Article

OBJECTIVES: To (1) examine the relationships between baseline demographic,
clinical, and psychological characteristics and social role functioning (SRF) at
4 months after stroke, and (2) assess whether depression improvement is
associated with 4-month SRF. DESIGN: We completed a secondary data analysis using
data from a completed cohort study including people with stroke with or without
depression. We used multiple linear regression to identify variables
independently associated with 12-week SRF. SETTING: Hospital and patients' homes.
The intervention was via phone calls. PARTICIPANTS: People with a new stroke
recruited during the inpatient stay (N=371, depressed only
n=176). All survived
an ischemic stroke, were 18 years and older, spoke and understood English, owned
a telephone, had no severe language or cognitive impairments, and were expected
to live at least 6 months. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
We measured depression with the Patient Health Questionnaire-9 (PHQ-9), and
depression improvement was defined by a 50% decrease in PHQ-9 scores from
baseline to 12 weeks or a 12-week PHQ-9 score <10. SRF was measured with the
social domain of the Stroke-Specific Quality of Life Scale. RESULTS: Depression
and comorbidities were found to be independently associated with 12-week SRF.
Importantly, depression response (or depression improvement) was the only
variable to independently predict SRF in the depressed-only group. CONCLUSIONS:
Among stroke survivors with depression, improvement of that depression was
independently associated with improved SRF. This is a reminder of the importance
for rehabilitation providers to screen for and treat poststroke depression.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS