Abstract Details

Title Depression after the first stroke not only in the affected patients but also in their caregivers

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P7 - Poster Session 7 (8:00 AM-9:00 AM)

Poster/Presentation
Number 13-005

Objective To assess the prevalence of depression in both stroke survivors and their caregivers and to illustrate risk factors which make them at higher risk.

Background Depression is the most common neuropsychiatric complication after stroke. Caregivers are susceptible to increased social and emotional burdens and are at high risk for depression.

Design/Methods A prospective study of 108 patient-caregiver dyads after the first stroke. Demographic data, clinical characteristics and other relevant variables were collected. Outcome after one month was represented by modified Rankin (mRS) and Barthel Index (BI). Patients and caregivers were screened for depression on admission and after one month using the self-reported PHQ-9 questionnaire. Changes in prevalence and severity of depression were reported. Logistic regression analysis was used to evaluate for significant predictors of depression in both groups.

Results A total of 88 patients responded to both screenings, while 101 and 96 caregivers responded to the first and second screenings, respectively. Depression was reported by 9.09% and 23.87% of patients on admission and after one month, while the prevalence among caregivers was 8.91% and 15.62%, respectively. The increase in the numerical continuous variable for caregiver PHQ9 scores was significant (p0.022). Significant predictors of patient PSD were the length of hospitalization (P0.048) and caregiver depression(P0.034). Predictors of caregiver depression were female caregiver gender (p0.033), higher mRS scores after one month (P0.004), higher initial NIHSS scores (P0.032), and caring for patients with post-stroke depression(P0.02).

Conclusions Both stroke survivors and their caregivers have a high risk for depression after the first stroke.
Early recognition of this complication is important to improve outcomes and facilitate rehabilitation.

Authors/Disclosures
Majdi Al Qawasmeh PRESENTER	No disclosure on file
Mays Khweileh, Jr., MD	Dr. Khweileh has nothing to disclose.
Belal A. Aldabbour, MD (Islamic University of Gaza)	Dr. Aldabbour has nothing to disclose.
Ahmed M. Yassin, MD (Jordan University of Science and Technology)	Dr. Yassin has nothing to disclose.
Khalid I. El-Salem, MD, FAAN (Jordan University of Science and Technology)	Dr. El-Salem has nothing to disclose.

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