Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Analysing Post Stroke Depression (psd) Levels in Stroke Patients Using Zung Self-rating Depression Scale


Affiliations
1 MGM School of Physiotherapy,Vashi, Navi Mumbai, Maharashtra, India
2 Mumbai, Maharashtra, India
     

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Objectives: Post stroke Depression (PSD) is most common emotional disorder affecting stroke sufferers. This study is to find out the levels of depression in Stroke patients using Zung Self Rating Depression Scale and to find out if depression levels relates with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension&diabetes mellitus&side affected among patients who suffered stroke.

Method: 100 stroke patients who had suffered the attack minimum of 2 weeks back were included in this study. Their depression levels were analyzed on the basis of their response in Zung Self Rating Depression Scale. Chi square test was used to analyze the data with Pearson's correlation to relate depression levels with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension and diabetes mellitus&side affected in Stroke.

Results: Stroke survivors were found to have moderate (60-69) to severe scores(70&above) on Zung Self Rated Depression scale. Depression levels were found to be significantly higher in right sided stroke patients i.e. left hemispheric involvement (p<0.05). Gender, cause of stroke, number of arteries involved in ischemic stroke, presence of multiple risk factors did not have any significant effect on levels of depression in Stroke patients. 

Conclusion: Identification of PSD at an early stage is important for early intervention for the same to enhance outcomes of rehabilitative process of stroke patients, it should be understood that involvement of right side in stroke can cause higher levels of depression due to frontal lobe affection & impairment of activities of daily living with right side being the dominant side.


Keywords

Post Stroke Depression (PSD), Stroke, Zung Self Rating Depression Scale
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  • Anu Singh, Sandra E. Black, Nathan Herrmann, Farrell S. Leibovitch, Patricia L. Ebert, Joanne Lawrence and John P. Szalai. Functional and Neuroanatomic Correlations in Poststroke Depression: The Sunnybrook Stroke Study. Stroke, 2000, 31:637-644

  • B Agrell and O Dehlin. Comparison of six depression rating scales in geriatric stroke patients. Stroke 1989, 20:1190-1194

  • D Sinyor, P Amato, DG Kaloupek, R Becker, M Goldenberg and H Coopersmith. Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. Stroke 1986, 17:1102-1107

  • Francisco Javier Carod- Artal. Post-Stroke Depression: Can Prediction Help Prevention?: Psychological & Rehabilitation Interventions to Prevent PSD Future Neurology 2010, 5(4):569-580

  • Gaete, Jorge Moncayo, Bogousslavsky, Julien. Post Stroke Depression. Expert review of Neurotherapeutics, January 2008;Vol 8,Number 1:75-92

  • J T Biggs, L T Wylie , V E Ziegler. Validity of the Zung Self-rating Depression Scale. The British Journal of Psychiatry, 132: 381-385

  • Maree L. Hackett, Chaturangi Yapa, Varsha Parag, Craig S. Anderson. Frequency of Depression After Stroke:A Systematic Review of Observational Studies. Stroke,2005;36:1330-1340

  • RG Robinson, TR Price. Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke 1982, 13:635-641

  • Seiji Hama,Hidehisa Yamashita, Masaya Shigenobu, Atsuko Watanabe,Kaoru Kurisu Shigeto Yamawaki ,Tamotsu Kitaoka. Post-stroke affective or apathetic depression and lesion location: left frontal lobe and bilateral basal ganglia. Eur Arch Psychiatry Clin Neurosci, 2007;257:149–152

  • Susan B O’ Sullivan,Thomas J Schmitz. Physical Rehabilitation 5th edition, Jaypee Brothers Medical Publisher Ltd Page 724

  • Tarja Pohjasvaara, Antero Leppävuori, Irina Siira, Risto Vataja, Markku Kaste and Timo Erkinjuntti. Frequency and Clinical Determinants of Poststroke Depression. Stroke 1998, 29:2311-2317


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  • Analysing Post Stroke Depression (psd) Levels in Stroke Patients Using Zung Self-rating Depression Scale

Abstract Views: 561  |  PDF Views: 0

Authors

Meruna Bose
MGM School of Physiotherapy,Vashi, Navi Mumbai, Maharashtra, India
Pinal Shah
Mumbai, Maharashtra, India

Abstract


Objectives: Post stroke Depression (PSD) is most common emotional disorder affecting stroke sufferers. This study is to find out the levels of depression in Stroke patients using Zung Self Rating Depression Scale and to find out if depression levels relates with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension&diabetes mellitus&side affected among patients who suffered stroke.

Method: 100 stroke patients who had suffered the attack minimum of 2 weeks back were included in this study. Their depression levels were analyzed on the basis of their response in Zung Self Rating Depression Scale. Chi square test was used to analyze the data with Pearson's correlation to relate depression levels with gender, cause of stroke, number of arteries involved in ischemic stroke, presence of risk factors like hypertension and diabetes mellitus&side affected in Stroke.

Results: Stroke survivors were found to have moderate (60-69) to severe scores(70&above) on Zung Self Rated Depression scale. Depression levels were found to be significantly higher in right sided stroke patients i.e. left hemispheric involvement (p<0.05). Gender, cause of stroke, number of arteries involved in ischemic stroke, presence of multiple risk factors did not have any significant effect on levels of depression in Stroke patients. 

Conclusion: Identification of PSD at an early stage is important for early intervention for the same to enhance outcomes of rehabilitative process of stroke patients, it should be understood that involvement of right side in stroke can cause higher levels of depression due to frontal lobe affection & impairment of activities of daily living with right side being the dominant side.


Keywords


Post Stroke Depression (PSD), Stroke, Zung Self Rating Depression Scale

References