Depression, activities of daily living and quality of life in patients with stroke
Abstract
Introduction Stroke patients are dealing with a wide variety of physical and psychological problems influencing their ability to carry out activities of daily living (ADL). The aim of the present study was to examine the relationship between the activity of daily living performances and degree of after stroke depression (ASD), as well as, the quality of life (QOL) in Iranian stroke survivors.Materials and method In a cross sectional study, 40 patients with stroke in two Rehabilitation Centers for Stroke Patients, were recruited consecutively. They were assessed using the Modified Barthel Index, the Beck Depression Inventory-II (BDI-II), and a quality of life questionnaire (SF-36). Data were analyzed using Pearson and Spearman correlation coefficient.Results Sixty five and one-half percent (65.5%) of the studied participants were either fully dependent or needed help in ADL. Also, 72.5% of the participants showed mild to severe ASD. There was a significant negative correlation between ADL performances and ASD and also between QOL and ASD. Furthermore a strong correlation was found between ADL and QOL.Conclusion ADL have a strong relationship with both level of depression and QOL in patients with stroke. It appears that motivating to perform ADL may enhance QOL. Further investigation with a larger sample size is required to better understand the causal relationship of these factors.
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Depression is associated with increased mortality in stroke patients.
“Depression adversely affects quality of life and daily activity, but more importantly it is also associated with increased mortality in this patient group.4”
From Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial (2022) · cites this paper as [4]
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Functional evaluation : Barthel index
Mahonery, F. I. (1965) · Medical Entomology and Zoology · Cited by 12,762 · see citing works
Recovery of motor function after stroke.
Bonita, R., & Beaglehole, R. (1988) · Stroke · doi:10.1161/01.str.19.12.1497 · Cited by 1,283 · see citing works
Activity, participation, and quality of life 6 months poststroke
Mayo, N. E., Wood-Dauphinée, S., Côté, R., Durcan, L., & Carlton, J. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.33984 · Cited by 839 · see citing works
Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005) · Depression and Anxiety · doi:10.1002/da.20070 · Cited by 813 · cited 2× · see citing works
“The instruments mentioned above were translated, and culturally adapted and validated for the people with Persian language [21,23–25].”
MethodMajor depression in stroke patients. A 3-year longitudinal study.
Aström, M., Adolfsson, R., & Asplund, K. (1993) · Stroke · doi:10.1161/01.str.24.7.976 · Cited by 689 · see citing works
Post-stroke depressive disorders: a follow-up study of 103 patients.
Robinson, R. G., & Price, T. R. (1982) · Stroke · doi:10.1161/01.str.13.5.635 · Cited by 565 · see citing works
Sex differences in stroke recovery.
Lai, S., Duncan, P. W., Dew, P., & Keighley, J. D. (2005) · Europe PMC (PubMed Central) · Cited by 460 · see citing works
Herrmann, N., Black, S. E., Lawrence, J., Szekely, C. A., & Szalai, J. P. (1998) · Stroke · doi:10.1161/01.str.29.3.618 · Cited by 453 · see citing works
Gaete, J., & Bogousslavsky, J. (2008) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.8.1.75 · Cited by 425 · see citing works
Sex Differences and Similarities in the Management and Outcome of Stroke Patients
Holroyd-Leduc, J. M., Kapral, M. K., Austin, P. C., & Tu, J. V. (2000) · Stroke · doi:10.1161/01.str.31.8.1833 · Cited by 291 · see citing works
Aalto, A., Elovainio, M. J., Mika Kivimaki, B., Uutela, A. K., & Pirkola, S. P. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.09.008 · Cited by 258 · see citing works
Clinical determinants of long-term quality of life after stroke
Patel, M., McKevitt, C., Lawrence, E., Rudd, A. G., & Wolfe, C. D. A. (2007) · Age and Ageing · doi:10.1093/ageing/afm014 · Cited by 186 · see citing works
Quality of Life of Stroke Survivors: A 1-Year Follow-Up Study
Kwok, T. C. Y., Lo, R. S. K., Wong, E., Wai-Kwong, T., Mok, V., & Kai-Sing, W. (2006) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2006.05.015 · Cited by 172 · see citing works
Andersen, G., Vestergaard, K., Riis, J. Ø., & Lauritzen, L. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01576.x · Cited by 168 · see citing works
Domains and determinants of quality of life after stroke caused by brain infarction
Kauhanen, M.-L., Korpelainen, J. T., Hiltunen, P., Nieminen, P. A., Sotaniemi, K. A., & Myllylä, V. V. (2000) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2000.9391 · Cited by 159 · see citing works
Ansari, N. N., Naghdi, S., Hasson, S., et al. (2010) · Applied Neuropsychology · doi:10.1080/09084282.2010.499773 · Cited by 156 · see citing works
Treatment options for large hemispheric stroke
Steiner, T., Ringleb, P. A., & Hacke, W. (2001) · Neurology · doi:10.1212/wnl.57.suppl_2.s61 · Cited by 147 · see citing works
Determinants of quality of life in Brazilian stroke survivors
Carod-Artal, F. J., Trizotto, D. S., Coral, L. F., & Moreira, C. M. (2009) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2009.04.008 · Cited by 134 · see citing works
Lenzi, G. L., Altieri, M., & Maestrini, I. (2008) · Revue Neurologique · doi:10.1016/j.neurol.2008.07.010 · Cited by 129 · see citing works
A review on sex differences in stroke treatment and outcome
Appelros, P., Stegmayr, B. G., & Terént, A. (2009) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.2009.01258.x · Cited by 126 · see citing works
Stroke care in the home: the impact of social support on the general health of family caregivers
Sit, J. W. H., Wong, T. K. S., Clinton, M. E., Li, L. S. W., & Fong, Y. (2004) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.00943.x · Cited by 124 · see citing works
Dafer, R. M., Rao, M. S., Shareef, A., & Sharma, A. (2008) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1501-13 · Cited by 116 · see citing works
Viinamäki, H. T., Tanskanen, A. J., Honkalampi, K. M., Koivumaa-Honkanen, H. T., Haatainen, K. M., Kaustio, O., & Hintikka, J. (2004) · Nordic Journal of Psychiatry · doi:10.1080/08039480310000798 · Cited by 109 · see citing works
Validity and reliability of the Persian translation of the SF-36 version 2 questionnaire.
