoL at 1 year after first-ever minor ischemic stroke. Recovery from PSD decreased but did not eliminate the adverse impacts of PSD on outcomes of minor stroke.

KeywordDisability Ischemic Stroke Minor Stroke Post-stroke Depression Quality Of Life
DOI10.1002/gps.4353
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaGeriatrics & Gerontology ; Psychiatry
WOS SubjectGeriatrics & Gerontology ; Gerontology ; Psychiatry
WOS IDWOS:000372192200014
Scopus ID2-s2.0-84959458522
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Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Beijing Tiantan Hospital
2.China National Clinical Research
3.University of Western Australia
4.Chinese University of Hong Kong
5.University of Notre Dame Australia
6.Universidade de Macau
Recommended Citation
GB/T 7714
Shi Y.Z.,Xiang Y.T.,Yang Y.,et al. Depression after minor stroke: The association with disability and quality of life - A 1-year follow-up study[J]. International Journal of Geriatric Psychiatry, 2016, 31(4), 425-431.
APA Shi Y.Z.., Xiang Y.T.., Yang Y.., Zhang N.., Wang S.., Ungvari G.S.., Chiu H.F.K.., Tang W.K.., Wang Y.L.., Zhao X.Q.., Wang Y.J.., & Wang C.X. (2016). Depression after minor stroke: The association with disability and quality of life - A 1-year follow-up study. International Journal of Geriatric Psychiatry, 31(4), 425-431.
MLA Shi Y.Z.,et al."Depression after minor stroke: The association with disability and quality of life - A 1-year follow-up study".International Journal of Geriatric Psychiatry 31.4(2016):425-431.
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