موجز عن البحث:
The occurrence of Post-Stroke Anxiety
(PSA) and Post-Stroke Depression (PSD) has been linked to cognitive
impairment and reductions in functional recovery and social activity. This
study examined the prevalence of post-stroke anxiety and post-stroke
depression in one hundred (100) Saudi stroke patients (76 men, mean age 60.53
years) in the rehabilitation wards or outpatient clinics at three Saudi
medical facilities: King Abdulaziz Medical City, Sultan Bin Abdulaziz
Humanitarian City and King Fahad Medical City. An Arabic version of the
Hospital Anxiety and Depression Scale was used to assess anxiety and depression.
The Barthel Index was used to assess independence in personal day-to-day
activities. The findings of subgroups confirmed the presence of PSA in 36% of
participants (mean score 7.8 SD= 5.09). The prevalence of PSA was found to be
significantly affectedby age (≤ 60 and ≥ 61 years), level of education
(literate and illiterate) and the length of time elapsed since the stroke (≤
6 and ≥ 7 months). Further, PSD was identified in 44% of participants (mean
score 7.87 SD= 4.77). The results from the post-hoc analysis using the Mann-Whitney
test for PSD indicated that differences in level of education and time since
stroke between subgroups showed significant effects, whereas other characteristics
(gender, treatment site, side of weakness) did not. There was a significant negative
correlation between scores on the Barthel Index and the prevalence of anxiety
and depression. Seventy patients were reassessed after three months, of
whom13 (18.6%) were found to suffer from emotional disorders. The results of
the Mann-Whitney test showed significant differences in PSA and PSD
prevalence between subgroups according to gender (male and female) and level
of education (literate and illiterate).
Background: It is
estimated that there are at least 20,000 strokes (126/100.000) per year
across the Saudi Arabia (KSA) and 47% of those may develop cognitive
impairment. However, little is known about the prevalence of impairment in
specific cognitive domains post stroke. This study was conducted to evaluate
the prevalence of overall cognitive dysfunction, as well as
orientation/attention, memory, fluency, language, visuospatial, visual
neglect and executive functions impairments after stroke in Saudi population.
Participants with first-ever stroke were recruited from three medical centres
in the KSA. They underwent neuropsychological examination, consisting of the
Saudi Adaptation of Addenbrooke’s Cognitive Examination – Revised (ACE-R),
the Trail Making Test (TMT) and the Apples Cancellation Subscale (ASC).
Demographic and stroke characteristics were recorded.
Results: 76 men and
24 women were recruited, mean age 60.53 ± 11.26 years. Of those, (52%) had
deficits of orientation/attention, (55%) of memory,
of fluency, (46%) of language, (26) visuospatial, (29.8%) of visual neglect,
of (58.4%) of executive functions and (52%) had overall cognitive impairment.
The post-hoc analysis using Mann-Whitney test were indicated that there were
significantly lower scores for all the dysfunctions domains in the age group
≥ 61 years, in the illiterate group and those who were ≤ 6 months of stroke.
dysfunctions post stroke were common in the KSA. High frequency of the
dysfunctions was reported in the older age patients, in illiterate patients
and in those who were ≤ 6 months post stroke.