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Minerva Psichiatrica 2018 March;59(1):39-44

DOI: 10.23736/S0391-1772.17.01956-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Assessment of depression after stroke and its relation to brain lesion

Masoumeh NAZARINASAB 1, Azim MOTAMEDFAR 2 , Soroor NEAMATPOUR 3, Sajjad JAVADI 4

1 Department of Psychiatry, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; 2 Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; 3 Department of Psychiatry, School of Medicine, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; 4 Student of General Medicine, Department of Medicine, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


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BACKGROUND: Stroke is the third cause of mortality and the most common cause of neurological disorders among the elderly. Depression is one of the most common mental complications observed in stroke survivors. The present study was carried out to examine frequency of depression and its relationship with injury location and other risk factors because no study had been conducted in Ahvaz City.
METHODS: A total of 288 patients with stroke, who visited the neurology ward and clinic of Golestan Hospital of Ahvaz in 2014, were selected using the convenience sampling method. The samples were examined through a descriptive-analytical cross-sectional study. The brain injury location was identified through radiological attendance, and Beck’s Depression inventory was used to measure depression in the patients.
RESULTS: In this research, of the 288 patients with stroke who met the inclusion criteria 93 (32.3%), 70 (24.3%), 68 (23.6%), and 57 (19.8%) patients displayed moderate depression, mild depression, no depression, and severe depression, respectively. Research results showed a significant relationship between severity of depression and gender and post-stroke period (P<0.001). A significant relationship between severity of depression and injury location was observed in this research (P<0.001), and it was found that patients with left frontal lobe injuries were more severely depressed than other patients.
CONCLUSIONS: Based on the results of this research, it could be stated that prevalence of poststroke depression was significantly related to gender, marital status, poststroke survival period, and location of stroke (the right or left hemisphere).


KEY WORDS: Stroke - Depression - Adults - Brain

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