It is your doctor's responsibility to ABSOLUTELY INSURE that your mental health post stroke is good. And that is only possible with 100% recovery protocols. If you don't have those protocols, you don't have a functioning stroke doctor. Depression is a secondary problem that would not exist if you had 100% recovery protocols.
Rest-activity rhythm characteristics associated with depression symptoms in stroke survivors
Archives of Physical Medicine and Rehabilitation. Volume 104(8), Pgs. 1203-1208.
NARIC Accession Number: J92708. What's this?
Author(s): Stahl, Sarah T., Skidmore, Elizabeth, Kringle, Emily, Shih, Minmei, Baum, Carolyn, Hammel, Joy, Krafty, Robert, Covassin, Naima, Li, Jingen, Smagula, Stephen F..
Publication Year: 2023.
Abstract: Study determined which 24-hour rest-activity rhythm (RAR) characteristics are associated with depression symptoms in stroke survivors. Participants included 63 stroke survivors recruited locally and a nationally representative probability sample of 280 stroke survivors from the National Health and Nutrition Examination Survey (NHANES). Objective RAR characteristics derived from accelerometer recordings including activity onset/offset times and non-parametric measures of RAR strength (relative amplitude), stability (inter-daily stability), and fragmentation (intra-daily variability). The presence of depression symptoms was categorized using Patient Health Questionnaire scores. In both samples, the only RAR characteristic associated with depression symptoms was intra-daily variability (fragmentation): local sample, odds ratio=1.96; NHANES sample, odds ratio=1.34. In the NHANES sample, which included both mild and moderate/severe depression, the association between 24-hour sleep-wake fragmentation and depression symptoms was driven by moderate-to-severe cases. Stroke survivors with higher levels of RAR fragmentation were more likely to have depression symptoms in both samples. These findings have implications, given prior studies in general samples linking RAR fragmentation with future depression and dementia risk. Research is needed to establish the potential consequences, mechanisms, and modifiability of RAR fragmentation in stroke survivors.
Descriptor Terms: DEPRESSION, SLEEP DISORDERS, STROKE.
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Citation: Stahl, Sarah T., Skidmore, Elizabeth, Kringle, Emily, Shih, Minmei, Baum, Carolyn, Hammel, Joy, Krafty, Robert, Covassin, Naima, Li, Jingen, Smagula, Stephen F.. (2023.) Rest-activity rhythm characteristics associated with depression symptoms in stroke survivors. Archives of Physical Medicine and Rehabilitation., 104(8), Pgs. 1203-1208. Retrieved 11/30/2023, from REHABDATA database.
NARIC Accession Number: J92708. What's this?
Author(s): Stahl, Sarah T., Skidmore, Elizabeth, Kringle, Emily, Shih, Minmei, Baum, Carolyn, Hammel, Joy, Krafty, Robert, Covassin, Naima, Li, Jingen, Smagula, Stephen F..
Publication Year: 2023.
Abstract: Study determined which 24-hour rest-activity rhythm (RAR) characteristics are associated with depression symptoms in stroke survivors. Participants included 63 stroke survivors recruited locally and a nationally representative probability sample of 280 stroke survivors from the National Health and Nutrition Examination Survey (NHANES). Objective RAR characteristics derived from accelerometer recordings including activity onset/offset times and non-parametric measures of RAR strength (relative amplitude), stability (inter-daily stability), and fragmentation (intra-daily variability). The presence of depression symptoms was categorized using Patient Health Questionnaire scores. In both samples, the only RAR characteristic associated with depression symptoms was intra-daily variability (fragmentation): local sample, odds ratio=1.96; NHANES sample, odds ratio=1.34. In the NHANES sample, which included both mild and moderate/severe depression, the association between 24-hour sleep-wake fragmentation and depression symptoms was driven by moderate-to-severe cases. Stroke survivors with higher levels of RAR fragmentation were more likely to have depression symptoms in both samples. These findings have implications, given prior studies in general samples linking RAR fragmentation with future depression and dementia risk. Research is needed to establish the potential consequences, mechanisms, and modifiability of RAR fragmentation in stroke survivors.
Descriptor Terms: DEPRESSION, SLEEP DISORDERS, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Request Information.
Citation: Stahl, Sarah T., Skidmore, Elizabeth, Kringle, Emily, Shih, Minmei, Baum, Carolyn, Hammel, Joy, Krafty, Robert, Covassin, Naima, Li, Jingen, Smagula, Stephen F.. (2023.) Rest-activity rhythm characteristics associated with depression symptoms in stroke survivors. Archives of Physical Medicine and Rehabilitation., 104(8), Pgs. 1203-1208. Retrieved 11/30/2023, from REHABDATA database.
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