مطالعه ارتباط عوامل خطر ساز با شیوع افسردگی متعاقب سکته مغزی

Background and purpose: Post stroke depression is one of the common emotional disorders affecting stroke survivors. Stroke is one of neurological diseases and is a public health problem. The purpose of this study was to investigate the relationship of possible risk factors in prevalence of post stroke depression. Material and Methods: This descriptive study was performed using relevant sampling method on 116 inpatient ischemic stroke admitted in neurology department of Boali Sina hospital in Sari. The diagnosis of brain ischemic stroke was made based on the clinical findings of a neurologist and confirmed by Brain.C.T.S and M.R.I. Frequency of depression was determined using DSM IV criteria and HADS inquiry. The risk factors were recorded after being confirmed by a physician based on paraclinical testes along with demographic information. Data was analyzed applying Chi Square and logistic regression in SPSS V.16. Results: Finding revealed that 47.4% of the patients suffered post stroke depression. Frequency of depression was significantly higher in women (29.3%) compared to that in men which was (18.1%). There was no significant relation between depression and age and educational level. But we found a significant correlation between post stroke depression and gender, diabetes mellitus, and hypertension. Conclusion: This study showed a high incidence of depression after stroke which is found to be more prominent among women. There is a significant correlation between depression and sex, diabetes, and hypertension. Early diagnosis and proper interventions can help in decreasing the rate of post stroke depression especially in women, hence, the quality of life and expectancy of life will increase in these patients.