“POST-STROKE MOOD DISORDERS -A HOSPITAL BASED CROSS-SECTIONAL OBSERVATIONAL STUDY ON SOCIODEMOGRAPHIC, DIAGNOSTIC AND ANATOMICAL PATTERNS"
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Keywords
Clinical profile, Depression, Mood disorder, Sociodemographic
Abstract
Background: A number of patients developed psychiatric problems of diverse nature after stroke. Most of studies have focused on post-stroke depression and thus the hospital prevalence for individual mood disorders have not been explored yet. The goal of current study is to investigate hospital prevalence, sociodemographic patterns and anatomical distribution of mood disorders following stroke.
Method: The study was conducted on ninety patients developing mood disorders after stroke. Detailed socio-demographic characteristics, clinical profile along with psychiatric assessment were recorded in proforma specially designed for the study and analyzed using SSPS v26.
Results: Most of subjects (31,51.6%) were in the age range of 61-80 years. There was male preponderance (21,35%). Most patients were residing at rural areas (54, 90%) and were belonging to lower middle socio-economic status (28, 46%). Majority of subjects were unemployed (29,48.3%). Maximum subjects developed post-stroke depression (40, 66.6%) followed by mixed anxiety and depression (14, 23.3%). Rest of patients suffered from dysthymia (5,8.3%) and manic disorder (1,1.6%).
Conclusions: The post-stroke mood disorders are, generally, unrecognized and untreated, which has adverse impact on process of stroke rehabilitation. Better awareness and comprehension of the post-stroke mood disorders may aid in the early detection and management of them. A detailed psychiatric evaluation is mandatory in all patients of stroke to rule out psychiatric illness
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Amrendra Kumar Singh
Assistant Professor, Department of Psychiatry, A.B.V. Government Medical College, Vidisha, Madhya Pradesh, India.
Naresh Solanki
Associate Professor, Department of Psychiatry, A.B.V. Government Medical College, Vidisha, Madhya Pradesh, India
Rahul Mishra
Assistant Professor, Department of Psychiatry, Birsa Munda Government Medical College, Shahdol, Madhya Pradesh, India
Umesh Pathak
Senior Resident, Dept of Psychiatry, Birsa Munda Govt Medical College, Shahdol, MP, India