Level of depression & anxiety and its association with functional outcome for the patients with ischemic stroke

Abstract

Purpose: The purpose of the study was to identify the level of depression & anxiety and functional outcome with their association among ischemic stroke patients. Objectives: To identify the level of depression and anxiety after ischemic stroke. To explore the Socio-demographic information of the participants. To discover the functional outcome. To find out association of various socio-demographic characteristics with depression and anxiety after ischemic stroke. To detect association between post stroke depression and post stroke anxiety among ischemic stroke patients. To determine association of post stroke depression and post stroke anxiety with the functional outcome for ischemic stroke patients. Methodology: The study was conducted by using cross sectional method. Total 105 samples were selected conveniently for this study from Neurology unit of Physiotherapy Department, CRP, Savar. All data were collected through face-to face interview by using a semi-structured research question technique. Results: Among 105 participants 12% of the participants had moderately severe to severe depression and 23% of the respondents had moderate to severe anxiety after 3 months of having ischemic stroke. Functional outcome was measured by Modified Barthel Index (SHAH VERSION) indicates that 50% of the participants had moderate dependency, 24% of the participants were severe dependent and 4% with total dependency in doing day to day task. There have no associations of age & gender that with post-stroke depression and post-stroke anxiety found in the study. Significant association of post-stroke depression and post-stroke anxiety was found in the study. Post-stroke depression and post-stroke anxiety were found to be associated with functional outcome indicating that post-stroke depression and poststroke anxiety had negative impact on functional outcome during rehabilitation after 3 months following ischemic stroke. Conclusion: The results of the study suggest that depression and anxiety are commonly experienced after 3 months ischemic stroke and have a negative impact on patient’s functional outcome. Found association of poststroke depression and post-stroke anxiety expressing that post-stroke depression and post-stroke anxiety may share a similar pathophysiological mechanism. Assessment and intervention of post-stroke depression as well as post stroke anxiety following ischemic stroke may be useful for getting favorable functional outcomes. Key words: Ischemic Stroke, Depression, Anxiety, Functional outcome