Comparing the Course of Mental Health Over the First Year After Stroke With Healthy Controls in Colombia, South America

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• 作者：Megan Sutter ; MS^a ; Laiene Olabarrieta Landa ; BS^b ; Amilkar Calderó ; n Chagualá ; MS^c ; Helmer Chacó ; n Peralta ; MS^d ; Gina Vergara Torres ; BS^e ; Paul B. Perrin ; PhD^f ; Juan Carlos Arango-Lasprilla ; PhD^g ; ^{jcalasprilla@gmail.com}
• 刊名：PM&R
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：9
• 期：1
• 页码：8-14
• 全文大小：491 K
• 卷排序：9

文摘

Stroke is a primary cause of death and disability in upper-middle&ndash;income countries such as Colombia. Given the lack of comprehensive rehabilitation for stroke patients in Colombia, there is a need to assess longitudinal mental health problems poststroke in this region.ObjectiveTo compare the course of mental health in stroke patients to healthy controls over the first year poststroke in Ibague, Colombia.DesignCross-sectional study.SettingThe Psychological Attention Center of Antonio Nari&ntilde;o University in Ibague, Colombia.ParticipantsStroke patients (n = 50) and age- and gender-matched healthy controls (n = 50).MethodsPatients and controls completed self-report Spanish versions of demographic information, injury-related characteristics, and mental health questionnairesMain Outcome MeasurementsOutcomes assessed included mental health (depression, anxiety, and stress) at 3, 6, and 12 months poststroke.ResultsHierarchical linear models suggested that stroke patients had worse depression and anxiety over time than controls (P < .001). Among patients, depression and anxiety decreased over time (P < .001), whereas stress increased over time (P < .01). The findings suggest that although anxiety and depression improved over time in stroke patients, their mental health remained significantly lower than that of controls.ConclusionsThis is the first study to examine the course of mental health over the first year poststroke in Latin America, specifically in Ibague, Colombia. Despite the improvements in anxiety and depression over the first year poststroke, patient anxiety and depression were still worse in comparison to those in healthy controls. The current findings indicate a need for rehabilitation services in Colombia, especially targeting mental health issues.Level of EvidenceI