The role of activity restriction in poststroke depressive symptoms.

Abstract:

OBJECTIVE:Little is known about the determinants of poststroke depression. The Activity Restriction Model of Depressed Affect (ARMDA) may be helpful in understanding poststroke depression but has never been tested in that context. The goal of this study was to examine the relation between activity restriction and depressive symptoms in stroke survivors during the period following discharge from the hospital. METHOD:Participants (N = 197) were assessed on three occasions: (1) time 1 (T1), 3 weeks following discharge; (2) time 2 (T2), 3 months after discharge; and (3) time 3 (T3), 6 months after discharge. RESULTS:Although both stroke severity and activity restriction were significantly related to depressive symptoms, the relation between stroke severity and depression was no longer significant after controlling for activity restriction. Moreover, restrictions in daily activities and social roles were both related to depressive symptoms, but these relations were found to vary during the course of the period following discharge. CONCLUSIONS:These findings support the ARMDA and have practical implications for the prevention of poststroke depression.

journal_name

Rehabil Psychol

authors

Landreville P,Desrosiers J,Vincent C,Verreault R,Boudreault V,BRAD Group.

doi

10.1037/a0016572

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

315-22

issue

3

eissn

0090-5550

issn

1939-1544

pii

2009-12547-009

journal_volume

54

pub_type

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