title: Depression, activities of daily living and quality of life in patients with stroke.
abstract: BACKGROUND
  Stroke patients are dealing with a wide variety of physical and psychological problems influencing their ability to carry out activities of daily living (ADL). The aim of the present study was to examine the relationship between the activity of daily living performances and degree of after stroke depression (ASD), as well as, the quality of life (QOL) in Iranian stroke survivors.
  
  
  METHODS
  In a cross sectional study, 40 patients with stroke in two Rehabilitation Centers for Stroke Patients, were recruited consecutively. They were assessed using the Modified Barthel Index, the Beck Depression Inventory-II (BDI-II), and a quality of life questionnaire (SF-36). Data were analyzed using Pearson and Spearman correlation coefficient.
  
  
  RESULTS
  Sixty five and one-half percent (65.5%) of the studied participants were either fully dependent or needed help in ADL. Also, 72.5% of the participants showed mild to severe ASD. There was a significant negative correlation between ADL performances and ASD and also between QOL and ASD. Furthermore a strong correlation was found between ADL and QOL.
  
  
  CONCLUSIONS
  ADL have a strong relationship with both level of depression and QOL in patients with stroke. It appears that motivating to perform ADL may enhance QOL. Further investigation with a larger sample size is required to better understand the causal relationship of these factors.
authors.affiliation: Department of Occupational Therapy, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
authors.forename: Hojjat Allah
authors.initials: HA
authors.lastname: Haghgoo
authors.forename: Elmira Saed
authors.initials: ES
authors.lastname: Pazuki
authors.forename: Ali S
authors.initials: AS
authors.lastname: Hosseini
authors.forename: Mehdi
authors.initials: M
authors.lastname: Rassafiani
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D020521:Stroke / Q000150:complications* / Q000523:psychology*; D011795:Surveys and Questionnaires