Resumo
Background: We aimed to determine the association between the neuro-radiological characteristics of stroke lesions and post-stroke major depression among survivors in Ibadan, Nigeria. This is in the background of a paucity of information on the clinico-pathological correlation of post-stroke emotional responses among African Survivors.
Method: We studied 30 stroke survivors receiving physiotherapy. The radiological characteristics of the stroke lesions were documented using computerized tomography or magnetic resonance imaging scans in the acute phase of the stroke. While the presence of major depressive disorder meeting criteria in the fourth edition of the Diagnostic and Statistical Manual was assessed using the Schedule for Clinical Assessment in Neuropsychiatry (SCAN), between 3 months and 2 years after. The association between lesion characteristics and depression was explored using logistic regression analysis.
Result: Nine (30.0%) stroke survivors met criteria for major depressive disorder. There were significant differences in their gender. The differences in the lesion types approached the set level of significance in survivors with or without major depressive disorder. There were however no differences when considering hemispheric lateralization or intra-hemispheric lesion location. Being female, but not the lesion characteristics was strongly associated with post-stroke major depressive disorder
Conclusion: Lesion characteristics documented in the acute phase of stroke could not predict the occurrence of major depressive disorder during rehabilitation in this sample. The occurrence of depression among stroke survivors may ultimately be determined by a combination of factors.
Keywords: Stroke lesions, post-stroke, survivors, depression
Résumé
Contexte : Nous visant à déterminer l’association entre la neuro-radiologiques caractéristiques de course et les lésions post-course dépression majeure parmi les rescapés à Ibadan, Nigéria. C’est dans le contexte de la pénurie d’informations sur la clinique-pathologiques de corrélation post-course réponses émotionnelles africains parmi les survivants.
Méthode : Nous avons étudié 30 course survivants reçoivent la physiothérapie. Les caractéristiques radiologiques de l’accident vasculaire cérébral lésions ont été documentées par tomodensitométrie ou l’imagerie par résonance magnétique numérise dans la phase aiguë de l’accident vasculaire cérébral. Tandis que la présence de troubles dépressifs majeurs répondant aux critères de la quatrième édition du Manuel diagnostique et statistique a été évaluée à l’aide du calendrier d’évaluation clinique de neuropsychiatrie, entre 3 mois et 2 ans après. L’association entre lésion caractéristiques et la dépression a été exploré moyen d’analyses de régression logistique.
Résultat: Neuf ( 30,0 %) course survivants répondait aux critères de trouble dépressif majeur. Lere eu des différences importantes dans leur sexe. Les différences dans la lésion types approchés du jeu au niveau de signification de survivants avec ou sans troubles dépressifs majeurs. Il n’y avait cependant pas de différences lorsque l’on examine l’hémisphère lateralization ou intra-hémisphérique emplacement de la lésion. Étant des filles, mais pas les caractéristiques de la lésion a été fortement associé avec post-course trouble dépressif majeur
Conclusion: lésion caractéristiques documentées dans la phase aiguë de la course ne pouvait prédire l’apparition de troubles dépressifs majeurs au cours de la période de réadaptation dans cet échantillon. L’apparition de la dépression chez course survivants peuvent, en fin de compte, déterminé par une combinaison de facteurs
Correspondence: Dr. Akin Ojagbemi, Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: drakinjagbemi@yahoo.com
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