Duringthe period effective rehabilitation and occurrence of depressive symptoms
overlap in patients with cerebral vascular disorder. This study was conducted
to clarify the medical professionals’ responses to such cases by determining
the state of depression. This study involved qualitative analysis of free
response questionnaire data. The study includes patients with a history of
cerebral vascular disorder. The questionnaire authors reviewed all questions
intended for free response before inclusion in the questionnaire.
Questionnaires were handed off to patients between May 15 and July 15, allowing
them 2 weeks to reply. The deadline for return was July 31, 2019. The recovery
rate was 64.1%. A total of 245 words and 21 subcategories were extracted. Major
categories of One’s own feelings (44.9%), Interaction with people (32.2%), and
Uncertainty about the future (22.9%) were identified. Because the recovery of
physical functions can aid in the recovery from depressive symptoms, medical
professionals must be indirectly involved in the recovery from depressive
symptoms.
References
[1]
Ahn, D. H., Lee, Y. J., Jeong, J. H., Kim, Y. R., & Park, J. B. (2015). The Effect of Post-Stroke Depression on Rehabilitation Outcome and the Impact of Caregiver Type as a Factor of Post-Stroke Depression. Annals of Rehabilitation Medicine, 39, 74-80. https://doi.org/10.5535/arm.2015.39.1.74
[2]
American Psychiatric Association (2013). DSM-5, Diagnostic and Statistical Manual of Mental Disorders (5th ed., pp. 591-644). Washington DC: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
[3]
Ayerbe, L., Ayis, S., Wolfe, C. D., & Rudd, A. G. (2013). Natural History, Predictors and Outcomes of Depression after Stroke, Systematic Review and Meta-Analysis. The British Journal of Psychiatry, 202, 14-21. https://doi.org/10.1192/bjp.bp.111.107664
[4]
Berelson, B. (1952). Content Analysis in Communication Research. New York: Free Press.
[5]
Cohn, N. (1961). Understanding the Process of Adjustment to Disability. Journal of Rehabilitation, 27, 16-18.
[6]
Comprehensive Survey of Living Conditions (2016). Percentage Distribution of Major Causes (Top 3 Causes) of Long-Term Care by Care Requirement Level. https://www.mhlw.go.jp/english/database/db-hss/cslc-tables.html
[7]
Duncan, P. W., Lai, S. M., & Keighley, J. (2000). Defining Post-Stroke Recovery: Implications for Design and Interpretation of Drug Trials. Neuropharmacology, 39, 835-841. https://doi.org/10.1016/S0028-3908(00)00003-4
[8]
Folstein, M. F., Maiberger, R., & McHugh, P. R. (1977). Mood Disorder as a Specific Complication of Stroke. Journal of Neurology, Neurosurgery & Psychiatry, 40, 1018-1020. https://doi.org/10.1136/jnnp.40.10.1018
[9]
Jorgren, H. S., Nakayama, H., Raaschou, H. O., Vive-Larsen, J., Stoier, M., & Olsen, T. S. (1995). Outcome and Time Course of Recovery in Stroke. Part II: Time Course of Recovery, the Copenhagen Stroke Study. Archives of Physical Medicine and Rehabilitation, 76, 406-412. https://doi.org/10.1016/S0003-9993(95)80568-0
[10]
Kawakami, N. (2016). Prevalence and Treatment-Seeking Behavior. 3. Prevalence of Mental Disability and Treatment-Seeking Behavior. Large-Scale Epidemiological Survey of the Prevalence of Mental Disability—World Mental Health Japan Survey Second (pp. 33-66). Ministry of Health, Labour and Welfare KAKENHI Grant-in-Aid for Scientific Research—Project on Countermeasures for Handicapped Persons. http://wmhj2.jp/WMHJ2-2016R.pdf#search=%27%E7%97%85%E7%8E%87%E3%81%8A%E3% 82%88%E3%81%B3%E5%8F%97%E8%A8%BA%E8%A1%8C%E5%8B%95+%EF%BC%93%E7 %B2%BE%E7%A5%9E%E9%9A%9C%E5%AE%B3%E7%AD%89%E3%81%AE%E6%9C%89%E7% 97%85%E7%8E%87%E3%81%8A%E3%82%88%E3%81%B3%E5%8F%97%E8%A8%BA%E8% A1%8C%E5%8B%95%EF%BC%8E%27
[11]
Kessler, R. C., & Bromet, E. J. (2013). The Epidemiology of Depression across Cultures. Annual Reviews Public Health, 34, 119-138. https://doi.org/10.1146/annurev-publhealth-031912-114409
[12]
Lipsey, J. R., Spencer, W. C., Rabins, P. V., & Robinson, R. G. (1986). Phenomenological Comparison of Post Stroke Depression and Functional Depression. American Journal of Psychiatry, 143, 527-529. https://doi.org/10.1176/ajp.143.4.527
[13]
Marin, R. S. (1991). Apathy: A Neuropsymailhiatric Syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 3, 243-254. https://doi.org/10.1176/jnp.3.3.243
[14]
Osada, M., Muraoka, K., & Liu, M. (2007). Post-Stroke Depression-Diagnosis and Treatment. The Japanese Journal of Rehabilitation Medicine, 44, 177-188. https://doi.org/10.2490/jjrmc.44.177
[15]
Ostir, G. V., Berges, I. M., Ottenbacher, A., & Ottenbacher, K. J. (2011). Patterns of Change in Depression after Stroke. Journal of the American Geriatrics Society, 59, 314-320. https://doi.org/10.1111/j.1532-5415.2010.03266.x
[16]
Starkstein, S. E., Fedoroff, J. P., Price, T. R., Leiguarda, R., & Robinson, R. G. (1993). Apathy Following Cerebrovascular Lesions. Stroke, 24, 1625-1630. https://doi.org/10.1161/01.STR.24.11.1625
[17]
Tateno, A., & Robinson, R. G. (2002). The Effect of Poststroke Depression on Recovery from Stroke. Psycogeriatorics, 2, 73-84. https://doi.org/10.1111/j.1479-8301.2002.tb00054.x
[18]
World Health Organization (1992). International Statistical Classification of Diseases and Related Health Problems (10th Revision). Geneva: WHO.
