title: The post-stroke depression and its impact on functioning in young and adult stroke patients of a rehabilitation unit.
abstract: BACKGROUND
  Stroke is a leading cause of disability and a major public health problem.
  
  
  OBJECTIVE
  To determine frequency and degree of post-stroke depression (PSD) and its impact on functioning in young and adult stroke patients in a rehabilitation unit.
  
  
  METHODS
  The study included 72 stroke patients (aged 29-59 years) who were attending rehabilitation. The patients were assessed for depressive symptoms by Beck Depression Inventory (BDI), and their functioning by using the Stroke Impact Scale (SIS) and the Barthel Index of Activities of Daily Living (ADL).
  
  
  RESULTS
  Forty-eight patients had different degrees of depression: borderline clinical depression (13.8%), moderate depression (34.7%), severe depression (15.2%) or extreme depression (2.9%). There were no significant differences of BDI scores in 30-39, 40-49 and 50-59 years groups. Statistically significant correlations were between BDI score and SIS score, between BDI score and ADL index, and between SIS score and ADL index in men, women and total study patients.
  
  
  CONCLUSIONS
  More than half of the PSD patients had a moderate degree of depression. Significant correlations were noticed between depressive symptoms and functional status evaluated both by an instrument of assessing stroke impact upon general health and an instrument for assessing the everyday activities.
authors.affiliation: a Department of Rehabilitation , Physical Medicine and Rheumatology and.
authors.forename: Elena
authors.initials: E
authors.lastname: Amaricai
authors.affiliation: b 2nd Orthopaedic Surgery and Traumatology Department , "Victor Babeş" University of Medicine and Pharmacy , Timisoara , Romania.
authors.forename: Dan V
authors.initials: DV
authors.lastname: Poenaru
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011581:Psychological Tests; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications / Q000453:epidemiology*; D000071939:Stroke Rehabilitation / Q000523:psychology*
keywords: Assessment; depression; function; rehabilitation; stroke