The relationship between subjective recovery image and post-stroke depression in convalescent stroke patients Shuhei Koeda 1 , Koshi Sumigawa 1 , Yuji Koike 1 , Aya Asari 2 , Hiroto Imai 3 1Hirosaki University Graduate School of Health Sciences 2Division of Rehabilitation, Care-center Hirosaki, Geriatric Health Services Facility 3Division of Rehabilitation, Hirosaki Stroke Rehabilitation Center Keyword: 脳卒中 , 抑うつ , 作業療法 , (脳卒中後抑うつ状態) , (主観的回復感) , Stroke , Depression , Occupational therapy , Post-stroke depression , Subjective recovery image pp.123-132
Published Date 2013/4/15
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 Post-Stroke Depression (PSD) is commonplace, and inhibits rehabilitation efficiency. The purpose of this study was to reveal the effects of subjective recovery image of stroke on PSD in convalescent stroke patients. Additionally we revealed the relationship between subjective recovery image and associated factors. Subjective recovery image was measured by Visual Analog Scale (VAS). Subjects of the current study were 16 males and 21 females. The subjects were divided into three groups at the tertile of subjective recovery image, and the Self-rating Depression Scale (SDS) values were compared among the groups. We examined the relationships among mobility, disability, social disorder and subjective recovery image. Our study demonstrated that patients with a high subjective recovery image have reduced PSD, and that subjective recovery image was related to motor paralysis and decline of Activities of Daily Living (ADL). Therefore, our results suggest that occupational therapists should more pay attention to patients' motor paralysis and a decline of ADL. Furthermore, occupational therapists have to encourage patients to experience their own recovery in order to decrease the incidence of PSD.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会