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Poststroke Depression Correlates with Cognitive Impairment

Year 2008, Volume: 15 Issue: 4, 271 - 274, 01.08.2008

Abstract

Purpose: To compare the relation between depression and cognitive function in stroke cases having at least 3 months disease durationand first stroke . Methods:We evaluated 70 patients after the third months poststroke period. In these cases, in order to evaluate depression degree, Beck Depression Invantory (BDD), cognitive function Mini Mental State Examination (MMDÖ), functional situation Functional Independence Measurement (FBÖ) and stroke severity NIH measurement were used. Results: Depression was diagnosed in 8.6% of the patients at 3 months after the stroke. There was a statistically significant difference between the depressive and nondepressive groups in respect to the assessments of MMDÖ and FBÖ (p<0.05). There was an association between poststroke depression and cognitive impairment (r= -0.276, p<0.05). Conclusions: Depression is common in patients with stroke having no mental problems before the stroke and is related to cognitive impairment. Key words: Stroke, Cognition, Depression

References

  • Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi 1989;7(23):3-13.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B. Adaptation of the functional independence measure for use in Turkey. Clinical Rehabilitation 2001;15:311-9.
  • Brott T, Adams HP, Olinger CP ve ark. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1999; 20:864-70.
  • Aström M, Adolfsson R, Asplund K. Major depression in stroke patients. Stroke 1993; 24:976-82.
  • Burwill PW, Jouhnson GA, Chakera TM, Anderson CS. The place of site of lesion in the aetiology of poststroke depression. Cerebro Vasc Dis 1996; 6:208-15.
  • Pohjasvaara T, Leppavuori A, Siira I, Kaste M. Frequency and clinical determinants of post stroke depression. Stroke 1998; 29:2311-7.
  • Robinson RG, Bolduc PL, Price TR. A two year longitudinal study of poststroke mood disorders. Stroke 1987; 837-43.
  • Tatemichi TK, Desmond DW, Stern Y, Paik M. Cognitive impairment after stroke. J Neurol Neurosurg Psych 1994; 57:202-7.
  • Veiel HO. A preliminary profile of neuropsychological deficits associated with major depression. J Clin Exp Neuropsychol 1997; 19:587-603.
  • Austin MP, Ross M, Murray C. Cognitive function in major depression. J Affect Disord 1992; 25:21-30.
  • Rasquin S, Lodder J, Verhey F. The association between psychiatric and cognitive symptoms after stroke. Cerebrovas Dis 2005; 19:309-16.
  • Nys GMS, van Zandvoort MJE, van de Worp HB. Early cognitive impairment predicts long-term depressive symptoms and a reduced quality of life after stroke. J Neurol Sci 2006; 247:149-56.
  • Parikh RM, Lipsey JR, Robinson RG. Two-year longitudinal study of post stroke mood disorders. Stroke 1987; 18:579-84.
  • Robinson RG, Bolla-Wilson K, Kaplan E. Depression influences intellectuel impairment in stroke patients. Br J Psychiatry 1986; 148: 541-7.
  • Feher EP, Mahurin RK, Doody RS, Cooke N. Establishing the limits of the Mini Mental State Examination of subtests. Arch Neurol 1992;49: 87-92.
  • Chemerinski E, Robinson R, Kosier JT. Improved recovery in activities of daily living in associated with remission of post stroke depression. Stroke 2001; 32:113-7.
  • Van de Weg FB, Kuik DJ. Poststroke depression and functional outcome. Clin Rehab 1999; 13:268-72.
  • Fruehwald S, Loffler H, Eher R. Relationship between depression, anxiety and quality of life. Psychopat 2001; 34:50-6.
  • Hosking S, Marsh N, Friedman P. Depression at 3 months poststroke in the elderly. Neuropsych&Cogn 2000; 7:205-16.
  • Kotila M, Numminen H, Waltimo O, Kaste M. Depression after stroke. Stroke 1998; 29:368-72.

İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir

Year 2008, Volume: 15 Issue: 4, 271 - 274, 01.08.2008

Abstract

Amaç: İlk kez inme geçiren ve en az 3 ay hastalık süresi olan inme'li olgularda, depresyon ve kognitif fonksiyon arasındaki ilişkiyi karşılaştırmaktır. Metodlar: İnme sonrası 3. ayda, 70 hasta değerlendirmeye alınmıştır.Olgularda, depresyon derecesi Beck Depresyon Değerlendirmesi (BDD), kognitif fonksiyon Mini Mental Durum Ölçeği (MMDÖ), fonksiyonel durum Fonksiyonel Bağımsızlık Ölçeği (FBÖ) ve inme şiddeti NIH ölçeği kullanılarak değerlendirilmiştir. Bulgular:Hastaların %8.6'da depresyon belirlenmiştir. Depresyon olan ve depresyon olmayan gruplar arasında, MMDÖ ve FBÖ değerlendirmeleri açısından istatistiksel olarak fark vardır (p<0.05). Depresyon ve kognitif fonksiyon arasında bir ilişki bulunmuştur (r= -0.276, p<0.05). Sonuç:İnme öncesi mental problemi olmayan, inmeli hastalarda depresyon yaygındır ve kognitif bozuklukla ilişkilidir. Anahtar kelimeler: İnme, Kognitif, Depresyon

