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Resilience is associated with post-stoke depression in Chinese stroke survivors: A longitudinal study.
- Source :
-
Journal of Affective Disorders . Aug2020, Vol. 273, p402-409. 8p. - Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Optimal strategies for prevention and treatment for post-stroke depression (PSD) remain unclear and a greater understanding of effect of resilience on PSD is promising. The aim was to examine the association between baseline resilience and depression at 1, 3, and 6 months after discharge, which contributes to early detection and management of PSD.<bold>Methods: </bold>A total of 217 ischemic stroke survivors were recruited in two tertiary hospitals in Shanghai, China from February 2017 to January 2018. The Chinese version of Connor-Davidson Resilience Scale (CD-RISC) was used to assess resilience at acute hospitalization. Hospital Anxiety and Depression Scale (HADS) was employed to ascertain baseline anxiety, baseline depression, and post-discharge depression. Social-demographic and disease-related information were obtained from participants' self-report and medical records. Logistic regression analysis was used to determine which factors were independently associated with PSD.<bold>Results: </bold>The prevalence of depression at baseline was 21.2% and at 1, 3, and 6 months after discharge was 34.4%, 33.2%, and 29.2%, respectively. Logistics regression analyses indicated that resilience may independently predict PSD at 1 month (OR: 0.22, 95%CI: 0.097, 0.518), 3 months (OR:0.302, 95%CI: 0.151, 0.607), and 6 months (OR: 0.03, 95%CI: 0.006, 0.153) after controlling for social-demographics, disease-related characteristics, baseline anxiety, and baseline depression.<bold>Limitations: </bold>Non-multicenter survey and mild stroke severity may affect the generalization of these findings. Moreover, response bias should be acknowledged because some participants were read questionnaires out aloud.<bold>Conclusion: </bold>Resilience is independently associated with PSD at different timepoints. Our findings reveal the important role of resilience as a protective factor against PSD. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LONGITUDINAL method
*LOGISTIC regression analysis
*STROKE
*PSYCHOLOGICAL resilience
*CONDUCT disorders in adolescence
*REGRESSION analysis
*STROKE patients
*PATIENT aftercare
*RESEARCH
*RESEARCH methodology
*EVALUATION research
*MEDICAL cooperation
*COMPARATIVE studies
*MENTAL depression
*DISCHARGE planning
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 01650327
- Volume :
- 273
- Database :
- Academic Search Index
- Journal :
- Journal of Affective Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 143779802
- Full Text :
- https://doi.org/10.1016/j.jad.2020.04.042