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Cited by 48Stroke Rehabilitation and RecoveryAcute Ischemic Stroke ManagementCancer survivorship and care

Risk factors of post-stroke depression among stroke survivors in Lagos, Nigeria

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Oladiji, JO, Akinbo, SRA, Aina, OF, Aiyejusunle, CB·2009·African Journal of Psychiatry
DOI 10.4314/ajpsy.v12i1.30278
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Abstract

OBJECTIVE: Stroke is an important neurological problem and a leading cause of death in clinical practice. Among survivors, over half have significant disabilities; and/ or psychiatric complications most especially Post-stroke depression (PSD). The study aimed to establish prevalence and risk factors for post stroke depression. METHOD: A prospective study carried out among selected stroke survivors in Lagos University Teaching Hospital (LUTH). Subjects included those who satisfied the WHO definition of stroke. The necessary socio-demographic data was obtained from each subject; the Depression Anxiety Stress Scale-21 (DASS-21) and Modified Motor Assessment Scale (MMAS) were administered. Risk factors of PSD studied were gender, laterality of stroke, post stroke functional impairment and post stroke duration before clinical presentation. RESULTS: A total of 51 stroke survivors were studied, made up of 31 (60.8%) males and 20 (39.2% ) females. The mean age was 52.5+/-5.9 years; and age range of 40-64 years. From assessment with the depression subscale of DASS-21, 38 (74.5% ) of the subjects were normal and the rest 13 (25.5% ) had depression. Risk factors found to be statistically significant for PSD in the study included: gender (X(2)=10.3 at p=0.001) and stroke laterality ( X (2)=6.1 at p = 0.013). However, there were no statistically significant differences for mean post-stroke duration before clinical presentation and PSD ( "t" =3.5 and p= 0.073) ; and post-stroke disability as shown by mean MMAS scores and PSD ( "t" =7.6 and p= 0.084). CONCLUSION: Depression was found to be an important complication among stroke survivors in our study. Important risk factors found for PSD included gender and laterality. The findings emphasized a need for appropriate health facilities and for stroke survivors to present early for treatment to attenuate stroke complications.

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Cited by

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Authors
Oladiji, J., Akinbo, S., Aina, O., & Aiyejusunle, C.
Affiliations
University of Lagos (NG)
Venue
African Journal of Psychiatry
Publisher
African Journals Online (AJOL)
Published
2009-03-24
Volume
12
Issue
1
Pages
47-51
ISSN
1994-8220 (ISSN-L)
DOI
10.4314/ajpsy.v12i1.30278
OpenAlex
W2150343313
Cited by
48
References
2
Citations by year
2026: 4 · 2025: 2 · 2024: 1 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 8 · 2017: 6 · 2016: 1 · 2015: 2 · 2014: 7 · 2013: 3 · 2012: 2
FWCI
1.02
Type
journal article
Language
en
Open access
Locations
  • African Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
post-stroke depression, stroke survivors, risk factors, stroke laterality, gender differences, stroke disability, depression prevalence, stroke complications, Lagos
MeSH terms
Adult, Cross-Sectional Studies, Depressive Disorder, Developing Countries, Disability Evaluation, Dominance, Cerebral, Female, Health Surveys, Humans, Male, Mental Status Schedule, Middle Aged, Nigeria, Personality Inventory, Prospective Studies, Psychometrics, Risk Factors, Sex Factors, Comorbidity, Survivors, Stroke

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