Deans' stroke musings: Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 12, 2013

Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity

Big Whoopee.
Survey research!!! A much better use of time and brainpower would be to solve the spasticity problem, not just write papers on how it affects patients and caregivers. A great stroke association would never sponsor such lazy research.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67139&phrase=no&rec=122734
Archives of Physical Medicine and Rehabilitation , Volume 94(9) , Pgs. 1731-1736.

NARIC Accession Number: J67139. What's this?
ISSN: 0003-9993.
Author(s): Denno, Melissa S.; Gillard, Patrick J.; Graham, Glenn D.; DiBonaventura, Marco D.; Goren, Amir; Varon, Sepi F.; Zorowitz, Richard.
Publication Year: 2013.
Number of Pages: 6.
Abstract: Study investigated the relationship between anxiety/depression and caregiver burden in informal caregivers of stroke survivors with spasticity. Data were collected via online surveys from 153 informal caregivers 18 years or older who cared for stroke survivors. Anxiety and depression were self-reported by the caregiver as a physician diagnosis. Depression severity was measured by the Patient Health Questionnaire-9 (PHQ-9). Caregiver burden was measured by the Oberst Caregiving Burden Scale (OCBS) and the Bakas Caregiving Outcomes Scale (BCOS). Logistic regression analyses were conducted with anxiety, depression, and the PHQ-9 depression severity categories as a result of each caregiver burden scale. Results showed that for every 1-point increase in the OCBS Difficulty Scale, the odds of anxiety or depression were 2.57 times as great and 1.88 times as great, respectively. The odds of PHQ-9 severe depression versus all other categories combined were 2.48 times as great. For every 1-point decrease in the BCOS, the odds of anxiety or depression were 2.43 times as great and 2.27 times as great, respectively. The odds of PHQ-9 severe depression versus all other categories combined were 4.55 times as great. The findings suggest that as caregiver burden increases, caregivers are more likely to have anxiety and depression. Depression severity also increases. Providing treatment to stroke survivors with spasticity that lessens the time and the difficulty of caregiving may lead to a reduction in caregiver anxiety and depression.
Descriptor Terms: ANXIETY DISORDERS, CAREGIVERS, DEPRESSION, SPASTICITY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.