Motamed, N., Ayatollahi, A. R., Zare, N., & Sadeghi-Hassanabadi, A. (2005) · PubMed · Cited by 106 · see citing works
Barthel Index in a Middle-East Country: Translation, Validity and Reliability
Oveisgharan, S., Shirani, S., Ghorbani, A., Soltanzade, A., Baghaei, A., Hosseini, S., & Sarrafzadegan, N. (2006) · Cerebrovascular Diseases · doi:10.1159/000094850 · Cited by 99 · see citing works
Depression and Stroke: Cause or Consequence?
Williams, L. S. (2005) · Seminars in Neurology · doi:10.1055/s-2005-923534 · Cited by 95 · see citing works
Well-being and instrumental activities of daily living after stroke
Sveen, U., Thommessen, B., Bautz‐Holter, E., Wyller, T. B., & Laake, K. (2004) · Clinical Rehabilitation · doi:10.1191/0269215504cr719oa · Cited by 95 · see citing works
Measurement of Instrumental Activities of Daily Living in Stroke
Chong, D. K.-H. (1995) · Stroke · doi:10.1161/01.str.26.6.1119 · Cited by 91 · see citing works
The Impact of Poststroke Depression on Healthcare Use by Veterans With Acute Stroke
Jia, H., Damush, T. M., Qin, H., Ried, L. D., Wang, X., Young, L. J., & Williams, L. S. (2006) · Stroke · doi:10.1161/01.str.0000244783.53274.a4 · Cited by 90 · see citing works
Health-related quality of life among chronic stroke survivors attending a rehabilitation clinic.
Kh, K., & Sy, Y. (2006) · PubMed · Cited by 82 · see citing works
Frequency, Management, and Predictors of Abnormal Mood After Stroke
Hackett, M. L., & Anderson, C. S. (2006) · Stroke · doi:10.1161/01.str.0000231387.58943.1f · Cited by 75 · see citing works
Kalache, A., & Aboderin, I. (1995) · Health Policy and Planning · doi:10.1093/heapol/10.1.1 · Cited by 60 · see citing works
Larson, J., Franzén‐Dahlin, Å., Billing, E., von Arbin, M., Murray, V., & Wredling, R. (2005) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2005.00369.x · Cited by 40 · see citing works
Comparison of assessment measures for post-stroke depression
Roger, P. R., & Johnson-Greene, D. E. (2009) · The Clinical Neuropsychologist · doi:10.1080/13854040802691135 · Cited by 36 · see citing works
Quality of life among older stroke patients in Taiwan during the first year after discharge
Shyu, Y. L., Maa, S., Chen, S., et al. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02458.x · Cited by 36 · see citing works
Subjective Dysfunction after Stroke. A study with Sickness Impact Profile
Nydevik, I., & Åsberg, H. K. (1991) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813439109018531 · Cited by 27 · see citing works
Morales, N. D. M. O., Funayama, C. A. R., Rangel, V. D. O., et al. (2008) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-6-109 · Cited by 27 · see citing works
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Kiper, P., Przysiężna, E., Cieślik, B., Broniec-Siekaniec, K., Kucińska, A., Szczygieł, J., Turek, K., Gajda, R., & Szczepańska-Gieracha, J. (2022) · Clinical Interventions in Aging · doi:10.2147/cia.s375754 · Cited by 74 · see citing works
“Depression adversely affects quality of life and daily activity, but more importantly it is also associated with increased mortality in this patient group.(4) Furthermore, a high level of depression is a predictor of worse effects of rehabilitation.”
BackgroundPark, G.-Y., Im, S., Oh, C. H., Lee, S.-J., & Pae, C.-U. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.02.009 · Cited by 21 · see citing works
- Authors
- Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M.
- Affiliations
- University of Social Welfare and Rehabilitation Sciences (IR)
- Corresponding author
- Rassafiani, Mehdi
- Venue
- Journal of the Neurological Sciences
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 328
- Issue
- 1-2
- Pages
- 87-91
- ISSN
- 0022-510X (ISSN-L)
- OpenAlex
- W2059990269
- Cited by
- 152
- References
- 39
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 16 · 2023: 10 · 2022: 17 · 2021: 9 · 2020: 14 · 2019: 10 · 2018: 8 · 2017: 17 · 2016: 11 · 2015: 11 · 2014: 4 · 2013: 3
- FWCI
- 10.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the Neurological Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- stroke, post-stroke depression, activities of daily living, quality of life, stroke rehabilitation, functional dependence
- MeSH terms
- Activities of Daily Living, Aged, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Status Schedule, Middle Aged, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Statistics, Nonparametric, Stroke
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