Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time.

Simple item page
dc.citation.issueNumber 4
dc.citation.volume25
dc.contributor.authorBarker-Collo S
dc.contributor.authorKrishnamurthi R
dc.contributor.authorNair B
dc.contributor.authorRanta A
dc.contributor.authorDouwes J
dc.contributor.authorFeigin V
dc.contributor.editorHonan C
dc.coverage.spatialAustralia
dc.date.accessioned2025-01-08T00:41:41Z
dc.date.available2025-01-08T00:41:41Z
dc.date.issued2024-12-05
dc.description.abstractBackground Depression is commonly studied post stroke, while anxiety is less studied. This study presents prevalence of depression and anxiety at 1- and 12-months post ischemic stroke alongside three methods for examining within-subjects change over time. Methods Participants were ischemic stroke patients of the Auckland Regional Community Stroke Study (ARCOS-V) with Hospital Anxiety and Depression Scale data at 1- (n = 343) and 12-months (n = 307). Change over time was examined using within-subjects repeated measures ANOVA, calculation of the Reliable Change Index, and a Sankey diagram of those meeting cut-off scores (>7) for caseness over time. Results Using repeated measures ANOVA, depression scores didn’t change significantly over time, while anxiety symptoms decreased significantly. When reliable change was calculated, 4.2% of individuals had reliable decreases in anxiety symptoms, while 5.7% had reliable decreases in depression symptoms. Those who had a reliable decrease in one tended to have a reliable decrease in the other. In the Sankey, the proportion of those meeting the cut-off score for anxiety did not change over time (12.8 and 12.7% at 1- and 12-months), while those meeting the cut-off for depression increased slightly (3.7–4.5%) and those meeting cut-offs for both decreased from 10.4 to 8.1%. Conclusion The three methods produced very different findings. Use of cut-off scores is common but has limitations. Calculation of clinically reliable change is recommended. Further work is needed to ensure depression and anxiety are monitored over time post-stroke, and both should be the subject of intervention efforts in both acute and late stages post-stroke.
dc.description.confidentialfalse
dc.format.paginationIB24025-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/39636715
dc.identifier.citationBarker-Collo S, Krishnamurthi R, Nair B, Ranta A, Douwes J, Feigin V. (2024). Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time.. Brain Impair. 25. Number 4. (pp. IB24025-).
dc.identifier.doi10.1071/IB24025
dc.identifier.eissn1839-5252
dc.identifier.elements-typejournal-article
dc.identifier.issn1443-9646
dc.identifier.numberIB24025
dc.identifier.piiIB24025
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/72331
dc.languageeng
dc.publisherCSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment
dc.publisher.urihttp://publish.csiro.au/IB/IB24025
dc.relation.isPartOfBrain Impair
dc.rights(c) 2024 The Author/s
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHumans
dc.subjectMale
dc.subjectFemale
dc.subjectDepression
dc.subjectAged
dc.subjectAnxiety
dc.subjectMiddle Aged
dc.subjectIschemic Stroke
dc.subjectTime Factors
dc.subjectAged, 80 and over
dc.subjectStroke
dc.subjectPrevalence
dc.subjectNew Zealand
dc.subjectPsychiatric Status Rating Scales
dc.titleDepression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time.
dc.typeJournal article
pubs.elements-id492697
pubs.organisational-groupOther
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
492697 PDF.pdf
Size:
1.12 MB
Format:
Adobe Portable Document Format
Description:
Published version.pdf
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
9.22 KB
Format:
Plain Text
Description:
Download
Collections
Journal Articles