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Post-stroke depression and post-stroke anxiety: prevalence and predictors

Published online by Cambridge University Press:  16 July 2015

Henning Schöttke  and
Claire-Marie Giabbiconi
Henning Schöttke
Affiliation:
Institute of Psychology, Osnabrück University, Knollstr. 15, 49069 Osnabrück, Germany
Claire-Marie Giabbiconi*
Affiliation:
Institute of Psychology, Osnabrück University, Knollstr. 15, 49069 Osnabrück, Germany
*
Correspondence should be addressed to: Dr. Claire-Marie Giabbiconi, Institute of Psychology, Osnabrück University, Knollstr. 15, D-49069 Osnabrück, Germany. Phone: +49-(0)541 969-6290; Fax: +49-(0)541 969-4028. E-mail: cgiabbic@uos.de.
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Abstract

Background:

Epidemiological research on post-stroke affective disorders has been mainly focusing on post-stroke depression (PSD). In contrast, research on post-stroke anxiety (PSA) is in its early stages. The present study proposes a broad picture on post-stroke affective disorders, including PSD and PSA in German stroke in-patients during rehabilitation. In addition, we investigated whether lifetime affective disorders predict the emergence of PSD and PSA.

Methods:

289 stroke patients were assessed in the early weeks following stroke for a range of mood and anxiety disorders by means of the Structured Clinical Interview relying on the Diagnostic and Statistical Manual of Mental Disorders IV. This assessment was conducted for two periods: for post-stroke and retroactively for the period preceding stroke (lifetime). The covariation between PSD and PSA was investigated using Spearman-ρ correlation. Predictors of PSD and PSA prevalence based on the respective lifetime prevalence were investigated using logistic regression analyses.

Results:

PSD prevalence was 31.1%, PSA prevalence was 20.4%. We also found significant correlations between depression and anxiety at post-stroke and for the lifetime period. Interestingly, lifetime depression could not predict the emergence of PSD. In contrast, lifetime anxiety was a good predictor of PSA.

Conclusions:

We were able to highlight the complexity of post-stroke affective disorders by strengthening the comorbidity of depression and anxiety. In addition, we contrasted the predictability of PSA based on its lifetime history compared to PSD which was not predictable based on lifetime depression.

Keywords

strokepost-stroke depressionpost-stroke anxietypost-stroke prevalencelifetime prevalencecomorbidity
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Issue 11 , November 2015 , pp. 1805 - 1812
Copyright
Copyright © International Psychogeriatric Association 2015 

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