Journal
JOURNAL OF REHABILITATION MEDICINE
Volume 49, Issue 2, Pages 120-127Publisher
FOUNDATION REHABILITATION INFORMATION
DOI: 10.2340/16501977-2184
Keywords
stroke; social participation; human activities; depression; recovery of function; rehabilitation
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Funding
- Commonwealth Scientific and Industrial Research Organization (CSIRO) of Australia
- Flagship Collaboration Fund through the Preventative Health Flagship
- James S. McDonnell Foundation 21st Century Science Initiative in Cognitive Rehabilitation-Collaborative Award [220020413]
- NHMRC Centre of Research Excellence in Stroke Rehabilitation and Brain Injury [APP1077898]
- Australian Research Council [FT0992299]
- La Trobe University Post Graduate Scholarship
- Florey student scholarship
- Australian Research Council [FT0992299] Funding Source: Australian Research Council
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Objective: To quantify the association of depressive symptoms with retained activity participation 3 months post-stroke, after adjusting for neurological stroke severity and age. Design: A cross-sectional observational study of retained activity participation and depressive symptoms in stroke survivors with ischaemic stroke. Participants: One hundred stroke survivors with mild neurological stroke severity. Methods: One hundred stroke survivors were recruited from 5 metropolitan hospitals and reviewed at 3 months post-stroke using measures of activity participation, Activity Card Sort-Australia, and depressive symptoms, Montgomery-Asberg Depression Rating Scale Structured Interview Guide (MADRS-SIGMA). Results: The median percentage of retained overall activity participation was 97%, (interquartile range 79-100%). Using multiple median regression, 1 point increase in the MADRS-SIGMA was associated with a median decrease of 0.7% (95% CI -1.4 to -0.1, p=0.02) of retained overall activity participation, assuming similar neurological stroke severity and age. Conclusion: The findings of this study establish the association of depressive symptoms with retained activity participation 3 months post-stroke in stroke survivors with mild neurological stroke severity. Clinical rehabilitation recommendations to enhance activity participation need to account for those with even mild depressive symptoms post-stroke.
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