Prevalence, awareness, and treatment of depression among community-dwelling stroke survivors in Korea

Sci Rep. 2022 Mar 8;12(1):4050. doi: 10.1038/s41598-022-08126-y.

Abstract

Post-stroke depression (PSD), a prevalent complication of stroke, causes poor outcomes. However, little is known about its prevalence and management among community-dwelling stroke survivors. Thus, we investigated the prevalence, awareness, and treatment of PSD in a community setting. A cross-sectional study was performed using representative data from the Korea National Health and Nutrition Surveys 2014, 2016, and 2018. A total of 11,122 participants aged ≥ 40 years were categorized, including 343 stroke survivors and 10,779 non-stroke survivors. We then calculated and compared the prevalence, awareness (formal diagnosis of depression by a doctor), and treatment rates of depression between the two groups. Depression was defined as a score ≥ 10 in the nine-item Patient Health Questionnaire (PHQ-9). Depression was significantly more prevalent among stroke survivors than in non-stroke survivors (22.2% vs. 8.5%, respectively), while the differences in the awareness and treatment rates were insignificant. However, only 46.8% of stroke survivors with PSD were aware of their condition, and only 20.5% were receiving treatment. These results suggest that clinicians should more actively screen for and treat depression among stroke survivors.

MeSH terms

  • Cross-Sectional Studies
  • Depression / epidemiology
  • Depression / etiology
  • Humans
  • Independent Living*
  • Prevalence
  • Republic of Korea / epidemiology
  • Risk Factors
  • Stroke* / complications
  • Stroke* / epidemiology
  • Stroke* / therapy
  • Survivors