Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale (CIUSSS-CN), Quebec, Canada.
Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec, Canada.
Disabil Rehabil. 2023 Jun;45(13):2087-2094. doi: 10.1080/09638288.2022.2083703. Epub 2022 Jun 11.
To evaluate the association between depression/anxiety and activity limitations and health-related quality of life (HRQoL) in chronic stroke survivors in Benin.
One hundred and seventy-six chronic stroke survivors (113 males; mean age (±SD): 56.5 (±10.5) years old) were included. We used the Barthel index (BI) to assess activity limitations. Participants were screened for depression and anxiety symptoms using Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). Euroqol-5 Dimensions-3 Levels (EQ-5D-3L) including a Visual Analog Scale (EQ-VAS) was used to assess HRQoL. Multivariate linear regressions were performed to determine the impact of psychological disorders on activity limitations and HRQoL.
Depression (=-0.54; < 0.0001) and anxiety (=-0.35; < 0.0001) were negatively associated with activity limitations (=0.60). Similar patterns of association were observed with HRQoL (≤-0.28; < 0.0001; ≥0.40). Inversely, occupational status showed positive association with EQ-5D-3L summary index scores ( = 0.21; = 0.015).
Depression and anxiety had a negative impact on activity limitations and HRQoL in Beninese chronic stroke survivors. This call for action to integrate psychological interventions as part of rehabilitation programs in low and middle-income countries.Implications for rehabilitationPost-stroke depression and anxiety are quite common among stroke survivors in sub-Saharan Africa.Post-stroke depression and anxiety negatively impact activities and health-related quality of life in chronic stroke survivors in sub-Saharan Africa.Managing these post-stroke psychological disorders is necessary to promote the functional recovery and social reintegration of stroke survivors in their communities.
评估贝宁慢性脑卒中幸存者中抑郁/焦虑与活动受限和健康相关生活质量（HRQoL）之间的关系。
共纳入 176 名慢性脑卒中幸存者（男性 113 名；平均年龄（±标准差）：56.5（±10.5）岁）。我们使用巴氏指数（BI）评估活动受限情况。使用汉密尔顿抑郁评定量表（HDRS）和汉密尔顿焦虑评定量表（HARS）筛查参与者的抑郁和焦虑症状。使用欧洲五维健康量表 3 级（EQ-5D-3L），包括视觉模拟量表（EQ-VAS），评估 HRQoL。进行多元线性回归分析以确定心理障碍对活动受限和 HRQoL 的影响。
抑郁（=-0.54；<0.0001）和焦虑（=-0.35；<0.0001）与活动受限呈负相关（=0.60）。类似的关联模式也存在于 HRQoL 中（≤-0.28；<0.0001；≥0.40）。相反，职业状况与 EQ-5D-3L 综合指数评分呈正相关（=0.21；=0.015）。
抑郁和焦虑对贝宁慢性脑卒中幸存者的活动受限和 HRQoL 有负面影响。这呼吁在中低收入国家的康复计划中纳入心理干预措施。
对康复的启示
撒哈拉以南非洲地区的脑卒中幸存者中，脑卒中后抑郁和焦虑相当常见。
撒哈拉以南非洲地区的慢性脑卒中幸存者中，脑卒中后抑郁和焦虑对活动和健康相关生活质量有负面影响。
管理这些脑卒中后心理障碍对促进脑卒中幸存者在社区中的功能恢复和社会再融入是必要的。
