scholarly journals Influence of Physical Activity and Socio-Economic Status on Depression and Anxiety Symptoms in Patients after Stroke

2021 ◽  
Vol 18 (15) ◽  
pp. 8058
Author(s):  
Małgorzata Paprocka-Borowicz ◽  
Mona Wiatr ◽  
Maria Ciałowicz ◽  
Wojciech Borowicz ◽  
Agnieszka Kaczmarek ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Therapy ◽  
Economic Status ◽  
Depression Scale ◽  
Post Stroke ◽  
Positive Effects ◽  
Socio Economic Status ◽  
Treatment Of Depression ◽  
Post Stroke Depression ◽  
The Impact

Stroke is a high-risk factor for depression. Neurological rehabilitation is greatly difficult and often does not include treatment of depression. The post-stroke depression plays an important role in the progress of treatment, health, and the life of the patient. The appropriate treatment of depression could improve the quality of life of the patient and their family. The study aimed to evaluate the impact of physical activity and socio-economic status of the patient on the effectiveness of recovery from depression and the severity of the symptoms of depression. The study was conducted with 40 patients after stroke aged 42–82 years, and included 10 women and 30 men who were hospitalized for two weeks. The severity of depression/anxiety (D/A) symptoms were evaluated two times; at admission and after two weeks of physical therapy. The hospital anxiety and depression scale (HADS) questionnaire was used for this purpose. Socio-economic status was evaluated by several simple questions. It was revealed that physical therapy has a positive influence on mental state. The severity of D/A symptoms after stroke is related to the financial status of the patients (2 = 11.198, p = 0.024). The state of health (2 = 20.57, p = 0.022) and physical fitness (2 = 12.95, p = 0.044) changed the severity of symptoms of anxiety and depressive disorders. The kinesiotherapy in the group of patients with post-stroke depression had positive effects; however, economic and health conditions may influence the prognosis of the disease.

scholarly journals Health-promoting lifestyle and quality of life among Chinese nursing students

2018 ◽  
Vol 19 (6) ◽  
pp. 629-636 ◽  
Author(s):  
Yim Wah Mak ◽  
Angela H. F. Kao ◽  
Lucia W. Y. Tam ◽  
Virginia W. C. Tse ◽  
Don T. H. Tse ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Nursing Students ◽  
Economic Status ◽  
Health Risk Behaviors ◽  
Socio Economic Status ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
The Impact

AbstractAimThis study aimed to examine the relationships between socio-economic status, health-promoting lifestyles, and quality of life among Chinese nursing students.BackgroundNursing students will be future health promoters, but they may not always adopt the recommended healthy lifestyle. Currently, there are insufficient studies examining the health-promoting lifestyles of Chinese nursing students, and the impact of socio-economic status and health-promoting lifestyle on their health.MethodsThis was a cross-sectional survey. Data were collected from nursing students studying in pre-registration nursing programs of a university in Hong Kong. The survey was conducted through a self-administered questionnaire that solicited information regarding their socio-economic status, health-promoting lifestyle, quality of life, and perceptions of the barriers to adopting a health-promoting lifestyle.FindingsA total of 538 students returned completed questionnaires for analysis. Among the health-promoting lifestyle subscales, the participants performed best in interpersonal relations and worst in physical activity, and the vast majority of them did not actively engage in health-risk behaviors. Hierarchical regression analyses revealed that only 5% of the variance in quality of life was explained by socio-economic variables, whereas a total of 24% of the variance was explained when health-promoting lifestyle variables were added. In particular, health responsibility, physical activity, spiritual growth, and stress management were statistically significant predictors of quality of life.ConclusionsEarly concerns about how prepared nurses are to take on the role of promoting health still apply today. School administrators should plan the nursing curriculum to include activities that encourage student nurses to participate in health-promoting lifestyles. Future studies are needed to explore the barriers that prevent students from practicing health-promoting behavior.

