Association between early depressive symptoms after stroke and trajectories of functional recovery among patients with acute ischemic stroke: a longitudinal study

'Associations' DO NOTHING FOR SURVIVOR RECOVERY! Are you that blitheringly stupid you don't know that survivors would like recovery rather than a completely fucking useless 'association'? 

Association between early depressive symptoms after stroke and trajectories of functional recovery among patients with acute ischemic stroke: a longitudinal study

Fanfan Li^1†Xingjin Song^1,2†Cuicui Zhang^1,3†Chi Peng⁴Ting Hu¹Xiue Wei^1*Liangqun Rong^1*Haiyan Liu^1*

• ¹Department of Neurology, Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China
• ²Graduate School of Xuzhou Medical University, Xuzhou, China
• ³Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
• ⁴Department of Emergency, Changhai Hospital, Naval Medical University, Shanghai, China

Background: Depressive symptoms are very common in the acute phase of stroke; however, its impact on distinct functional recovery trajectories in acute ischemic stroke (AIS) patients remains unclear. Our study aimed to depict the functional recovery trajectories within 6 months after stroke and explore the association of early depressive symptoms with these recovery patterns among AIS patients.

Methods: A total of 219 eligible patients were enrolled at the stroke centers of two tertiary hospitals in Xuzhou, China from April 2023 to June 2024. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms during the acute hospitalization. The Group-based trajectory model was conducted to identify distinct trajectories of functional recovery, as measured by modified Rankin Scale (mRS) and Barthel Index (BI) at baseline, 3 months, and 6 months. A series of multinomial logistic regression models were performed to examine the relationship between early depressive symptoms and dynamic recovery patterns.

Results: We identified 3 mRS trajectories (mild, moderate, and severe) and 5 BI trajectories (low-rapid rise, moderate low-stable, moderate-progressive rise, moderate high-rapid decline, and high-stable), respectively. After full adjustments, patients with early depressive symptoms were at increased likelihood of being in the moderate (OR 8.22, 95% CI 2.77–24.39) and severe (OR 24.41, 95% CI 5.33–111.90) trajectory group for mRS trajectories, and of the moderate high-rapid decline (OR 12.93, 95% CI 1.49–112.42) trajectory group for BI trajectories ( p < 0.05).

Conclusion: Early depressive symptoms were associated with unfavorable functional recovery trajectories within 6 months following acute stroke in AIS patients.

More at link.

Participation after stroke: the influence of depression in outpatient neurological rehabilitation

You goddamn fuckers; The main goal is 100% recovery NOT the lazy crapola you are pushing on survivors. Get the hell out of stroke if you are being worthless like this.  I would fire you all.
https://europepmc.org/abstract/med/30238233
Marheineke J ¹ , 

Deck R ² , 

Reuther P ³ , 

Pöppl D ⁴ , 

Theves F ⁵ , 

Kohlmann T ⁶  

Affiliations

Der Nervenarzt [20 Sep 2018]

Type: Journal Article, English Abstract (lang: ger)
DOI: 10.1007/s00115-018-0622-1

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.

Read Article at publisher's site

The role of subjective cognitive complaints and depressive symptoms in social re-integration following stroke

I got nothing out of this. 

The role of subjective cognitive complaints and depressive symptoms in social re-integration following stroke

Sophe Kimonides, Marina G. Cavuoto, Laksiri De Silva & Glynda J. Kinsella

Received 03 Jan 2018, Accepted 06 Jun 2018, Published online: 24 Jul 2018

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• https://doi.org/10.1080/10749357.2018.1489570

 

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Abstract

Background

For long-term stroke survivors, objective neuropsychological impairments and subjective cognitive difficulties are common, and may contribute to ongoing difficulties in community reintegration. However, subjective cognitive complaints have been as much associated with low mood as with actual cognitive performance.

Objective

The objective of our study was to investigate the extent to which subjective cognitive complaints predicted community reintegration following a stroke, and whether this relationship would be mediated by emotional status.

Methods

Using a cross-sectional design, patients with a primary diagnosis of stroke (n = 102; age range 25–89 years) were recruited from the register of a neurological rehabilitation service if they were at least 6 months post-stroke and had been discharged home following the stroke. Exclusions included history of dementia, co-morbid psychiatric or neurological disorder, or significant aphasia. Assessments included the Subjective Cognitive Complaints Questionnaire, the Community Integration Questionnaire, and the Depression Anxiety and Stress Scale.

Results

Subjective cognitive complaints were common, with moderate to high levels of complaint most frequent for working memory (58.9%), and information processing speed (53%). Subjective cognitive complaints were significantly associated with social integration (r = −.23, p < .05). However, examination of relationships using statistical mediation revealed that depressive symptoms fully mediated the relationship between subjective cognitive complaints and social integration.

Conclusions

Subjective cognitive complaints are common in long-term outcome following stroke and predict difficulty in community reintegration. However, this relationship is mediated by variation in emotional status. Therefore, addressing cognitive complaints through cognitive rehabilitation programs that include components to improve mood (for example, building self-efficacy or confidence) may also improve community reintegration post-stroke.