Association of post stroke depression with social factors, insomnia, and neurological status in Chinese elderly population.
The purpose of this study was to investigate the association of post stroke depression (PSD) with social factors, insomnia, and neurological status among elderly Chinese patients with ischemic stroke. Six hundred and eight patients over 60 years of age, who had suffered from a first episode of ischemic stroke within 7 days, were enrolled into the study. They were divided into PSD and non-PSD groups according to the Self-rating Depression Scale (SDS) scores. The association of PSD with social factors, insomnia, and neurological status was analyzed using multivariable logistic regression analysis. Compared with the patients who did not develop PSD, those with PSD reported adverse life events more frequently, and more subjects with PSD lived alone, had left carotid artery infarction and cortical infarction (P < 0.05), history of insomnia, and high National Institute of Health Stroke Scale (NIHSS) scores and low Barthel Index (BI) scores (P < 0.01). The multivariable logistic regression analysis showed that the occurrence of PSD was associated with a history of insomnia (HR = 1.59, 95 % CI 1.12-2.36, P < 0.01), NIHSS scores (HR = 2.45, 95 % CI 1.42-3.91, P < 0.01) and BI scores (HR = 2.56, 95 % CI 1.39-4.25, P < 0.01). Insomnia and the degree of neurological deficit were associated with PSD in an elderly population of Chinese people.
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
Lingru
L
Wang
Graduate School, Bengbu Medical College, Bengbu, 233030, Anhui, China.
Yong
Y
Tao
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
Yang
Y
Chen
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
Hua
H
Wang
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, 400042, China.
Huadong
H
Zhou
Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing, 400042, China. fuxiaoyan9527@sina.com.
Xiaoyan
X
Fu
D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000453:epidemiology / Q000209:etiology; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000209:etiology; D018709:Statistics, Nonparametric; D020521:Stroke / Q000150:complications* / Q000453:epidemiology*; D013997:Time Factors
Elderly Chinese; Insomnia; Ischemic stroke; Neurological status; Post stroke depression