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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

A Publication Of Nigeria Medical Association Bayelsa State Branch

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Archive | ISSUE: 110, Volume: Jan-Mar-2023

PHYSICAL DISABILITY INDEX AND DEPRESSION AMONG STROKE SURVIVORS IN PORT HARCOURT, NIGERIA


Author:Oluwakemi Oluwatayo, Chukwuma U. Okeafor

published date:2023-March-14

FULL TEXT in - | page 26 - 31

Abstract

Background: Depression in stroke survivors has been associated with dire consequences including decline in productivity, joblessness, and even suicide or suicide attempts. This study sought to investigate the relationship between depression and physical disability among stroke survivors in Nigeria in a bid to promote holistic patient care.

Methodology: A hospital-based cross-sectional study involving 110 adult out-patients with stroke at the neurology clinic of the University of Port Harcourt Teaching Hospital (UPTH) was employed in this study. Physical disability was determined using the modified Ranking Scale (mRS). Depression was diagnosed based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM-SCID). Inferential statistics employed Chi square and Mann-Whitney U statistics at 0.05 alpha level.

Results: The stroke survivors had a mean age of 54.49±9.33years. Seventy-one (64.5%) were males. The mean mRS (physical disability index) score was 2.81±0.55, and the median mRS score was 3. A total of 39 stroke survivors had depression (35.5%). The depression rates were 10.3%, 43.8% and 50.0% for survivors with mRS of 2, 3 and 4 respectively (Chi Square for trend=9.362; p-value=0.02). The mean rank of MRS score was significantly higher among depressed in comparison to the nondepressed (Mann-Witney U=988.50; p-value=0.003).

Conclusion: Depression and physical disability are linked among stroke survivors in Nigeria. The assessment of depression among stroke survivors at neurology out-patient clinics is advocated especially in those with moderate to severe forms of physical disability in order to improve clinical outcome.

Cite this article: Oluwatayo O, Okeafor CU. Physical disability index and depression among stroke survivors in Port Harcourt, Nigeria. Niger Delta J Med Med Res. 2023;2(1):26–31

Keywords: physical disability, depression, stroke, neurology,

References

1 World Health Organization. A safer future: Global public health security in the 21st century. World Health. Report. Geneva, Switzerland, 2007.

2 Peters S, Handy T, Lakhani B, Boyd L, Garland SJ. Motor and visuospatial attention and motor planning after stroke: Considerations for the rehabilitation of standing balance and gait. Physical Therapy 2015: 95;1423-1432.

3 Kelly-Hayes M, Beiser A, Kase C, Scaramucci A, D’Agostino R, Wolf PA. The influence of gender and age on disability following ischemic stroke: The Framingham study. J Stroke Cerebrovasc. Dis. 2003:12;119-126.

4 Centers For Disease Control and Prevention. Prevalence and most common causes of disability among adults. MMWR. 2009:58; 421-426.

5 Duncan P, Zorowitz R, Bates B, Choi J, Glasberg J, Graham GD. Management of adult stroke rehabilitation care: A clinical practice guideline. Stroke 2005; 36:100-143.

6 Llorca G, Castilla-Guerra L, Moreno M, Doblado S, Hernández MJ. Post-stroke depression: An update. Neurologia. 2015:30(1); 23-31.

7 Carod-Artal, FJ. Depresión postictus. Epidemiología, criterios diagnósticos y factores de riesgo. Rev Neurol. 2006: 42;169-175.

8 Oni O, Olagunju A, Olisah V, Aina O, Ojini FI. Post-stroke depression: Prevalence, associated factors and impact on quality of life among outpatients in a Nigerian hospital. South African J Psych. 2018: 24; 1–7.

9 Ayerbe L, Ayis S, Wolfe C, Rudd AG. Natural Niger Delta Journal of Medicine and Medical Research Vol. 2 No. 1, January – March 2023 31 | P a g e history, predictors and outcomes of depression after stroke: Systematic review and meta-analysis. Br J Psychiatry 2013: 202; 14-21.

10 Das J, Rajanikant G. Post stroke depression: The sequelae of cerebral stroke. Neurosci. Biobehav. Rev. 2018:90; 104-114.

11 Naghavi M, Abajobir A, Abbafati C, Abbas K, F. Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: A systematic analysis for the global burden of disease study 2016. The Lancet 2017: 390; 1151-1210.

12 Abubakar S, Isezuo SA. Health related quality of life of stroke survivors: experience of a stroke unit. Int J Biomed Sci. 2012: 8(3);183.

13 Kirkwood BR, Sterne JAC. Calculation of required sampe size. Essentials Medical. Statistics. 2nd Ed. UK. Blackwell Publishing. 2003, pp.420-1.

14 Ojagbemi A, Owolabi M. Predictors of functional disability after stroke in Nigeria. J. Stroke Cerebrovasc. Dis. 2013;22(8): e381-7.

15 Harrison J, McArthur K, Quinn TJ. Assessment scales in stroke: Clinimetric and clinical considerations. Clin. Interv. Aging. 2013;8: 201– 208.

16 Pérez A, Tilley BC. Conduct of stroke-related clinical trials. Stroke. 2016;6:1030-1041.

17 Banks J, Marotta CA. Outcomes validity and reliability of the modified rankin scale: Implications for stroke clinical trials: A literature review and synthesis. Stroke. 2007;38: 1091- 1096.

18 Folstein M, Folstein S, McHugh PR. Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. J Psychiatry Res. 1975;12: 189-198.

19 First MB, Williams JB, Karg RS, Spitzer RL. User’s guide for the structured clinical interview for DSM-5 disorders, research version (SCID-5- RV). Arlington: American Psychiatric Association. 2015.

20 Ali M, Onyencho V, Adebowale OT. Demographic and clinical factors on depression among stroke patients. Am. J. Clin. Med. Res. 2016;4(3): 38-42.

21 Oladiji JO, Akinbo SR, Aina OF, Aiyejusunle CB. Risk factors of post-stroke depression among stroke survivors in Lagos, Nigeria. Afr J Psychiatry.2009;12(1):47–51.

22 Towfighi A, Ovbiagele B, El Husseini N, Hackett ML, Jorge RE, Kissela BM, et al. Poststroke depression: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2017 Feb;48(2):e30-43.

23 James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018 Nov 10;392(10159):1789-858.

24 Ayerbe L, Ayis S, Crichton S, Rudd A, Wolfe CD. Explanatory factors for the association between depression and long-term physical disability after stroke. Age Ageing. 2015; 44(6):1054–1058.

25 Roy T, Lloyd C. Epidemiology of depression and diabetes: a systematic review. J Affect Disord. 2012;142(Suppl): S8–21.

26 Aström M, Adolfsson R, Asplund K. Major depression in stroke patients: A 3-year longitudinal study. Stroke.1993;24: 976–982.

27 Clark M, Smith DS. The effects of depression and abnormal illness behaviour on outcome following rehabilitation from stroke. Clin. Rehabilation. 1998; 12: 73-80

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