Faculty Collaboration Database

The association between major depression, health behaviors, and quality of life in adults with stroke. Int J Stroke 2012 Oct;7(7):536-43

Date

12/14/2011

Pubmed ID

22151696

DOI

10.1111/j.1747-4949.2011.00708.x

Scopus ID

2-s2.0-84866482916 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

AIM: The study aims to examine the association between major depression, healthcare behaviors, and quality of life indices among adults with stroke.

METHODS: Data from 5869 participants with stroke in the 2006 Behavioral Risk Factor Surveillance Survey were examined. Multiple logistic regression was used to assess the independent association between depression status, self-care and preventive health behaviors, and quality of life indices, after accounting for relevant covariates.

RESULTS: In multivariate models, individuals with major depression were less likely to engage in physical activity (odds ratio 0·41; 95% confidence interval 0·29, 0·56) than those without major depression. Women with major depression were also less likely to have received a mammogram in the past two-years (odds ratio 0·61; 95% confidence interval 0·40, 0·96 for women ≥ age 40 and odds ratio 0·58; 95% confidence interval 0·36, 0·72 for women ≥ age 50) and a pap smear in the past three-years (odds ratio 0·40; 95% CI 0·22, 0·72). In comparisons of quality of life, individuals with major depression were less likely to perceive their health as excellent/very good/good (odds ratio 0·36; 95% confidence interval 0·25, 0·53), to report being satisfied with life (odds ratio 0·13; 95% confidence interval 0·08, 0·20), and to report receiving needed social support (odds ratio 0·42; 95% confidence interval 0·28, 0·63). Individuals who were depressed were also more likely to report one or more poor physical and poor mental health days in the past 30 days (odds ratio 4·56; 95% confidence interval 3·08, 6·76 and odds ratio 10·97; 95% confidence interval 7·75, 15·52, respectively).

CONCLUSIONS: In adults with stroke, major depression is associated with decreased engagement in stroke-specific and gender-specific self-care and preventive health behaviors, as well as a broad range of quality of life indices.

Author List

Ellis C, Grubaugh AL, Egede LE

Author

Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Age Factors
Aged
Depressive Disorder, Major
Female
Health Behavior
Humans
Male
Middle Aged
Quality of Life
Stroke
Surveys and Questionnaires
Young Adult