Abstract

PREVALENCE OF DEPRESSION IN POST STROKE PATIENTS IN TUMKUR CITY AND NEAR BY VILLAGES, KARNATAKA, INDIA. A PATIENT COUNSELLING APPROACH

Mohammad Mustafa G.*, Asha Mol KM and Alen Rajesh

ABSTRACT

Background: PSD is a consequential complication and initial or late stages of remarkable manifestations of depression are described by about one-third of the stroke survivors. Several types of research reveal that besides the psychological stress, Neurobiological elements such as the site of infarct and Brain Atrophy may also be associated with Post-stroke depression (PSD). Aim: To determine the Prevalence of Post Stroke Depression in Tumkur City and Nearby Villages, Karnataka, India. Materials and Methods: A Prospective Cross-sectional study was carried out for 6 months among patients with stroke in Tumkur from September 2019 to February 2020. A total of 100 patients were included in the study as per the inclusion criteria. The PSD was assessed by using Beck’s Depression Inventory.The data were collected, analyzed, and interpreted using descriptive statistics. Result: In this Prospective Cross-sectional study a total of 100 Post Stroke patients involving 57 males and 43 females were analyzed during the study period of 6 months. The overall prevalence of PSD was 84% in this study. Out of 100 post-stroke patients, 57% were male and 43% were females. In our studies, males are more prone to develop a high risk of PSD. Our result shows that 50-60yrs of age group post-stroke patients have 56%of prevalence and 60-70yrs having 19%of prevalence. The age group of 71-80yrs and 81-90yrs having a prevalence of 18% and 7% respectively. In our study, we have selected 100 stroke patients among them 84 patients were assessed with PSD by using Beck’s depression scale. Among 84 post-stroke depressive patients, 26 patients were assessed with mild depression (30.95%).35patients were assessed with moderate depression (41.66%), and 13 patients with severe depression (15.47%). The rest of 10 patients were assessed with borderline depression (11.9%). Conclusion: The study concludes that there is an increased prevalence of depression after stroke and there is an urgent need to diagnose and prevent PSD in stroke patients. The prevalence of depression is positively associated with sociodemographic factors, behavioral factors, and life events.

Keywords: Depression, Prevalence, Stroke.