Burden and factors associated with post-stroke depression in East central Nigeria.

Sam Chidi Ibeneme, Akachukwu Nwosu, Canice Chukwudi Anyachukwu, Georgian C Ibeneme3, Muideen O Bakare, Gerhard Fortwengel
, Dnyanesh Limaye
1. Department of Medical Rehabilitation, Faculty of Health Sciences, College of Medicine, University of Nigeria,
Enugu Campus, Enugu, Nigeria.
2. National Institute for Sports, Surulere, Lagos,Nigeria
3. Ebonyi State University, Department of Nursing Sciences, Abakaliki, Nigeria.
4. Department of Adult and Paediatric Psychiatry. Federal Neuro-Psychiatry Hospital, New Haven, Enugu.
5. Hochschule Hannover – University of Applied Sciences and Arts Fakultät III, Expo Plaza 12, Hannover, Germany.

Abstract:
Objective: To determine the burden and factors associated with post-stroke depression in East central Nigeria.

Method: We carried out this cross-sectional study of 50 stroke survivors (mean age=54.8 ± 8.8 years), at the physiotherapy  Department of the University of Nigeria Teaching Hospital, Enugu. Data were collected using Becks Depression Inventory , it  was analyzed using Z-scores, Chi-square test and univariate logistic regression.

Results:PSD was more common in females (45.45%); middle-age(60%) adults(27-36/47-56 years respectively); living with  spouse (45%); left cerebral lesions (40.74%). Self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (p=0.03), and was related to the risk ofOR3.7 (95% CI 1.1-12.0 ).

Conclusion: Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female  gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.

Keywords:Symptoms of post-stroke depression, modifiable characteristics of the vulnerable patients, African socio-cultural
context.