The status and prediction factors of depression in acute stage after stroke

Abstract

Objective Study on the incidence and related influencing factors of acute depression after stroke. Methods From September 2018 to February 2019, 338 stroke patients hospitalized in three hospitals in this city were selected.9-item Patient Health Questionnaire scale (PHQ-9) and Stroke Aphasic Depression Questionnaire-Hospital Version (SADQ-H) were used to evaluate the depression of patients. The related factors were evaluated by using the self-made general situation questionnaire and the social support rating scale (SSRS), simple intelligence state test table (MMSE), Barthel index rating scale to understand the influence of variables on post-stroke depression. Results The incidence of PSD was 59.09% in aphasia patients and 41.50% in non-aphasia patients.Multivariate logistic regression analysis showed that depression group and non-depression group have significant difference in family history of stroke (OR=0.455, P=0.025), BI index (OR=0.969, P=0), SSRS (OR=0.936, P=0.002), MMSE (OR=0.910, P=0.014). Conclusion The incidence of PSD is higher in the acute phase after stroke, the occurrence of PSD is related to family history of stroke, BI index, SSRS, MMSE, The early evaluation of the above factors can identify the high risk population of PSD as soon as possible, so as to take relevant measures to prevent and reduce the occurrence of PSD. Key words: Post-stroke depression; Incidence; Prediction