Predictors for self-reported feeling of depression three months after stroke: A longitudinal cohort study

Objective: Depression and impaired cognition are common consequences of stroke. The aim of this study was to determine whether cognitive impairment 36-48 h post-stroke could predict self-reported feeling of depression 3 months post-stroke. Design: A longitudinal, cohort study. Patients: Patients age...

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Main Authors: Janina Kaarre (Author), Tamar Abzhandadze (Author), Katharina S. Sunnerhagen (Author)
Format: Book
Published: Medical Journals Sweden, 2021-03-01T00:00:00Z.
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Summary:Objective: Depression and impaired cognition are common consequences of stroke. The aim of this study was to determine whether cognitive impairment 36-48 h post-stroke could predict self-reported feeling of depression 3 months post-stroke. Design: A longitudinal, cohort study. Patients: Patients aged ≥ 18 years at stroke onset. Methods: Cognition was screened using the Montreal Cognitive Assessment, 36-48 h after admission to the stroke unit at Sahlgrenska University Hospital. Information about self-reported feeling of depression 3 months post-stroke was retrieved from Riksstroke (the national quality register for stroke in Sweden). Bootstrapped binary logistic regression analyses were performed. Results: Of 305 patients, 42% were female, median age was 70 years, and 65% had mild stroke. Three months post-stroke, 56% of patients had self-reported feeling of depression; of these, 65% were female. Impaired cognition at baseline could not predict self-reported feeling of depression 3 months later. The odds for self-reported feeling of depression were twice as high in female patients (odds ratio 2.01; 95% confidence interval, 0.20-1.22; p < 0.01). Conclusion: Impaired cognition early after stroke could not predict self-reported feeling of depression 3 months post-stroke. Compared with male patients, female patients had twice the odds of self-reported feeling of depression
Item Description:1650-1977
1651-2081
10.2340/16501977-2816