Correlation Between Aphasia in Stroke Patients and Severe Depression of Family Members as Primary Caregivers.

Authors

  • Pricilla Yani Gunawan Department of Neurology, Pelita Harapan University, Siloam Hospitals Lippo Village Tangerang, Indonesia.
  • Kalista Ardelia Iswara Faculty of Medicine, Pelita Harapan University

DOI:

https://doi.org/10.19166/med.v8i3.3765

Keywords:

Stroke, Aphasia, Depression, Caregivers

Abstract

Background and Objective: Stroke is a disease with an increasing annual prevalence. One of the most frequent clinical manifestation seen in stroke patients is aphasia which greatly affects the patient’s ability to communicate. The burden and the pressure of taking care of the patient placed on the family members often results in psychological impacts such as depression.  We intend to know the association between aphasia in stroke patients with severe depression on family members. 

Methodology: This was a cross sectional study, using an unpaired categorical comparative analysis. Inclusion criteria were family members of patients with and without aphasia. Patients and caregivers who gave their consent verbally were guided to fill in the Hamilton Depression Rating Scale questionnaire. The association between aphasia status and the depression scale was analyzed using Chi-Square.

Results:  Out of 54 respondents included in the study, there were 25 caregivers (46,3%) taking care stroke patients without aphasia, and 29 caregivers (53,7) taking care stroke patients with aphasia. As much as35 (64.8%) were categorized as normal- moderate level of depression and 19 (35.2%) categorized as major depression. From those with major depression, 14 (73.7%) were found in the aphasic group and 5 were in the non-aphasia group. Chi-Square analysis shows a significant correlation [P=0.03; OR=3.73 (1.1-12.7)] between aphasia in stroke patients and severe depression of the caregivers.

Conclusion: There is a significant association between aphasia in stroke patients and the incidence of severe depression on their caregivers.

References

  1. Ovbiagele B, Nguyen-Huynh MN. Stroke Epidemiology: Advancing Our Understanding of Disease Mechanism and Therapy. Neurotherapeutics. 2011;8(3):319-29. https://doi.org/10.1007/s13311-011-0053-1
  2. World Health Organization. Cerebrovascular accident. Available from:http://www.who.int/topics/cerebrovascular_accident/en/
  3. National Institute of Neurological Disorder and Stroke. Stroke: Hope throughresearch. Available from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Stroke-Hope-Through-Research
  4. Berthier ML. Poststroke Aphasia: Epidemiology, Pathophysiology and Treatment. 2005;22(2):163-82. https://doi.org/10.2165/00002512-200522020-00006
  5. Berthier ML. Poststroke Aphasia: Epidemiology, Pathophysiology and Treatment. 2005;22(2):163-82. https://doi.org/10.2165/00002512-200522020-00006
  6. Association AP. Diagnostic and statistical manual of mental disorders. 5th edition. American Psychiatric Publishing. 2013.
  7. Glozman, J. M. (2004). Quality of Life of Caregivers. Neuropsychology Review, 14(4), 183-196.
    https://doi.org/10.1007/s11065-004-8158-5
  8. Loh AZ, Tan JS, Zhang MW, et al. The global prevalence of anxiety and depressive symptoms among caregivers of stroke survivors. J Am Med Dir Assoc 2017;18:111-6.
    https://doi.org/10.1016/j.jamda.2016.08.014
  9. Gbiri CA, Olawale OA, Isaac SO. Stroke management: Informal caregivers' burdens and strians of caring for stroke survivors. Ann Phys Rehabil Med 2015;58:98-103.
    https://doi.org/10.1016/j.rehab.2014.09.017
  10. Savini S, Buck HG, Dickson VV, et al. Quality of life in stroke survivorcaregiver dyads: a new conceptual framework and longitudinal study protocol. J Adv Nurs 2015;71:676-87.
    https://doi.org/10.1111/jan.12524
  11. van Mierlo ML, van Heugten CM, Post MW, et al. A longitudinal cohort study on quality of life in stroke patients and their partners: restore4Stroke Cohort. Int J Stroke: Off J Int Stroke Soc 2014;9:148-54. https://doi.org/10.1111/j.1747-4949.2012.00882.x
  12. Joo H, Liang D. Economic burden of informal care attributable to stroke among those aged 65 years or older in China. Int J Stroke: Off J Int Stroke So 2017;12:205-7.https://doi.org/10.1177/1747493016675501
  13. Atteih S, Mellon L, Hall P, et al. Implications of stroke for caregiver outcomes: findings from the ASPIRE-S study. Int J Stroke: Off J Int Stroke Soc 2015;10:918-23. https://doi.org/10.1111/ijs.12535
  14. Williams JB. Arch Gen Psychiatry; A structured interview guide for the Hamilton Depression Rating Scale:1988; 45(8):742-7 https://doi.org/10.1001/archpsyc.1988.01800320058007
  15. Berg A, Psych L, Paloma H. Depression Among Caregivers of Stroke Survivors. 2005;639-43.
    https://doi.org/10.1161/01.STR.0000155690.04697.c0
  16. Franzen-Dahlin Ã…. Psychological Health and Life Situation in Spouses of Stroke. 2007. 50 p.
  17. Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychology.1967;6(4):278-96
    https://doi.org/10.1111/j.2044-8260.1967.tb00530.x

Published

2021-06-02

Issue

Vol. 10 No. 2 (2021): February : 2021

Section

Articles

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