Association between positive emotions, depression and functional recovery in post-stroke patients / Low Jong Sern
Background and Objective: Stroke is a major health problem in Malaysia which leads to substantial disease burden to the country. Post-stroke depression was well studied in association with functional outcome. However, there was no study on positive emotion in post-stroke patients in local setting...
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| Format: | Thesis |
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2018
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| Online Access: | http://studentsrepo.um.edu.my/11562/ http://studentsrepo.um.edu.my/11562/4/jong_sern.pdf |
| Summary: | Background and Objective: Stroke is a major health problem in Malaysia which
leads to substantial disease burden to the country. Post-stroke depression was well
studied in association with functional outcome. However, there was no study on
positive emotion in post-stroke patients in local setting. The objective of this study is
to assess positive emotion and depression in post-stroke patients in Hospital Pulau
Pinang and their association with functional recovery.
Method: A total of 136 patients at 6-12 weeks post stroke, were recruited from
Occupational Therapy Unit and Rehabilitation Clinic Hospital P. Pinang. All the
patients were given Demographic and Clinical Data Questionnaire, Positive Emotion
Rating Scale (PERS) or Malay version Positive Emotion Rating Scale (PERS-M) and
Montgomery-Asberg Depression Scale-Self (MADRS-S) or Malay version
Montgomery-Asberg Depression Scale-Self (MADRS-BM). Patients were also
assessed for functional status using Modified Barthel Index (MBI)
Results: 65.4% of patients have shown to have good positive emotion and 23.5% of
patients have depression. Patients with the length of stay less than 5 days were 7.3
times more likely to have good positive emotion and 12.3 times less likely to have
depression. Patients with less than 3 medical co-morbidities were 4.3 times less likely
to have depression. Based on bivariate analysis, both total PERS and total MADRS-S
scores were significantly associated with functional independence and functional
recovery in 6 to 12 weeks post-stroke. However, using multiple linear regression, only
total PERS, but not total MADRS-S, was significantly associated with both functional
independence and functional recovery. Other factors that showed significant in
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functional independence were the length of stay and MBI (discharge). Whereas in
functional recovery, significant factors were spouse and age.
Conclusion:
Length of stay of less than 5 days was 12.3 times less likely to have depression and
7.3 times more likely to have good positive emotion. Positive emotion is a stronger
predictor of functional independence and function recovery compared to post-stroke
depression. Other strong predictors of functional outcome were the length of stay,
MBI(discharge), patient with spouse and age. |
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