並列タイトル等脳卒中発症2週間における脳卒中後うつに関係する要因について
タイトル（掲載誌）British Journal of Occupational Therapy
授与機関名Nagasaki University (長崎大学)
一般注記Introduction: This study aimed to clarify factors associated with post-stroke depression in patients with acute stroke within 2 weeks of onset. Method: Eighty-eight patients with stroke were divided into post-stroke depression (n?=?49) and non-post-stroke depression (n?=?39) groups based on their Hamilton Depression Rating Scale scores. We evaluated stroke severity, upper limb function, activities of daily living, frontal lobe/cognitive function, and level of apathy. Activity levels were measured using an ActiGraph GT9X Link system. Mann?Whitney U-tests were used to determine differences between the two groups. Spearman’s rank correlation and logistic regression analyses were also performed. Results: The post-stroke depression and non-post-stroke depression groups exhibited significant differences in National Institutes of Health Stroke Scale scores at admission and discharge; Functional Independence Measure exercise items, cognitive items, and total items at admission; Fugl-Meyer Assessment scores; and Apathy Rating Scale scores. Logistic regression indicated that Fugl-Meyer Assessment scores were associated with post-stroke depression. Conclusion: Stroke severity, paralysis, and physical function/activities of daily living ability are associated with post-stroke depression in the acute phase. Our findings suggest that increases in physical impairment severity are associated with increased post-stroke depression risks. Rehabilitation professionals should focus on identifying post-stroke depression in early post-stroke stages.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1280号 学位授与年月日:令和2年9月2日
Author: Wataru Mitsunaga, Toshio Higashi, Takefumi Moriuchi, Masahiko Koyanagi, Yuuichirou Honda, Minoru Okita, Sumihisa Honda, Youhei Tateishi, Hirokazu Shiraishi, Akira Tsujino
Citation: British Journal of Occupational Therapy, 84(1), pp.15-21; 2021
identifier:Nagasaki University (長崎大学), 博士(医学) (2020-09-02)
http://hdl.handle.net/10069/40351
DOIinfo:doi/10.1177/0308022620936865
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受理日（W3CDTF）2020-10-06T21:18:06+09:00
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