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Stroke, Vol 17, 1102-1107, Copyright © 1986 by American Heart Association
D Sinyor, P Amato, DG Kaloupek, R Becker, M Goldenberg and H Coopersmith
This study examined the phenomenon of post-stroke depression and evaluated
its impact on rehabilitation outcome. Sixty-four patients presenting to a
rehabilitation program within weeks of first stroke were evaluated for
depression through self-report measures and staff ratings. Patients also
rated the particular coping strategies which they used in dealing with
their illness and hospital stay. Physical and occupational therapists
provided measures of functional impairment at admission and discharge. A
high (47%) prevalence of depression was found in this population, with no
overall differences observed between patients with right or left hemisphere
lesions. Depressed patients, in comparison to non-depressed, evidenced
greater functional impairment at both admission and discharge. However,
both groups showed similar gains over the course of rehabilitation. Coping
strategies employed by depressed patients appeared to reflect a lower level
of participation in the rehabilitation process. A subgroup of patients
evaluated 6 weeks after discharge revealed that depression was associated
with a worsening on one measure of functional status. These findings
indicate that depression is a frequent companion of stroke, that it is
associated with degree of functional impairment, and that it may exert a
negative impact on the rehabilitation process and outcome.
ARTICLES
Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome
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