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Évolution clinique de la dépression post-accident vasculaire cérébral à Kinshasa

Version 2 2024-06-04, 06:23
Version 1 2019-05-17, 09:40
journal contribution
posted on 2024-06-04, 06:23 authored by M Mpembi Nkosi, S Mampunza Ma Miezi, V Massamba Kubuta, T Matonda Ma Nzuzi, V Dubois, M-P De Partz, A Peeters, J Macq, E Constant
Objectives To describe the evolution of the clinical profile of post-stroke depression over a period of one year and to determine factors associated with changes in post-stroke depression. Methods Prospective cohort study with a follow-up of 1 year including 30 consecutive eligible patients. The severity of depression was assessed with the patient health questionnaire (PHQ9). Results The mean age was 55.87 ± 12.67 years. Seventy percent of patients were men. The two assessments for neurological status, perceived health status and test results of attention were not statistically different. The rate of depressive symptoms was 26.67% in 2011 and 20% in 2012. Disability and apathy were significantly improved. The average for disability increased from 2.77 ± 1.19 to 2.46 ± 2.19 (P = 0.002). From 66.7% in 2011, the proportion of patients able to walk without assistance rose to 93.3% in 2012 (P = 0.03). In addition, the proportion of patients apathetic decreased from 43.3% to 13.3% (P = 0.01). Greater age, female sex, sleep disorders and post-stroke apathy remained associated with DPAVC between the two assessments, with an increase in the strength of the association for apathy. Conclusions The frequency of post-stroke depression is high and remains stable over time. Disability is the clinical feature that evolved more favorably. The association with apathy, present at the beginning, of the study was strengthened one year later.

History

Alternative title

Clinical course of post-stroke depression in Kinshasa

Journal

Revue neurologique

Volume

170

Pagination

614-620

Location

Amsterdam, The Netherlands

ISSN

0035-3787

eISSN

2213-0004

Language

French

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2014, Elsevier Masson SAS

Issue

10

Publisher

Elsevier