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SHORT COMMUNICATION Table of Contents   
Year : 2021  |  Volume : 46  |  Issue : 2  |  Page : 309-312
Depression among rural stroke survivors: A cross-sectional study


1 Department of Medicine, Government Medical College, Kozhikode, Kerala, India
2 Department of Medical Surgical Nursing, Nitte Usha Institute of Nursing Sciences, Constituent College of Nitte (Deemed to be University), Deralakattee, Karnataka, India
3 School of Nursing and Midwifery, Royal College of Surgeons in Ireland

Correspondence Address:
Dr. Fatima DSilva
Nitte Usha Institute of Nursing Sciences, Constituent College of Nitte (Deemed to be University), Kotekar Beeri Road, Paneer, Deralakattee - 575 018, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_875_20

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Background: Depression is a major neuropsychiatric complication of stroke. Poststroke depression (PSD) can lead to inadequate functional recovery, social withdrawal, poor quality of life, and suicidal ideations. Objective: The study explored the PSD among stroke survivors. Materials and Methods: A cross-sectional survey was conducted among 151, purposively selected rural stroke survivors of Kozhikode district, Kerala, India. Patient health questionnaire-9 (PHQ-9) was used to assess PSD. Results: The age of participants ranged from 28 to 80 years with a mean (standard deviation) age of 64.58 (10.3) years. The majorities of the participants were males (53.6%), had an ischemic stroke (76.2%), and had left-sided brain lesions (75.5%). The median (interquartile range) depression scores on PHQ-9 were 9 (12–6). Most of the participants had either mild (47%), moderate (21.2%), or moderately severe depression (11.9%). Low energy, sleep disturbances, low self-esteem, and anhedonia were the common depressive symptoms experienced by the stroke survivors. Conclusions: High prevalence of undiagnosed depression remains as a significant challenge to primary care.


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