Stress exposure as a mechanism of the impact of socio-economic status on health quality

2017 ◽  
pp. 471-483
Author(s):  
Vladimir Mentus ◽  
Tatjana Mentus
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Economic Status ◽  
Stress Exposure ◽  
Methodological Issues ◽  
Socio Economic Status ◽  
Health Quality ◽  
The Subject ◽  
The Impact ◽  
The Relationship

The subject of this paper is stress exposure as one of the mechanisms through which the socioeconomic status may affect the health. First of all, the nature of the relationship between the socioeconomic status and the health quality, as well as possible mechanisms of relationship between them in general are presented. Then, an overview of the relationship between socioeconomic status and stress exposure is provided, as well as previous research results in this field. Finally, mechanisms by which stress exposure may affect health quality are presented. The largest number of studies indicates a positive correlation between socioeconomic position and health quality and a negative correlation between status and stress exposure, as well as health quality and stress exposure. The results regarding the relationship between socioeconomic status and stress exposure are in this respect the least consistent, mostly due to differences in the conceptualizations and operationalizations, poor representativeness of samples, and other methodological issues, as well as the characteristics of the examined populations themselves. Further, behaviors relevant to health quality, such as diet or physical activity, are to a great extent related to socioeconomic status and stress exposure. Whatever the mechanisms by which the interaction between these variables is explained may be, the socioeconomic status is probably the key for prevention and overcoming stressful situations, and thus, for health in general.

scholarly journals Magnitude and determinants of depression in acute stroke patients admitted in a rural tertiary care hospital

2015 ◽  
Vol 6 (02) ◽  
pp. 202-207 ◽  
Author(s):  
Amrish Saxena ◽  
Ajitabh Suman
Keyword(s):  
Acute Stroke ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Care Hospital ◽  
Stroke Patients ◽  
Post Stroke ◽  
Socio Economic Status ◽  
Post Stroke Depression

ABSTRACT Objectives: Depression is one of the most frequent neuropsychiatric disturbances after a cerebrovascular stroke. The frequency of depression in stroke patients has varied widely in different populations. Post stroke depression is an important factor limiting recovery and rehabilitation in acute stroke patients. Settings and Design: A cross-sectional hospital-based study was performed in acute stroke patients admitted in the department of Medicine of a rural teaching tertiary care hospital in central India. Materials and Methods: In all consecutive acute stroke inpatients, the intensity of depression was assessed by a trained person through a questionnaire, Montgomery-Asberg Depression Rating Scale (MADRS), who is blind of the diagnosis and investigations of the patient. Another study person collected the data including demographics, co-morbid diseases or risk factors. Radiological imaging data was noted from the CT/MRI head reports of stroke patients. Results: Of the total 107 stroke patients, 60 (56%) were males and 47 (44%) were females. Sixty-one (57%) of the 107 stroke patients had depression. Of the 107 stroke patients, 35 (33%) had mild depression, 22 (20%) had moderate depression and 4 (4%) had severe depression. The age, gender, education status and co-morbidities of the stroke patient were not associated with depression. The association of socio-economic status and left-sided lesions with depression was found to be statistically significant (P < 0.05). Type and location of the lesion were not associated with depression. Conclusion: Post-stroke depression was present in more than half of the stroke patients and was related to socio-economic status and left-sided hemisphere lesions.

Abstract 86: Does Exercise Post Stroke have a Beneficial Effect on Post-Stroke Depression: A Meta-Analysis

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Katherine L Salter ◽  
Hannah Mahon ◽  
James A McClure ◽  
Norine C Foley ◽  
Robert Teasell
Keyword(s):  
Physical Activity ◽  
Depressive Symptomatology ◽  
Pooled Analysis ◽  
Community Dwelling ◽  
Positive Trend ◽  
Exercise Programs ◽  
Post Stroke ◽  
Symptoms Of Depression ◽  
Post Stroke Depression ◽  
The Impact

