Micaela Silva Soraia, Carlos Ferrari Corrêa João, da Silva Mello Thaís, Rodrigues Ferreira Rosângela, Fernanda da Costa Silva Paula, Ishida Corrêa Fernanda
a Postgraduate Program in Rehabilitation Science , University Nove De Julho (UNINOVE) , São Paulo , SP , Brazil.
Disabil Rehabil. 2016 Sep;38(18):1830-5. doi: 10.3109/09638288.2015.1107774. Epub 2016 Jan 4.
To assess the impact of post-stroke depression on the participation component of the International Classification of Functioning, Disability and Health (ICF).
Thirty-five stroke survivors with chronic hemiparesis were divided into two groups: those with and without depression. The Geriatric Depression Scale (GDS) was used for the analysis of depressive symptoms. Participation was analysed using the Stroke Specific Quality of Life scale. The Mann-Whitney test was used to compare the participation scores between the two groups. Spearman's correlation coefficients were calculated to determine the strength of the association between the assessment tools. Simple linear regression was used to determine the impact of depression on participation. An alpha risk of 0.05 was considered indicative of statistical significance.
The group with depression had low participation scores (p = 0.04). A statistically significant negative correlation of moderate magnitude was found between depression and participation (r = -0.6; p = 0.04). The linear regression model demonstrated that depression is a moderate predictor of participation (r(2) = 0.51; p = 0.001).
Depression is a moderate predictor of participation among stroke survivors, explaining 51% of the decline of this aspect. Thus, depression should be diagnosed, monitored and treated to ensure a better prognosis regarding social participation following a stroke. Implications for Rehabilitation Individuals with post-stroke depression experience a lower degree of social participation. Depression explains 51% of the decline in participation following a stroke. The present findings can serve as a basis to assist healthcare professionals involved in the rehabilitation of stroke survivors and can assist in the establishment of adequate treatment plans in stroke rehabilitation.
评估中风后抑郁对《国际功能、残疾和健康分类》（ICF）中参与部分的影响。
35名患有慢性偏瘫的中风幸存者被分为两组：有抑郁和无抑郁的患者。使用老年抑郁量表（GDS）分析抑郁症状。使用中风特异性生活质量量表分析参与情况。采用曼-惠特尼检验比较两组之间的参与得分。计算斯皮尔曼相关系数以确定评估工具之间关联的强度。使用简单线性回归确定抑郁对参与的影响。α风险为0.05被认为具有统计学意义。
抑郁组的参与得分较低（p = 0.04）。抑郁与参与之间存在统计学上显著的中等程度负相关（r = -0.6；p = 0.04）。线性回归模型表明，抑郁是参与的一个中等预测因素（r² = 0.51；p = 0.001）。
抑郁是中风幸存者参与的一个中等预测因素，可解释这方面下降的51%。因此，应诊断、监测和治疗抑郁，以确保中风后社会参与有更好的预后。对康复的启示 中风后抑郁患者的社会参与程度较低。抑郁可解释中风后参与下降的51%。本研究结果可为参与中风幸存者康复的医疗专业人员提供帮助，并有助于制定中风康复中的适当治疗计划。
