Depression among the post stroke patients in the Tertiary hospital and Rehabilitation centre of Bangladesh

Salahuddin Mohammad, Shabnam Mostari, Nandeeta Samad, Russell Kabir

Abstract


A cross sectional study was carried out to see the magnitude of depression as public health problem among purposively selected 291 stroke patients attending for physiotherapy at outpatient department of Physical Medicine Department of Dhaka Medical College Hospital and Center for the Rehabilitation of the Paralyzed, Dhaka. Data were collected through face to face interview using a pretested questionnaire and document review. Depressive symptoms were measured using the Hamilton Depression Rating scale at cut-off value 10 for mild, 14 for moderate and 18 for severe depression. The proportion of depression among the study population was 65% which included 30% with severe depression and rest 17% mild, 18% moderate depression and 35% had no depression. People with ischaemic stroke were more depressed (75.9%) than other types of stroke (p<0.00l). With the duration of stroke both the proportion and level of depression had been increased (p<0.00l. Most of the respondents from low income group were suffering from some level of depression (p<0.05). Both diabetes mellitus (p<0.00l) and hypertension (p<0.005) had significant role in depressive state. This study identified depression among stroke patients as a significant public health problem. Therefore, while planning therapeutic approaches for stroke patients, depression always should be taken into consideration for effective management and improvement of the compliance.


Keywords


Depression, Stroke, Rehabilitation, Tertiary hospital, Bangladesh

Full Text:

PDF

References


World Diabetes foundation. WHO Launches Action Plane for NCDs, 2008. Denmark: World Diabetes Foundation; 2009.

World Health Organization. The global burden of cerebrovascular disease. Geneva, World Health Organization; 2000.

World Health Organization. The global burden of disease: 2004 update.

Hackett ML, Duncan JR, Anderson CS, Broad JB, Bonita R. Health-related quality of life among long-term survivors of stroke: results from the Auckland Stroke Study, 1991–1992. Stroke 2000 Feb;31(2):440-7.

Bonita R, Solomon N, Broad JB. Prevalence of stroke and stroke-related disability. Estimates from the Auckland stroke studies. Stroke 1997;28:1898-902.

Rahman M, Rahman MA, Flora MS, Rakibuz-Zaman M. Depression and associated factors in diabetic patients attending an urban hospital of Bangladesh. International Journal of Collaborative Research on Internal Medicine & Public Health 2011;3:65-76.

Cassano P, Fava M. Depression and public health: an overview. J Psychosom Res 2002;53(4):849-57.

Gunarathne A, Patel JV, Gammon B, Gill PS, Hughes EA, Lip GY. Ischemic stroke in South Asians: a review of the epidemiology, pathophysiology, and ethnicity-related clinical features. Stroke. 2009 Jun 1;40(6):e415-23.

Mullic MSI, Karim E, Khannm M, Haque R. Assessment of Depression in Orthopedic Patients. Journal of Bangladesh Orthopaedic Society 1992;7:59.

Karim E, Khanam M, Mullic MSI. Depression in Deliberate self-harm patients. Journal of Bangladesh College Physicians & Surgeons, 1995;13:12-8.

Kotila M, Numminen H, Waltimo O, Kaste M. Depression After Stroke; Results of the Finnstroke Study. Stroke-Journal of the American Heart Association 1998; 29:368-72.

Paradise S, Ohkubo T, Robinson R. G. Vegetative and psychological symptoms associated with depressed mood over the first two years after stroke. International Journal of Psychiatry in Medicine 1997;27:137-57.

Berg A, Palomaki H, Lehtihalmes M, Lonnqvist J, Kaste M. Poststroke depression. An 18-month follow-up. Stroke 2003; 34:138-40.

Poynter B, Hon MS, Diaz-Granados N, Kapral M, Grace SL, Stewart DE. Sex differences in the prevalence of post-stroke depression: a systematic review. Psychosomatics 2009 Nov;50(6):563-9.

Astrom M, Adolfsson R, Asplund K, Major Depression in Stroke Patients A 3-Year Longitudinal Study. 1993; 24:976-82.




DOI: https://doi.org/10.5281/zenodo.3375092

Abstract - 440; PDF | 112 | times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Salahuddin Mohammad, Shabnam Mostari, Nandeeta Samad, Russell Kabir



Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.