TY - JOUR
T1 - Depressive symptoms and disability in chagasic stroke patients
T2 - Impact on functionality and quality of life
AU - De Souza, Aline Cristina D.
AU - Da Costa Rocha, Manoel Otávio
AU - Teixeira, Antônio Lúcio
AU - Dias Júnior, José Olímpio
AU - De Sousa, Lidiane Aparecida Pereira
AU - Nunes, Maria Carmo Pereira
PY - 2013/1/15
Y1 - 2013/1/15
N2 - Introduction: Chagas disease (CD) is associated with stroke, which can result in significant long-term disability. Stroke has also been associated with depressive symptoms, which affect functional performance and quality of life (QOL). Few data are available on the effect of chagasic stroke on functional performance and QOL. Objectives: This study aimed to investigate the correlation of stroke disability and depressive symptoms with functional performance and QOL in chagasic stroke patients. Methods: In this cross-sectional study, stroke sequelae were assessed using the Modified Rankin Stroke Scale (MRSS), depressive symptoms using the Beck Depression Inventory (BDI), functional performance using the Barthel Index (BI), and QOL using the WHOQOL-BREF. Results: Twenty-one patients with CD and a previous diagnosis of stroke were included. There was a correlation between the MRSS score and the BI score (r = - 0.663, p = 0.003), but not the scores of the WHOQOL-BREF subscales. The BDI score was correlated with the WHOQOL-BREF subscale scores (Physical: r = - 0.733, p = 0.001; Psychological: r = - 0.581, p = 0.012; Social: r = - 0.713, p = 0.001; Environmental: r = - 0.659, p = 0.003). However, the BDI score was not associated with the BI score (r = 0.279, p = 0.262). Conclusions: QOL in patients with CD appears to be influenced more by depressive symptoms than by the motor-associated consequences of stroke. Conversely, motor sequelae impair the functionality of the patient more than depressive symptoms.
AB - Introduction: Chagas disease (CD) is associated with stroke, which can result in significant long-term disability. Stroke has also been associated with depressive symptoms, which affect functional performance and quality of life (QOL). Few data are available on the effect of chagasic stroke on functional performance and QOL. Objectives: This study aimed to investigate the correlation of stroke disability and depressive symptoms with functional performance and QOL in chagasic stroke patients. Methods: In this cross-sectional study, stroke sequelae were assessed using the Modified Rankin Stroke Scale (MRSS), depressive symptoms using the Beck Depression Inventory (BDI), functional performance using the Barthel Index (BI), and QOL using the WHOQOL-BREF. Results: Twenty-one patients with CD and a previous diagnosis of stroke were included. There was a correlation between the MRSS score and the BI score (r = - 0.663, p = 0.003), but not the scores of the WHOQOL-BREF subscales. The BDI score was correlated with the WHOQOL-BREF subscale scores (Physical: r = - 0.733, p = 0.001; Psychological: r = - 0.581, p = 0.012; Social: r = - 0.713, p = 0.001; Environmental: r = - 0.659, p = 0.003). However, the BDI score was not associated with the BI score (r = 0.279, p = 0.262). Conclusions: QOL in patients with CD appears to be influenced more by depressive symptoms than by the motor-associated consequences of stroke. Conversely, motor sequelae impair the functionality of the patient more than depressive symptoms.
KW - Chagas disease
KW - Depression
KW - Functionality
KW - Neurology
KW - Quality of life
KW - Rehabilitation
KW - Stroke
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U2 - 10.1016/j.jns.2012.09.022
DO - 10.1016/j.jns.2012.09.022
M3 - Article
C2 - 23085004
AN - SCOPUS:84870897433
SN - 0022-510X
VL - 324
SP - 34
EP - 37
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
IS - 1-2
ER -