Factors Influencing Depression in Patients with First Ischemic Stroke
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Abstract
Purpose: The aim of this study was to examine the influence of self-esteem, family
relationships, cognitive appraisal of health, coping strategies on depression in patients with first
ischemic stroke.
Design: Predictive correlational study.
Methods: The sample consisted of 130 patients with first ischemic stroke at a tertiary hospital in Bangkok. The six questionnaires were used in this study consisting of the demographic data questionnaire, the Rosenberg’s Self-Esteem Scale, the Family Relationships Questionnaire, the Cognitive Appraisal of Health Scale, the Jalowiec Coping Scale and the Center of Epidemiologic Studies Depression Scale. Data were analyzed by using descriptive and logistic regression statistics.
Main findings: The results showed that most of the participants were male (69.2%) and an average age was 62.04 years (SD = 13.01). Depression was found in 10.8% of the patients. Self-esteem, family relationships, cognitive appraisal of health and coping strategies were able to jointly explain variance of depression by 42.3 percent (Nagelkerke R2 = .423). Only self-esteem (OR = .786, 95%CI = .671 - .920, p < .05) was a predictor of depression in patients with first ischemic stroke with statistical significance.
Conclusion and recommendations: Depression could be found among patients with first
ischemic stroke; and self-esteem was an important predictor. Nurses and healthcare teams should emphasize on assessing depression in patients with first ischemic stroke. Furthermore, a program to prevent depression in ischemic stroke patients by promoting their self-esteem should be developed.
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