Burden and factors associated with post-stroke depression in East central Nigeria

Afr Health Sci. 2017 Sep;17(3):859-867. doi: 10.4314/ahs.v17i3.29.

Abstract

Objective: To determine the burden and factors associated with post-stroke depression in East central Nigeria.

Method: We carried out this cross-sectional study of 50 stroke survivors (mean age=54.8 ± 8.8 years), at the physiotherapy Department of the University of Nigeria Teaching Hospital, Enugu. Data were collected using Becks Depression Inventory , it was analyzed using Z-scores, Chi-square test and univariate logistic regression.

Results: PSD was more common in females (45.45%); middle-age(60%) adults(27-36/47-56 years respectively); living with spouse (45%); left cerebral lesions (40.74%). Self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (p=0.03), and was related to the risk ofOR3.7 (95% CI 1.1-12.0 ).

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.

Keywords: African socio-cultural context; Symptoms of post-stroke depression; modifiable characteristics of the vulnerable patients.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Cross-Sectional Studies
  • Depression / diagnosis*
  • Depression / epidemiology
  • Depression / etiology
  • Female
  • Humans
  • Male
  • Mental Status and Dementia Tests
  • Middle Aged
  • Mood Disorders
  • Nigeria / epidemiology
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Sex Distribution
  • Stroke / complications*
  • Stroke / diagnosis
  • Stroke / epidemiology
  • Stroke / psychology*
  • Survivors / psychology*
  • Survivors / statistics & numerical data*