A cross-sectional study on clinical correlates of post-stroke depression in a tertiary health-care system of India

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dc.contributor.authorSamantray, Sen_US
dc.contributor.authorSahoo, SKen_US
dc.contributor.authorMohapatra, H.en_US
dc.date.accessioned2023-08-19T04:57:23Z
dc.date.available2023-08-19T04:57:23Z
dc.date.issued2022-03
dc.description.abstractObjectives: The aim of our study is to determine the relation of the type of stroke and site of lesion and medical comorbidities such as diabetes and hypertension with the severity of depression, HAM-D scores as well as age and gender of these patients. Materials and Methods: The present study was a hospital-based cross-sectional study conducted over 2 months that included 61 patients from neurology OPD of IMS and SUM Hospital, Bhubaneswar. Purposive sampling was done. The patients fulfilling the inclusion and exclusion criteria were first assessed using a semi-structured questionnaire to obtain the sociodemographic data. Clinical psychiatric evaluation and detailed mental state examination were done. Based on the clinical findings and using ICD 10-DCR criteria, the 61 patients with CVA were segregated as depressive and non-depressive categories. HAM-A and HAM-D scales were applied on both the groups. MRI findings done at the time of the attack were obtained. Further research is needed to identify the mechanisms of depression and why antidepressants lead to improved physical and cognitive recovery and decreased mortality. Results: Age of onset, gender, type of stroke and hemispherical involvement do not show any correlation with PSD. However, we found that the HAM-D scores were much higher in PSD patients with lacunar lesions as compared to non-depressive post stroke patients. Conclusion: Lacunar lesions may be involved in the psychopathology of depressive illness among stroke survivors. This could help us predict the occurrence of depressive illness among stroke patients with lacunar lesions. HAM-D and HAM-A may be used to detect anxiety and depressive symptoms among these patients.en_US
dc.identifier.affiliationsDepartment of Psychiatry, IMS and Sum Hospital, SOA Deemed to be University, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Neurology, IMS and Sum Hospital, SOA Deemed to be University, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.citationSamantray S, Sahoo SK, Mohapatra H.. A cross-sectional study on clinical correlates of post-stroke depression in a tertiary health-care system of India. Indian Journal of Physiology and Pharmacology. 2022 Mar; 66(1): 62-69en_US
dc.identifier.issn0019-5499
dc.identifier.issn2582-2799
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223992
dc.languageenen_US
dc.publisherScientific Scholar on behalf of Association of Physiologists and Pharmacologists of Indiaen_US
dc.relation.issuenumber1en_US
dc.relation.volume66en_US
dc.source.urihttps://doi.org/10.25259/IJPP_394_2021en_US
dc.subjectPost-stroke depressionen_US
dc.subjectMRIen_US
dc.subjectPrevalenceen_US
dc.subjectDiagnosisen_US
dc.subjectMortalityen_US
dc.titleA cross-sectional study on clinical correlates of post-stroke depression in a tertiary health-care system of Indiaen_US
dc.typeJournal Articleen_US
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