title: Minimal depression: how does it relate to upper-extremity impairment and function in stroke?
abstract: OBJECTIVE. We sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke. METHOD. We conducted a retrospective, secondary analysis of an interventional study. Correlational analyses were performed using the following outcome measures: the UE section of the Fugl-Meyer Assessment (FM), the functional ability section of the Arm Motor Ability Test (AMAT), and the Beck Depression Inventory (BDI-II). RESULTS. We found a negative correlation between BDI-II and both the FM (-.120, p = .196) and the AMAT (-.110, p = .275); however, this correlation was not statistically significant. Women exhibited higher depression scores (8.75 ± 0.78) than men (6.29 ± 0.46; p = .008). CONCLUSION. Low levels of depression are not associated with UE motor impairment and function in people with minimal to moderate UE disability levels. Poststroke depression occurs more frequently in women, warranting additional research on sex-specific differences. Given the proliferation of UE therapies targeting this group, this information is important for effective therapy planning and implementation.
authors: School of Health and Rehabilitation Sciences, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
authors: Lindy L
authors: LL
authors: Weaver
authors: Stephen J
authors: SJ
authors: Page
authors: Lynne
authors: L
authors: Sheffler
authors: John
authors: J
authors: Chae
mesh_terms: D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010291:Paresis / Q000209:etiology / Q000534:rehabilitation; D020127:Recovery of Function; D012189:Retrospective Studies; D020521:Stroke / Q000453:epidemiology / Q000523:psychology*; D000071939:Stroke Rehabilitation; D034941:Upper Extremity
references: Stroke. 2000 Dec;31(12):2995-3000
references: 11108762
references: Phys Ther. 1983 Oct;63(10):1606-10
references: 6622535
references: Stroke. 2007 Apr;38(4):1293-7
references: 17332444
references: Eur J Neurol. 2012 Mar;19(3):517-21
references: 22175796
references: Eur J Neurol. 2001 Jul;8(4):315-9
references: 11422427
references: Arch Phys Med Rehabil. 1997 Jun;78(6):615-20
references: 9196469
references: J Psychosom Res. 2010 Jun;68(6):545-51
references: 20488271
references: Cerebrovasc Dis. 2009;28(6):551-7
references: 19844094
references: Arch Phys Med Rehabil. 2001 Dec;82(12):1645-9
references: 11733876
references: Stroke. 2001 Mar;32(3):696-701
references: 11239189
references: J Psychosom Res. 2005 Oct;59(4):209-13
references: 16223623
references: Scand J Rehabil Med. 1975;7(1):13-31
references: 1135616
references: J Affect Disord. 2007 Sep;102(1-3):245-58
references: 17092565
references: Psychosomatics. 2000 Jan-Feb;41(1):5-14
references: 10665263
references: Am J Phys Med Rehabil. 2004 Aug;83(8):592-600
references: 15277960
references: J Psychiatr Res. 1975 Nov;12(3):189-98
references: 1202204
references: Stroke. 2002 Jan;33(1):5-6
references: 11779880
references: Psychosomatics. 2009 Nov-Dec;50(6):563-9
references: 19996226
references: Circulation. 2012 Jan 3;125(1):e2-e220
references: 22179539
references: Age Ageing. 2000 May;29(3):223-8
references: 10855904
references: J Affect Disord. 2005 Aug;87(2-3):141-50
references: 15982748