Mood & Emotion (우울조울병)

Korean Society for Affective Disorders (대한우울조울병학회)
권호 표지

Prevalence and Risk Factors of Post-Stroke Depression

뇌졸중후우울증의 유병율 및 예측인자

  • Kang, Hee-Ju (Department of Psychiatry, Chonnam National University Medical School) ;
  • Bae, Kyung-Yeol (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Sung-Wan (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Jae-Min (Department of Psychiatry, Chonnam National University Medical School) ;
  • Shin, Il-Seon (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Joon-Tae (Department of Neurology, Chonnam National University Medical School) ;
  • Park, Man-Seok (Department of Neurology, Chonnam National University Medical School) ;
  • Cho, Ki-Hyun (Department of Neurology, Chonnam National University Medical School) ;
  • Yoon, Jin-Sang (Department of Psychiatry, Chonnam National University Medical School)
  • 강희주 (전남대학교 의과대학 정신과학교실) ;
  • 배경열 (전남대학교 의과대학 정신과학교실) ;
  • 김성완 (전남대학교 의과대학 정신과학교실) ;
  • 김재민 (전남대학교 의과대학 정신과학교실) ;
  • 신일선 (전남대학교 의과대학 정신과학교실) ;
  • 김준태 (전남대학교 의과대학 신경과학교실) ;
  • 박만석 (전남대학교 의과대학 신경과학교실) ;
  • 조기현 (전남대학교 의과대학 신경과학교실) ;
  • 윤진상 (전남대학교 의과대학 정신과학교실)
  • Received : 2011.03.02
  • Accepted : 2011.04.20
  • Published : 2011.06.30
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Abstract

Objectives : This study aimed to investigate the prevalence and risk factors of depression within two weeks after stroke. Methods : A total of 362 stroke patients were recruited. Depression (major and minor depressive disorders) was diagnosed by applying DSM-IV criteria. Data on socio-demographic characteristics (age, gender, education, marital state, living state, religion, occupation, income, life event, and social support), stroke severity (NIHSS), disability (BI), stroke hemisphere and location, vascular risk and disease, and previous history of stroke and depression were obtained. Results : Depression was present in 90 (24.9%) patients: major depression 29 (8%) and minor depression 61 (16.9%) patients. In the univariate analyses, depression was associated with older age, higher number of stressful life event, poorer social support, severe disability, anterior stroke location, previous history of stroke and depression. In the multivariate analyses, depression was independently associated with higher number of stressful life events and poorer social support. Conclusion : Depression was common and was determined by premorbid levels of stress and social support in stroke patients at acute stage. More intensive psychiatric care and intervention is needed for the high risk group.

Keywords

Acknowledgement

이 논문은 2009년도 정부(교육과학기술부)의 재원으로 한국연구재단의 지원을 받아 수행된 기초연구사업임(No. 2009-0087344).