References

  • Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi 1989;7(23):3-13.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B. Adaptation of the functional independence measure for use in Turkey. Clinical Rehabilitation 2001;15:311-9.
  • Brott T, Adams HP, Olinger CP ve ark. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1999; 20:864-70.
  • Aström M, Adolfsson R, Asplund K. Major depression in stroke patients. Stroke 1993; 24:976-82.
  • Burwill PW, Jouhnson GA, Chakera TM, Anderson CS. The place of site of lesion in the aetiology of poststroke depression. Cerebro Vasc Dis 1996; 6:208-15.
  • Pohjasvaara T, Leppavuori A, Siira I, Kaste M. Frequency and clinical determinants of post stroke depression. Stroke 1998; 29:2311-7.
  • Robinson RG, Bolduc PL, Price TR. A two year longitudinal study of poststroke mood disorders. Stroke 1987; 837-43.
  • Tatemichi TK, Desmond DW, Stern Y, Paik M. Cognitive impairment after stroke. J Neurol Neurosurg Psych 1994; 57:202-7.
  • Veiel HO. A preliminary profile of neuropsychological deficits associated with major depression. J Clin Exp Neuropsychol 1997; 19:587-603.
  • Austin MP, Ross M, Murray C. Cognitive function in major depression. J Affect Disord 1992; 25:21-30.
  • Rasquin S, Lodder J, Verhey F. The association between psychiatric and cognitive symptoms after stroke. Cerebrovas Dis 2005; 19:309-16.
  • Nys GMS, van Zandvoort MJE, van de Worp HB. Early cognitive impairment predicts long-term depressive symptoms and a reduced quality of life after stroke. J Neurol Sci 2006; 247:149-56.
  • Parikh RM, Lipsey JR, Robinson RG. Two-year longitudinal study of post stroke mood disorders. Stroke 1987; 18:579-84.
  • Robinson RG, Bolla-Wilson K, Kaplan E. Depression influences intellectuel impairment in stroke patients. Br J Psychiatry 1986; 148: 541-7.
  • Feher EP, Mahurin RK, Doody RS, Cooke N. Establishing the limits of the Mini Mental State Examination of subtests. Arch Neurol 1992;49: 87-92.
  • Chemerinski E, Robinson R, Kosier JT. Improved recovery in activities of daily living in associated with remission of post stroke depression. Stroke 2001; 32:113-7.
  • Van de Weg FB, Kuik DJ. Poststroke depression and functional outcome. Clin Rehab 1999; 13:268-72.
  • Fruehwald S, Loffler H, Eher R. Relationship between depression, anxiety and quality of life. Psychopat 2001; 34:50-6.
  • Hosking S, Marsh N, Friedman P. Depression at 3 months poststroke in the elderly. Neuropsych&Cogn 2000; 7:205-16.
  • Kotila M, Numminen H, Waltimo O, Kaste M. Depression after stroke. Stroke 1998; 29:368-72.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ferhan Soyuer This is me

Füsun Erdoğan This is me

Ahmet Öztürk This is me

Publication Date August 1, 2008
Published in Issue Year 2008 Volume: 15 Issue: 4

Cite

APA Soyuer, F., Erdoğan, F., & Öztürk, A. (2008). İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir. Journal of Turgut Ozal Medical Center, 15(4), 271-274.
AMA Soyuer F, Erdoğan F, Öztürk A. İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir. J Turgut Ozal Med Cent. August 2008;15(4):271-274.
Chicago Soyuer, Ferhan, Füsun Erdoğan, and Ahmet Öztürk. “İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir”. Journal of Turgut Ozal Medical Center 15, no. 4 (August 2008): 271-74.
EndNote Soyuer F, Erdoğan F, Öztürk A (August 1, 2008) İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir. Journal of Turgut Ozal Medical Center 15 4 271–274.
IEEE F. Soyuer, F. Erdoğan, and A. Öztürk, “İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir”, J Turgut Ozal Med Cent, vol. 15, no. 4, pp. 271–274, 2008.
ISNAD Soyuer, Ferhan et al. “İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir”. Journal of Turgut Ozal Medical Center 15/4 (August 2008), 271-274.
JAMA Soyuer F, Erdoğan F, Öztürk A. İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir. J Turgut Ozal Med Cent. 2008;15:271–274.
MLA Soyuer, Ferhan et al. “İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir”. Journal of Turgut Ozal Medical Center, vol. 15, no. 4, 2008, pp. 271-4.
Vancouver Soyuer F, Erdoğan F, Öztürk A. İnme Sonrası Depresyon Kognitif Bozuklukla İlişkilidir. J Turgut Ozal Med Cent. 2008;15(4):271-4.