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Prevalence and Predictive factors of Post-Stroke Depression in Patients with Acute Cerebral Infarction

Fang Yang, Pelian Zhang

2024ALPHA PSYCHIATRY11 citationsDOIOpen Access PDF

Abstract

Objective: Acute cerebral infarction (ACI) has a high mortality and disability, which brings a heavy burden to the medical and health system. This study aims to discover the clinical prevalence of post-stroke depression (PSD) in patients with ACI, explore the predictive factors leading to this complication, and provide more evidence for better identification of PSD in clinic. Methods: From April 2021 to April 2023, this retrospective study selected 166 ACI patients as the research subjects, collected clinical symptoms and laboratory indicators at baseline, and observed the prevalence of PSD using the Hamilton depression scale 17 and the diagnostic and statistical manual of mental disorders. Multiple logistic regression analysis was adopted to explore the predictive factors of PSD in patients with ACI. Results: = .246, suggesting that ROC curve has a certain clinical predictive efficacy. Conclusion: The prevalence of early PSD in patients with ACI is relatively high. Homocysteine levels, NIHSS scores and ADL scores may be independent risk factors for PSD, and targeted clinical intervention should be implemented for the above factors.

Topics & Concepts

Depression (economics)MedicineStroke (engine)Cerebral infarctionInternal medicineCardiologyIschemiaEconomicsMechanical engineeringEngineeringMacroeconomicsStroke Rehabilitation and RecoveryNeurological Disease Mechanisms and TreatmentsAcute Ischemic Stroke Management