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Research Paper | Neurology | Cambodia | Volume 13 Issue 6, June 2024 | Popularity: 4.8 / 10

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Prevalence and Predictors of Anxiety and Depression One Month After First-Ever Ischemic Stroke: A Prospective Study

Navuddh Oam, Kakada Bin, Kimeach Kong, Samith Sourn, Navuth Chum

Abstract: Depression and anxiety following a stroke can have a detrimental impact on patient outcomes; however, healthcare providers may sometimes fail to recognize these conditions as they primarily focus on the physical impairments of stroke survivors in the immediate aftermath of an episode. This research aimed to examine the frequency and determinants of depression, anxiety, or both together one month after an ischemic stroke by conducting a prospective cross-sectional study on a group of 95 patients who were hospitalized due to acute ischemic stroke at the Department of Neurology, Khmer Soviet Friendship Hospital, Cambodia and then monitored for a month. Data were collected by interviews using a series of structured questionnaires in addition to clinical data retrieved from patients? medical records. To identify predictors of depression, anxiety, and anxiety after stroke, we initially conduct a series of univariate logistic analyses for each independent variable. We then selected variables with p <0.10 in bivariate logistic analyses and included them in the multivariate logistic regressions. The study, involving 95 ischemic stroke patients, revealed that 29.5% were male while 70.5% were female. Out of the participants, 33.6% experienced anxiety, 31.5% were identified as depressed, and 32.6% had both depression and anxiety concurrently. Using a multiple logistic regression analysis, we identified anxiety as a predictor of depression; depression as a predictor of anxiety; and female sex, headaches, and swallowing difficulty as predictors of the comorbidity of depression and anxiety. It was concluded that periodical screenings for poststroke anxiety and depression from an early stage in a hospital to years after stroke in a community are recommended to provide better chances for early identification of patients at risk because anxiety and depression may manifest at any stage of recovery.

Keywords: depression, anxiety, stroke, poststroke

Edition: Volume 13 Issue 6, June 2024

Pages: 709 - 713

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