Psychological Factors Determine Depressive Symptomatology After Stroke

Maria L. van Mierlo, Caroline M. van Heugten, Marcel W. Post, Paul L. de Kort, Johanna M. Visser-Meily*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

24 Citations (Scopus)

Abstract

Objective: To identify psychological factors related to poststroke depressive symptoms.

Design: Cross-sectional study, with patients assessed at 2 months poststroke.

Setting: Patients with stroke from 6 general hospitals.

Participants: Stroke patients (N=344; mean age +/- SD, 66.9 +/- 12.3y).

Interventions: Not applicable.

Main Outcome Measures: The presence of clinical depressive symptoms was determined with the depression subscale of the Hospital Anxiety and Depression Scale 2 months poststroke: Psychological factors assessed were extraversion, neuroticism, optimism, pessimism, self-efficacy, helplessness, acceptance, perceiving benefits, proactive coping, and passive coping.

Results: Bivariate correlations and multivariate backward logistic regression were used to analyze associations between psychological factors and poststroke depressive symptoms, accounting for demographic and stroke-related factors. More neuroticism, pessimism, passive coping, and helplessness, and less extraversion, optimism, self-efficacy, acceptance, perceived benefits, and proactive coping were bivariately associated with the presence of depressive symptoms. Multivariate logistic regression analysis showed that more helplessness (odds ratio [OR]=1.17) and passive coping (OR=1.19) and less acceptance (OR=.89) and perceived benefits (OR=.89) were independently significantly associated with the presence of poststroke depressive symptoms (Nagelkerke R-2=.49).

Conclusions: We found a relationship between psychological variables and the presence of depressive symptoms 2 months poststroke. It is important to take these factors into account during poststroke rehabilitation. (C) 2015 by the American Congress of Rehabilitation Medicine

Original languageEnglish
Pages (from-to)1064-1070
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number6
DOIs
Publication statusPublished - Jun-2015

Keywords

  • Depression
  • Mental health
  • Psychology
  • Rehabilitation
  • Stroke
  • QUALITY-OF-LIFE
  • COPING COMPETENCE SCALE
  • SPINAL-CORD-INJURY
  • POSTSTROKE DEPRESSION
  • SELF-EFFICACY
  • COGNITIVE IMPAIRMENT
  • HOSPITAL ANXIETY
  • FOLLOW-UP
  • REHABILITATION
  • PERSONALITY

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