title: Factors associated with post-stroke depression and emotional incontinence: lesion location and coping styles.
abstract: Post-stroke depression (PSD) and post-stroke emotional incontinence (PSEI) have attracted worldwide interest in recent years. These emotional disturbances have a negative impact on the rehabilitation process and the associated worse outcome. Consequently, defining the risk factors for development of PSD and PSEI is important. In this study, we evaluated 368 consecutive patients with acute ischemic stroke at admission and at three months later. PSD was evaluated by using the Beck Depression Inventory, and PSEI was evaluated using Kim's criteria. The Social Support Rating Scale and Medical Coping Modes Questionnaire were also used as measurement tools. Multivariate analyses showed that anterior cortex infarction was associated with PSEI three months after stroke occurrence. The appearance of PSD was not related to lesion location. Both motor and sensory dysfunctions was independently associated with PSD at admission, whereas low degree of social utilization was the independent factor associated with PSD 3 months after stroke. Acceptance-resignation is related to PSD and PSEI both at admission and 3 months after stroke. Avoidance was the independent factor related to PSD at 3 months after stroke onset.
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Changjuan
authors.initials: C
authors.lastname: Wei
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Juan
authors.initials: J
authors.lastname: Gao
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Li
authors.initials: L
authors.lastname: Chen
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Fang
authors.initials: F
authors.lastname: Zhang
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Ma
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Nan
authors.initials: N
authors.lastname: Zhang
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Rong
authors.initials: R
authors.lastname: Xue
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Lanlan
authors.initials: L
authors.lastname: Luo
authors.affiliation: a Department of Neurology and Tianjin Neurological Institute , Tianjin Medical University General Hospital , Tianjin , China.
authors.forename: Junwei
authors.initials: J
authors.lastname: Hao
mesh_terms: D000342:Affective Symptoms / Q000209:etiology*; D000368:Aged; D002545:Brain Ischemia / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D003863:Depression / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012944:Social Support; D020521:Stroke / Q000150:complications* / Q000473:pathology / Q000503:physiopathology
keywords: coping styles; lesion location; leukoaraiosis; post-stroke depression; post-stroke emotional incontinence; social support