https://europepmc.org/abstract/med/30238233
1 ,
Abstract
Depressiveness is a known and common problem after stroke, which puts a
great burden on those affected. The main goal for stroke rehabilitation
is to achieve the maximum possible self-determination and participation
in the community. This research study examined how depressive symptoms
influence the course of participation in outpatient neurological
rehabilitation.Stroke rehabilitants from 17 German outpatient
neurological rehabilitation centers were interviewed in a multicentric
observational study. Within the current work, data on participation and
depressive symptoms recorded at the beginning and at the end of
rehabilitation by self-assessment questionnaires, were evaluated.Data of
342 rehabilitants were considered. Results of a multinomial logistic
regression analysis indicated that the depression value at the end of
rehabilitation, in particular, proved to be a good predictor for the
improvement in participation. The lower the depressiveness, the more
likely an improvement in participation. At the beginning of the
rehabilitation program there were no significant differences between
mean depression scores of patients who improved and patients who
deteriorated.A relationship between depressiveness and participation was
shown. The treatment of depressive symptoms through timely administered
psychotherapeutic and medicinal care and general activity promotion
could influence the participation in a beneficial way.
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