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Prevalence of Depression After Stroke: The Perth Community Stroke Study

Published online by Cambridge University Press:  02 January 2018

P. W. Burvill ,
G. A. Johnson ,
K. D. Jamrozik ,
C. S. Anderson ,
E. G. Stewart-Wynne  and
T. M. H. Chakera
P. W. Burvill*
Affiliation:
Department of Psychiatry and Behavioural Science, University of Western Australia
G. A. Johnson
Affiliation:
Department of Psychiatry and Behavioural Science, University of Western Australia
K. D. Jamrozik
Affiliation:
Department of Public Health, University of Western Australia
C. S. Anderson
Affiliation:
Department of Neurology, Royal Perth Hospital
E. G. Stewart-Wynne
Affiliation:
Stroke Unit, Royal Perth Hospital, Wellington Street, Perth, W. A. 6000
T. M. H. Chakera
Affiliation:
Department of Diagnostic Radiology, Royal Perth Hospital, Australia
*
Professor Burvill, Department of Psychiatry and Behavioural Science, University of Western Australia, Perth, W. A. 6009, Australia
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Abstract

Background

The Perth Community Stroke Study (PCSS) was a population-based study of the incidence, cause, and outcome of acute stroke.

Method

Subjects from the study were assessed initially, by examination and interview, and at four- and 12-month follow-ups to determine differences in prevalence of depression between the sexes and between patients with first-ever and recurrent strokes.

Results

The prevalence of depressive illness four months after stroke in 294 patients from the PCSS was 23% (18–28%), 15% (11–19%) major depression and 8% (5–11 %) minor depression. There were no significant differences between the sexes or between patients with first-ever and recurrent strokes. With a non-hierarchic approach to diagnosis of those with depression, 26% of men and 39% of women had an associated anxiety disorder, mainly agoraphobia. Nine per cent of male and 13% of female patients interviewed had evidence of depression at the time of the stroke. Twelve months after stroke 56% of the men were still depressed (40% major and 16% minor), as were 30% of the women (12% major and 18% minor).

Conclusion

The prevalence of depression after stroke was comparable with that reported from other studies, and considerably less than that reported from in-patient and rehabilitation units.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 3 , March 1995 , pp. 320 - 327
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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Footnotes

Current address: Department of Medicine (Neurology), Flinders Medical Centre, Bedford Park, S. A. 5042

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