Associated factors of post-stroke depression among Hong Kong Chinese: a longitudinal study.
The aim of this study was to explore associated factors of post-stroke depression (PSD) among Chinese first-time stroke patients. A 6-month prospective design was adopted with data collected by face-to-face interviews and physical assessment at two observation time points: T1, within 48 h of admission to the rehabilitation hospitals and T2, 6 months after the first interview in the subject's current place of residence. The prevalence of PSD at T1 and T2 was found to be 69% and 48% respectively. Backward linear regression showed that five variables explained 55% of the variance of PSD at T2. Participants who had a higher level of depression at T2 tended to have a higher level of functional disability, less social companionship and poorer informational support. Those who had been homemaker at pre-morbid state and those who exhibited a higher level of depressive symptoms at T1 showed a higher level of depression at T2. The results of this study suggest that PSD could be a psychological condition arising from the disabling consequences and altered family roles caused by a stroke.
Sit
Janet W H
JW
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, P.R. China. hsjsit@inet.polyu.edu.hk
Wong
Thomas K S
TK
Clinton
Michael
M
Li
Leonard S W
LS
D044466:Asian People / Q000523:psychology* / Q000706:statistics & numerical data*; D003710:Demography; D003865:Major Depressive Disorder / Q000208:ethnology* / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D020521:Stroke / Q000517:prevention & control*