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Prevalence and Associated Factors of Depression Among Post-Stroke Patients in Bangladesh

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Abstract

To assess the prevalence of depression and its associated factors among patients with stroke in Bangladesh. We conducted a cross-sectional study among 164 post-stroke patients attending two hospitals in Dhaka city between January and June 2011. Depression was measured using the Hamilton Depression Rating Scale. Factors associated with depression were analyzed using multivariate logistic regression. Results: The prevalence of depression was 70 and 32 % had severe depression. The mean ± sd age of the participants was 58.91 ± 7.03 years. Multivariate regression analysis revealed that factors significantly associated with depression were living in a joint family (OR = 13.5, 95 % CI = 1.3–145.7, p = 0.032), those unable to perform daily activities by themselves (OR = 14.9, 95 % CI = 2.0–108.1, p = 0.008) and those with comorbid dysphasia (OR = 9.5, 95 % CI = 1.0–86.9, p = 0.046) and hypertension (OR = 5.2, 95 % CI = 2.3–15.4, p = 0.012). Depression is a significant health problem among post-stroke patients in Bangladesh. This leads to careful management of depression for social support to achieve better patient outcome.

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References

  • Alwan, A. (2011). Global status report on noncommunicable diseases 2010: world health organization.

  • Aström, M., Adolfsson, R., & Asplund, K. (1993). Major depression in stroke patients. A 3-year longitudinal study. Stroke, 24(7), 976–982.

    Article  PubMed  Google Scholar 

  • Bangladesh Bureau of Statistics. (2014). Statistical pocketbook of Bangladesh-2013. In Statistics and Informatics Division (SID) (Ed.), (Vol. 2014). Dhaka, Bangladesh: Ministry of Planning, Government of the People’s Republic of Bangladesh.

  • Bartoli, F., Lillia, N., Lax, A., Crocamo, C., Mantero, V., Carrà, G.,... Clerici, M. (2013). Depression after stroke and risk of mortality: a systematic review and meta-analysis. Stroke Research and Treatment, 2013.

  • Berg, A., Palomäki, H., Lehtihalmes, M., Lönnqvist, J., & Kaste, M. (2003). Poststroke depression an 18-month follow-up. Stroke, 34(1), 138–143.

    Article  PubMed  Google Scholar 

  • Brainin, M., Norrving, B., Sunnerhagen, K. S., Goldstein, L. B., Cramer, S. C., Donnan, G. A.,... Graham, G. (2011). Poststroke chronic disease management: towards improved identification and interventions for poststroke spasticity-related complications. International Journal of Stroke, 6(1), 42–46.

  • De Ryck, A., Brouns, R., Geurden, M., Elseviers, M., De Deyn, P. P., & Engelborghs, S. (2014). Risk factors for poststroke depression identification of inconsistencies based on a systematic review. Journal of Geriatric Psychiatry and Neurology, 27(3), 147–158.

  • DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107.

    Article  CAS  PubMed  Google Scholar 

  • Eriksson, M., Asplund, K., Glader, E.-L., Norrving, B., Stegmayr, B., Terént, A.,... Wester, P.-O. (2004). Self-reported depression and use of antidepressants after stroke: a national survey. Stroke, 35(4), 936–941.

  • Gillen, R., Tennen, H., McKee, T. E., Gernert-Dott, P., & Affleck, G. (2001). Depressive symptoms and history of depression predict rehabilitation efficiency in stroke patients. Archives of Physical Medicine and Rehabilitation, 82(12), 1645–1649.

    Article  CAS  PubMed  Google Scholar 

  • Guajardo, V. D., Terroni, L., Sobreiro, M. d. F. M., dos Santos Zerbini, M. I., Tinone, G., Scaff, M.,... Fráguas, R. (2014). The influence of depressive symptoms on quality of life after stroke: a prospective study. Journal of Stroke and Cerebrovascular Diseases.

  • Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005). Frequency of depression after stroke a systematic review of observational studies. Stroke, 36(6), 1330–1340.

    Article  PubMed  Google Scholar 

  • Hamilton, M. (1960). A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23(1), 56.

  • Herrmann, N., Black, S., Lawrence, J., Szekely, C., & Szalai, J. (1998). The Sunnybrook stroke study a prospective study of depressive symptoms and functional outcome. Stroke, 29(3), 618–624.

    Article  CAS  PubMed  Google Scholar 

  • Islam, S. M. S., Alam, D. S., Wahiduzzaman, M., Niessen, L. W., Froeschl, G., Ferrari, U.,... Lechner, A. (2014a). Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh. Diabetes & Metabolic Syndrome: Clinical Research & Reviews.

  • Islam, S. M. S., Purnat, T. D., Phuong, N. T. A., Mwingira, U., Schacht, K., & Fröschl, G. (2014b). Non-communicable diseases (NCDs) in developing countries: a symposium report. Globalization and Health, 10(1), 81.

    Article  PubMed  PubMed Central  Google Scholar 

  • Islam S. M. S., Rawal L. B., Niessen L. W. (2015). Prevalence of depression and its associated factors in patients with type 2 diabetes: A cross-sectional study in Dhaka, Bangladesh. Asian Journal of Psychiatry. doi: 10.1016/j.ajp.2015.07.008.

