Factors Influencing Depression In Patients Of Cerebrovascular Accidents-A Study

ABSTRACT

Background: Post Stroke Depression (PSD) is one of the most frequent Neuropsychiatric consequences of stroke. It affects almost 29%-70% of Stroke Survivors (SS). There is paucity of research data in determining the risk factors and especially severity and associa?on of depression with site of lesion loca?on in Indian community. Aim and Objec?ves To determine factors associated with PSD and associa?on between Socio-demographic profiles, Stroke symptoms, Site of lesion with depression. Materials and Methods: It’s a cross-sec?onal study including par?cipants from the outpa?ents sec?on of Department of Neurology at Prathima Ins?tute of Medical Sciences. A predetermined sample size of 60 pa?ents with CVA pa?ents was enrolled in the study and their socio demographic details are collected along with administering Beck’s Depression Inventory for Depression. Neuro-imaging provided informa?on on lesion loca?on. Collected data was analysed using SPSS version 19 and using descrip?ve and inferen?al sta?s?cs. Results: In this study 18 out of 60 subjects with stroke were diagnosed with PSD. Risk factors found to be mainly associated with PSD are lack of family support, Joint family types, Stroke with Aphasia, Cranial Nerve involvement and Motor System weakness whereas, Substance use is found to be a protec?ve factor. Significant numbers of subjects were found to have le?-anterior-sub-cor?cal lesions associated with PSD. Conclusion: This study highlights the variables which are to be considered in the recogni?on of PSD for Neurologists and Mental health care workers for early interven?on and a be?er outcome in view of stroke recovery