Lin Fu-Huang, Yih Daphne Ng, Shih Feng-Mei, Chu Chi-Ming
School of Public Health, National Defense Medical Center.
School of Occupational Therapy, College of Medicine, National Taiwan University.
Medicine (Baltimore). 2019 Nov;98(44):e17667. doi: 10.1097/MD.0000000000017667.
Post-stroke depression (PSD) constitutes an important complication of stroke, leading to great disability. After stroke, the prevalence rate of depression is about 30%. Depression also affects rehabilitation motivation, delays function recovery, and increases family and social burden. The objective of this study was to explore the effect of social support on depression in chronic stroke patients and the relationship between demographic and disease characteristics. Total samples were randomly divided into an intervention group (n = 31) and a control group (n = 31). Sixteen social support interventions were performed over 8 weeks. Social support programs were implemented 2 times a week. Depressive symptoms were assessed at the second week, 4th week, 8th week, and 4 weeks after the end of the study using the 10-item Center for the Epidemiological Studies of Depression Short Form (CES-D10). There was a significant correlation between depression and the economic status of the patients with chronic stroke, satisfaction in leisure, the presence or absence of caregivers, the duration of stroke, and with or without pain. A significant difference was found between two groups after social support for 8 weeks. Our findings suggest that remission of PSD needs at least 8 weeks of social support.
中风后抑郁（PSD）是中风的一种重要并发症，会导致严重残疾。中风后，抑郁症的患病率约为30%。抑郁症还会影响康复动机，延迟功能恢复，并增加家庭和社会负担。本研究的目的是探讨社会支持对慢性中风患者抑郁的影响以及人口统计学和疾病特征之间的关系。将总样本随机分为干预组（n = 31）和对照组（n = 31）。在8周内进行了16次社会支持干预。社会支持项目每周实施2次。在研究结束后的第2周、第4周、第8周和第4周，使用10项流行病学研究中心抑郁量表简表（CES-D10）评估抑郁症状。慢性中风患者的抑郁与经济状况、休闲满意度、是否有照顾者、中风持续时间以及是否有疼痛之间存在显著相关性。社会支持8周后，两组之间存在显著差异。我们的研究结果表明，PSD的缓解至少需要8周的社会支持。