  • Kotila, M., Numminen, H., Waltimo, O., & Kotila, M. (1998). Depression after stroke; results of the finnstroke study. Stroke-Journal of the American Heart Association, 29, 368–372.

    CAS  Google Scholar 

  • Mirzaei, M., Truswell, A. S., Arnett, K., Page, A., Taylor, R., & Leeder, S. R. (2012). Cerebrovascular disease in 48 countries: secular trends in mortality 1950–2005. Journal of neurology, Neurosurgery & Psychiatry, 83(2), 138–145.

  • Norrving, B., & Kissela, B. (2013). The global burden of stroke and need for a continuum of care. Neurology, 80(3 Supplement 2), S5–S12.

    Article  PubMed  Google Scholar 

  • Pan, J. H., Song, X. Y., Lee, S. Y., & Kwok, T. (2008). Longitudinal analysis of quality of life for stroke survivors using latent curve models. Stroke, 39(10), 2795–2802.

    Article  PubMed  Google Scholar 

  • Pandian, J. D., Kaur, A., Jyotsna, R., Sylaja, P. N., Vijaya, P., Padma, M. V.,... Kaur, P. (2012). Complications in acute stroke in India (CAST-I): a multicenter study. Journal of Stroke and Cerebrovascular Diseases, 21(8), 695–703.

  • Paul, N., Das, S., Hazra, A., Ghosal, M. K., Ray, B. K., Banerjee, T. K.,... Das, S. K. (2013). Depression among stroke survivors: a community-based, prospective study from Kolkata, India. The American Journal of Geriatric Psychiatry, 21(9), 821–831.

  • Sienkiewicz-Jarosz, H., Milewska, D., Bochyńska, A., Chełmniak, A., Dworek, N., Kasprzyk, K.,... Zyluk, B. (2010). Predictors of depressive symptoms in patients with stroke–a three-month follow-up. Neurologia i Neurochirurgia Polska, 44(1), 13–20.

  • Srivastava, A., Taly, A. B., Gupta, A., & Murali, T. (2010). Post-stroke depression: prevalence and relationship with disability in chronic stroke survivors. Annals of Indian Academy of Neurology, 13(2), 123.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sun, N., Li, Q.-J., Lv, D.-M., Man, J., Liu, X.-S., & Sun, M.-L. (2014). A survey on 465 patients with post-stroke depression in China. Archives of psychiatric nursing.

  • Truelsen, T., Begg, S., & Mathers, C. (2000) The global burden of cerebrovascular disease. Global Burden disease.

  • Truelsen, T., Piechowski-Jóźwiak, B., Bonita, R., Mathers, C., Bogousslavsky, J., & Boysen, G. (2006). Stroke incidence and prevalence in Europe: a review of available data. European Journal of Neurology, 13(6), 581–598.

    Article  CAS  PubMed  Google Scholar 

  • Wei, N., Yong, W., Li, X., Zhou, Y., Deng, M., Zhu, H., & Jin, H. (2014). Post-stroke depression and lesion location: a systematic review. Journal of Neurology, 1-10.

  • Williams, L. S., Ghose, S. S., & Swindle, R. W. (2004). Depression and other mental health diagnoses increase mortality risk after ischemic stroke. American Journal of Psychiatry, 161(6), 1090–1095.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2011). WHO Fact Sheet No. 310 (2008) Accessed April. 2014, from http://www.who.int/mediacentre/factsheets/fs310/en/index. html.

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Acknowledgments

The authors gratefully acknowledge the support from Professor Dr. M.S.A. Mansur Ahmed, Head, Department of Community Medicine, Bangladesh University of Health Sciences (BUHS) and Dr. Meerjady Sabrina Flora, Chairman Associate Professor, Department of Epidemiology, NIPSOM, Dhaka. We would like to thank the faculty and staff of NIPSOM, DMCH, CRP for supporting the study and the study participants for providing valuable data.

Competing interest

The authors declare that they have no competing interests.

Authors’ contributions

MAI participated in the study design, data collection, data management and analysis. SMSI provided overall guidance and drafted the manuscript. MAA and AR supported the study and provided feedback for the review. All authors contributed to data interpretation, critically revised the drafts, and approved the final version.

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Authors and Affiliations

  1. Center for Control of Chronic Disease (CCCD), International Center for Diarohheal Disease Research, Bangladesh (ICDDR, B), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh

    Md. Ariful Islam, Mohammad Abdul Aleem & Sheikh Mohammed Shariful Islam

  2. Department of Epidemiology, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, Bangladesh

    Anisur Rahman

  3. Center for International Health (CIH), Ludwig-Maximilians-Universität (LMU), Munich, Germany

    Sheikh Mohammed Shariful Islam

  4. Cardiovascular Division, The George Institute for Global Health, Sydney, Australia

    Sheikh Mohammed Shariful Islam

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  1. Md. Ariful Islam
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  2. Anisur Rahman
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  3. Mohammad Abdul Aleem
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Correspondence to Sheikh Mohammed Shariful Islam.

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Ariful Islam, M., Rahman, A., Aleem, M.A. et al. Prevalence and Associated Factors of Depression Among Post-Stroke Patients in Bangladesh. Int J Ment Health Addiction 14, 154–166 (2016). https://doi.org/10.1007/s11469-015-9582-x

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