Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals
Abstract Background Post-stroke depression is among the most common neuropsychiatric complications in stroke survivors. Post-stroke depression is commonly under-recognized and under-treated. This study aimed to assess the prevalence and associated factors of post-stroke depression among patients on...
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BMC
2024-12-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-024-03974-9 |
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| author | Ermiyas Yemane Debebe Mulugeta Biyadgie Hanamariam Abebe Chekol Lakew Asmare Zeamanuel Anteneh Yigzaw |
| author_facet | Ermiyas Yemane Debebe Mulugeta Biyadgie Hanamariam Abebe Chekol Lakew Asmare Zeamanuel Anteneh Yigzaw |
| author_sort | Ermiyas Yemane Debebe |
| collection | DOAJ |
| description | Abstract Background Post-stroke depression is among the most common neuropsychiatric complications in stroke survivors. Post-stroke depression is commonly under-recognized and under-treated. This study aimed to assess the prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar City public specialized hospitals. Method An institutional-based prospective cross-sectional study was conducted from September to December 2023 on 394 patients. Public Health Questionnaire-9 was used to diagnose depression. Data was checked for cleanness manually and then exported to SPSS version 25 software for analysis. A systematic randomized sampling method was used to identify study participants. Bivariate and multivariate logistic regression analysis was performed to identify independent predictors of post-stroke depression. A p-value less than 0.05 is considered as significant with a 95% confidence interval. Result The overall prevalence of post-stroke depression was found to be 42.9%. Employment status (AOR = 0.282, 95% CI: 0.112–0.709 C, P-value = 0.007), depression before stroke (AOR = 3.237, 95% CI: 1.098–9.544, P-value = 0.033), ischemic heart disease (AOR = 4.090, 95% CI: 1.745–9.583, P-value = 0.001) and physical disability (AOR = 4.051 95% CI: 2.239–7.332, P-value = 0.000) were found to be statistically significant independent predictors of post-stroke depression (PSD). Conclusion The prevalence of post-stroke depression was found to be high relative to other similar studies. Patients with known depression before stroke, ischemic heart disease, and significant physical disability were at a higher risk of developing PSD. Employed patients had less risk of developing PSD. Sufficient and comprehensive evaluation of stroke patients for depression is recommended. |
| format | Article |
| id | doaj-art-4d722ef9c6024d1a9fdbead4e598ca47 |
| institution | OA Journals |
| issn | 1471-2377 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Neurology |
| spelling | doaj-art-4d722ef9c6024d1a9fdbead4e598ca472025-08-20T02:20:45ZengBMCBMC Neurology1471-23772024-12-012411910.1186/s12883-024-03974-9Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitalsErmiyas Yemane Debebe0Mulugeta Biyadgie1Hanamariam Abebe Chekol2Lakew Asmare3Zeamanuel Anteneh Yigzaw4Department of Internal Medicine, Eka Kotebe General HospitalDepartment of Internal Medicine, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Dermatovenerology, ALERT Comprehensive Specialized HospitalDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Promotion and Behavioral Sciences, School of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversityAbstract Background Post-stroke depression is among the most common neuropsychiatric complications in stroke survivors. Post-stroke depression is commonly under-recognized and under-treated. This study aimed to assess the prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar City public specialized hospitals. Method An institutional-based prospective cross-sectional study was conducted from September to December 2023 on 394 patients. Public Health Questionnaire-9 was used to diagnose depression. Data was checked for cleanness manually and then exported to SPSS version 25 software for analysis. A systematic randomized sampling method was used to identify study participants. Bivariate and multivariate logistic regression analysis was performed to identify independent predictors of post-stroke depression. A p-value less than 0.05 is considered as significant with a 95% confidence interval. Result The overall prevalence of post-stroke depression was found to be 42.9%. Employment status (AOR = 0.282, 95% CI: 0.112–0.709 C, P-value = 0.007), depression before stroke (AOR = 3.237, 95% CI: 1.098–9.544, P-value = 0.033), ischemic heart disease (AOR = 4.090, 95% CI: 1.745–9.583, P-value = 0.001) and physical disability (AOR = 4.051 95% CI: 2.239–7.332, P-value = 0.000) were found to be statistically significant independent predictors of post-stroke depression (PSD). Conclusion The prevalence of post-stroke depression was found to be high relative to other similar studies. Patients with known depression before stroke, ischemic heart disease, and significant physical disability were at a higher risk of developing PSD. Employed patients had less risk of developing PSD. Sufficient and comprehensive evaluation of stroke patients for depression is recommended.https://doi.org/10.1186/s12883-024-03974-9StrokePost-stroke depressionMedical referral clinicBahir Dar |
| spellingShingle | Ermiyas Yemane Debebe Mulugeta Biyadgie Hanamariam Abebe Chekol Lakew Asmare Zeamanuel Anteneh Yigzaw Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals BMC Neurology Stroke Post-stroke depression Medical referral clinic Bahir Dar |
| title | Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals |
| title_full | Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals |
| title_fullStr | Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals |
| title_full_unstemmed | Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals |
| title_short | Prevalence and associated factors of post-stroke depression among patients on follow-up at medical referral clinics of Bahir Dar city public specialized hospitals |
| title_sort | prevalence and associated factors of post stroke depression among patients on follow up at medical referral clinics of bahir dar city public specialized hospitals |
| topic | Stroke Post-stroke depression Medical referral clinic Bahir Dar |
| url | https://doi.org/10.1186/s12883-024-03974-9 |
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