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(Stroke. 1997;28:1126-1129.)
© 1997 American Heart Association, Inc.
Articles |
Poststroke Depression Among the Chinese Elderly in a Rural Community
From the Neurological Institute, Veterans General Hospital–Taipei, and the Department of Neurology, National Yang-Ming University School of Medicine (J.-L.F., H.-C.L., S.-J.W., P.-N.W.), and the Department of Psychiatry, Chang-Gung Medical College, and Chang-Gung Memorial Hospital (C.-Y.L.), Taipei, Taiwan.
Background and Purpose A door-to-door survey was conducted in two townships in the Kinmen islets to investigate the prevalence and other characteristics related to depressive disorders of stroke survivors in an elderly Chinese population.
Methods Our target population comprised the registered
residents 
65 years old (n=2056) of a total population of 26 105 on
August 1, 1993. All participants answered a questionnaire, filled in a
Geriatric Depression Scale–short form (GDS-S), and received a
neurological examination. Depression was defined as a GDS-S score
5.
Results Twenty-eight of 45 stroke survivors (62.2%) and 491 of 1471 nonstroke subjects (33.4%) were classified as depressed. The frequency of stroke survivors' depressive disorders was significantly higher that of nonstroke subjects (P<.001). Multiple regression analysis indicated that GDS-S scores were most related with the activities of daily living (R2=.19, P=.004) in the stroke survivors.
Conclusions Depressed mood was common after stroke, and activities of daily living were an important factor for depression in stroke survivors in the community.
Key Words: activities of daily living • Chinese • depression • elderly
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