Given the high prevalence and negative personal and social consequences of post-stroke depression (PSD), identification and application of safe and effective treatments is imperative. While recent publications examining the evidence regarding the impact of physical activity on depression suggest that, in the general population, exercise is associated with significant benefit in terms of reduction of depressive symptomatology, it is not clear that physical activity has the same benefit for individuals who have experienced stroke. Objective: To examine the effectiveness of exercise or physical activity on depressive symptomatology following stroke. Methods: We undertook a literature review to identify stroke-specific clinical trials examining the effectiveness of exercise or exercise programs when compared to a control condition that included longitudinal assessment of depression as a primary or secondary study outcome. Identified studies were evaluated for methodological quality using the PEDro scale and, where possible, results entered into a pooled, random effect analysis based on reported means and standard deviations from repeated assessments. Pre-post test correlations were estimated using published test/re-test reliability coefficients. Results: Eight studies were identified for inclusion; total PEDro scores ranged from 4 to 8. Depression was assessed at baseline and post-intervention using 4 self-report and 1 interview-based assessment tool(s). Participants were community-dwelling individuals; mean age ranged from 56 to 87. Only two trials reported significant between group differences for the outcome of depression, although several noted significant improvement within the intervention group only. Of the 8 identified studies, 6 reported sufficient data for inclusion in pooled analysis. Based on data from 276 participants, there was a moderate reduction in self-reported symptoms of depression associated with post-stroke exercise (ES=0.576; 95% CI 0.22, 0.93). No significant publication bias was identified (Egger’s intercept = 1.21, p=0.64). Conclusions: Although previous trials have reported a positive trend toward improvement of the self-reported symptoms of depression associated with exercise, the impact of exercise on depression has not been clear. On pooled analysis, however, it is apparent that participation in exercise is associated with a moderate and significant reduction in self-reported depressive symptomatology in older, community-dwelling individuals with stroke. Since physical impairments may limit participation in exercise programs for many individuals following stroke, additional research is required to examine exercise frequency and/or intensity required to demonstrate benefit.

scholarly journals Post-Stroke Depression and Its Effect on Functional Outcomes during Inpatient Rehabilitation

2021 ◽  
Author(s):  
Gurumayum Sonachand Sharma ◽  
Anupam Gupta ◽  
Meeka Khanna ◽  
Naveen Bangarpet Prakash
Keyword(s):  
Outcome Measures ◽  
Functional Outcomes ◽  
Rating Scale ◽  
Tertiary Care ◽  
Depression Scale ◽  
Inpatient Rehabilitation ◽  
University Hospital ◽  
Post Stroke ◽  
Significant Difference ◽  
Post Stroke Depression

Abstract Objective The aim of the study is to observe the effect of post-stroke depression on functional outcomes during inpatient rehabilitation. Patients and Methods The design involved is prospective observational study. The location involved is Neurological Rehabilitation unit in a tertiary care university hospital. The study period ranges from October 2019 to April 2020. The participants involved are the patients with first ever stroke, male and female with age ≥18 years and duration less than 1 year. All participants were assessed at admission and after 14 sessions of inpatient rehabilitation by depression subscale of Hospital Anxiety and Depression Scale (HADS-D) and Hamilton Depression Rating Scale (HDRS). The stroke outcomes measures used were: Barthel Index (BI), Scandinavian Stroke Scale (SSS), and Modified Rankin Scale (MRS). Results There are a total of 30 participants (18 males) with median stroke duration of 90 days. The median age of the patients was 58 years. Sixteen patients had ischemic and 14 had hemorrhagic stroke. Out of these, 57% (n = 17) had symptoms of depression (HADS-D >7). Participants in both groups (with and without depression) showed improvement in all the functional outcome measures (BI, SSS, MRS) at the time of discharge as compared with admission scores. The changes in the outcome measures were statistically significant within groups (p < 0.05) but not significant between the groups (p > 0.05). Conclusion The post-stroke depression is common among stroke survivors of less than 1 year duration. There was no significant difference in the functional outcomes between stroke patients with depression and those without depression with inpatient rehabilitation program.

ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Economic Status ◽  
Psychiatric Morbidity ◽  
Economic Factors ◽  
Socio Economic Status ◽  
Level Of Economic Development ◽  
Migration Experiences ◽  
The Impact ◽  
The Relationship

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

scholarly journals Morphological and Metabolic Alteration of Cerebellum in Patients with Post-Stroke Depression

2016 ◽  
Vol 40 (3-4) ◽  
pp. 420-430 ◽  
Author(s):  
Ling Zhang ◽  
Rubo Sui ◽  
Lei Zhang ◽  
Zhuang Zhang
Keyword(s):  
Magnetic Resonance ◽  
Depression Scale ◽  
Resonance Spectroscopy ◽  
Hamilton Depression Scale ◽  
Stroke Patients ◽  
1H Mrs ◽  
Post Stroke ◽  
Cont Group ◽  
Post Stroke Depression ◽  
Norm Group

Background: To study morphological and metabolic changes of cerebellum with multimodality magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (1H-MRS), respective, to explore correlation between cerebellum alteration and severity of depression in patients with post-stroke depression. Methods: 60 subjects, including 40 stroke patients and 20 healthy volunteers were enrolled. Depression of stroke patients was tested by Self-rating Depression Scale (SDS) and Hamilton Depression Scale (HAMD), based on which stroke-patients were grouped into post-stroke depression (PSD group) and without post-stroke depression (CONT group). Results: Volume of cerebellum decreased in PSD group and CONT group compared with healthy volunteer (NORM) group. White matter of cerebellum in PSD group and CONT group was disrupted; such disruption was significantly in PSD group. In addition, there was correlation between cerebellum volume and FA and HDRS scores (P<00.01). The Cho/Cr and Cho/NAA ratios in cerebellum contralateral to stroke lesion in PSD were higher than those in NORM group (P<0.05). Cho/Cr and Cho/NAA ratios in contralateral cerebellum and ratio difference of Cho/Cr in bilateral cerebellum were positively correlated with HAMD scales (P<0.05). Conclusion: Morphologic and metabolic alterations are evident in patients with post-stroke depression, indicating possible involvement of cerebellum in post-stroke-depression occurrence.

scholarly journals Is socio-economic status a determinant of HIV-related stigma attitudes in Zimbabwe? Findings from Project Accept

2016 ◽  
Author(s):  
Kudzanai Mateveke ◽  
Basant Singh ◽  
Alfred Chingono ◽  
E. Sibanda ◽  
Ian Machingura
Keyword(s):  
Social Isolation ◽  
Assessment Tool ◽  
Economic Status ◽  
Target Population ◽  
Low Ses ◽  
Voluntary Counseling And Testing ◽  
Socio Economic Status ◽  
Stigma And Discrimination ◽  
Related Stigma ◽  
The Impact

HIV related stigma and discrimination is a known barrier for HIV prevention and care. We aimed to assess the relationship between socio-economic status (SES) and HIV related stigma in Zimbabwe. This paper uses data from Project Accept, which examined the impact of community-based voluntary counseling and testing intervention on HIV incidence and stigma. Total of 2522 eligible participants responded to a psychometric assessment tool, which assessed HIV related stigma and discrimination attitudes on 4 point Likert scale. The tool measured three components of HIVrelated stigma: shame, blame and social isolation, perceived discrimination, and equity. Participants’ ownership of basic assets was used to assess the socio-economic status. Shame, blame and social isolation component of HIV related stigma was found to be significantly associated with medium [odds ratio (OR)=1.73, P<0.01] and low SES (OR=1.97, P<0.01), indicating more stigmatizing attitudes by participants belonging to medium and low SES in comparison to high SES. For HIV related stigma and discrimination programs to be effective, they should take into account the socio-economic context of target population.

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