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首页> 外文期刊>Indian journal of psychiatry >Characteristics and correlates of poststroke depression: An Indian study
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Characteristics and correlates of poststroke depression: An Indian study

机译：脑卒中后抑郁的特征和相关性：一项印度研究

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Background: Post stroke depression adversely affects long term outcome of stroke and increases mortality risk. Few studies have looked into the comprehensive picture of post stroke depression in past. Aim: The current study aimed to look into the phenomenology, characteristic features and various correlates of post stroke depression. Method: 142 consecutive stroke patients aged 60 years or above, fulfilling the inclusion criteria were assessed. Sociodemographic and clinical data were gathered using a specially designed pro-forma. Depression, apathy and psychosis were assessed by Post stroke depression rating scale, Apathy Evaluation Scale, and Brief Psychiatric Rating Scale respectively. Groups (with or without major depression) were compared using Mann-Whitney U, chi square or Fisher's exact test. One way ANOVA was conducted to see the relations of lesion location and laterality with various clinical parameters. Kaplan-Meier survival analysis was done to see the time to develop depression. The effect sizes were reported as r and partial eta squared. Results: Guilt was significantly higher (pppr=.692). Mean time to develop depression after stroke was 28.34 (95% CI 22.37 to 34.31) months. Conclusions: Post stroke depression consists of various clinically important sub-components whose occurrence varies with different lesion locations. Post stroke depression is discriminable from apathy but is related to psychosis.
机译：背景：中风后抑郁症会严重影响中风的长期结果，并增加死亡风险。过去很少有研究调查过中风后抑郁的综合情况。目的：本研究旨在研究卒中后抑郁症的现象学，特征和各种相关因素。方法：对142名年龄≥60岁且符合纳入标准的中风患者进行评估。使用特殊设计的形式收集社会人口统计学和临床​​数据。抑郁，冷漠和精神病分别通过中风后抑郁抑郁量表，冷漠评估量表和简短精神病学量表进行评估。使用Mann-Whitney U，卡方或Fisher精确检验比较两组（有或没有严重抑郁症）。进行方差分析的一种方法是查看病变位置和侧向与各种临床参数之间的关系。进行了Kaplan-Meier生存分析，以了解出现抑郁的时间。效应大小报告为r和部分eta平方。结果：内was感明显更高（pppr = .692）。中风后出现抑郁的平均时间为28.34（95％CI为22.37至34.31）个月。结论：中风后抑郁症由各种临床上重要的子成分组成，其发生因病变部位而异。中风后抑郁症可与冷漠相区别，但与精神病有关。

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