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Risk Factors for Depressive Symptoms in Korean Adult Stroke Survivors: The Korea National Health and Nutrition Examination Survey IV–VII (2007–2018)

Author

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  • Min-Woo Hong

    (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan 49201, Korea
    Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan 49201, Korea)

  • Jong-Hwa Lee

    (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan 49201, Korea
    Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan 49201, Korea)

  • Kyeong-Woo Lee

    (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan 49201, Korea
    Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan 49201, Korea)

  • Sang-Beom Kim

    (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan 49201, Korea
    Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan 49201, Korea)

  • Min-Gu Kang

    (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan 49201, Korea
    Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan 49201, Korea)

Abstract

Depressive symptoms are common in stroke survivors, and they are associated with poor outcomes. Therefore, this study aimed to investigate the depressive symptoms in stroke survivors and the risk factors for depressive symptoms in stroke survivors. We included 33,991 participants who were 19 years or older and had completed a questionnaire about the history of stroke from the Korea National Health and Nutrition Examination Survey (KNHANES) IV–VII (from 2007 to 2018). The mean Patient Health Questionnaire-9 score and the prevalence of major depression, depressive symptoms, antidepressant treatment, suicidal ideation, and suicide attempts were significantly higher in stroke survivors than in non-stroke participants (4.4 vs. 2.6, 16.2% vs. 5.3%, 24.7% vs. 9.3%, 3.8% vs. 1.4%, 21.7% vs. 4.8%, and 2.5% vs. 0.6%, respectively, all p < 0.001). Complex sample multivariate logistic regression analysis revealed that the female sex, unemployment, a low education level, a low family income, and activity limitations were independent risk factors for depressive symptoms in stroke survivors. Activity limitations showed the highest odds ratio among the independent factors, and its causes were further analyzed. The most common causes of activity limitations were stroke sequelae and musculoskeletal problems. To reduce depressive symptoms in stroke survivors, attention needs to be paid to minimizing stroke sequelae and musculoskeletal problems along with regular screening for depressive symptoms.

Suggested Citation

  • Min-Woo Hong & Jong-Hwa Lee & Kyeong-Woo Lee & Sang-Beom Kim & Min-Gu Kang, 2021. "Risk Factors for Depressive Symptoms in Korean Adult Stroke Survivors: The Korea National Health and Nutrition Examination Survey IV–VII (2007–2018)," IJERPH, MDPI, vol. 18(15), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8178-:d:607044
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    References listed on IDEAS

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    1. Ellen V Backhouse & Caroline A McHutchison & Vera Cvoro & Susan D Shenkin & Joanna M Wardlaw, 2018. "Cognitive ability, education and socioeconomic status in childhood and risk of post-stroke depression in later life: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-15, July.
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