Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/17658
Title: Reduction in retained activity participation is associated with depressive symptoms 3 months after mild stroke: An observational cohort study.
Authors: Tse, Tamara;Douglas, Jacinta;Lentin, Primrose;Lindén, Thomas;Churilov, Leonid;Ma, Henry;Davis, Stephen;Donnan, Geoffrey;Carey, Leeanne M
Institutional Author: START Research Team (www.START.csiro.au)
Affiliation: Occupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University
Neurorehabilitation and Recovery, Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Living with Disability Research Centre, School of Allied Health, La Trobe University, Bundoora, Victoria, Australia
Summer Foundation, Box Hill, Victoria, Australia
Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
Institute of Neuroscience and Physiology, Gothenburg University and Sahlgrenska University Hospital, Gothenburg, Sweden
Statistics and Decision Analysis, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Mathematical Sciences, School of Science, RMIT University, Melbourne, Victoria, Australia
Department of Medicine, Monash University, Stroke Unit, Monash Health, Clayton, Victoria, Australia
The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia
Department of Medicine, Melbourne Brain Centre, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia
Issue Date: 31-Jan-2017
Citation: Journal of rehabilitation medicine 2017; 49(2): 120-127
Abstract: To quantify the association of depressive symptoms with retained activity participation 3 months post-stroke, after adjusting for neurological stroke severity and age. A cross-sectional observational study of retained activity participation and depressive symptoms in stroke survivors with ischaemic stroke. One hundred stroke survivors with mild neurological stroke severity. One hundred stroke survivors were recruited from 5 metropolitan hospitals and reviewed at 3 months post-stroke using measures of activity participation, Activity Card Sort-Australia, and depressive symptoms, Montgomery-Asberg Depression Rating Scale Structured Interview Guide (MADRS-SIGMA). The median percentage of retained overall activity participation was 97%, (interquartile range 79-100%). Using multiple median regression, 1 point increase in the MADRS-SIGMA was associated with a median decrease of 0.7% (95% CI -1.4 to -0.1, p=0.02) of retained overall activity participation, assuming similar neurological stroke severity and age. The findings of this study establish the association of depressive symptoms with retained activity participation 3 months post-stroke in stroke survivors with mild neurological stroke severity. Clinical rehabilitation recommendations to enhance activity participation need to account for those with even mild depressive symptoms post-stroke.
URI: http://ahro.austin.org.au/austinjspui/handle/1/17658
DOI: 10.2340/16501977-2184
PubMed URL: 28121336
Type: Journal Article
Appears in Collections:Journal articles

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