Psychosocial Associated and Predictors of Post Stroke Depression 3- 6 Months after Onset: A Systematic Review

Abstract

Background: The impacts of post stroke depression (PSD) are recurrent stroke after 1 year, fatique, unresolved depression, thinking of suicide, low quality of live, family burden, and enhanced the mortality risk in acute stroke survivor. Related factors both biological and psychological in ischemic stroke have been found. However, the systematic review of psychosocial factors of PSD in ischemic stroke 3 until 6 months after onset was not established yet, while the prevalence increases. Aim: To investigate the psychosocial associated and predictor factors of post stroke depression in 3 months until 6 months after onset Methods: Databases used were Medline, Academic Search Complete, CINAHL, Psychology and Behavioral Sciences Collection. The search was limited to articles published in 2005 to 2017. The criteria of studies were patients with ischemic stroke in 3 to 6 months after onset, aged 18 years on stroke onset, quantitative correlated between various factors and PSD, article with full text, published in peer-review journal and written in English. All articles were assessed for eligibility using the Critical Appraisal Skills Program (CASP) evaluation method. Result: A total of nine articles was selected. The presence of post stroke depression was various. The psychosocial factors which related to post stroke depression were female gender, education, trouble in paying bill, history of depression, depressiveness at 8 weeks, stress of full life events exposure in the month of preceding stroke, stress of health, acceptance resignation and avoidance, social support, and family-related stress. Conclusion: Psychosocial associated and predictors of post stroke depression should be treated. The psychological factors should be considered as an integrated treatment with medical treatment as well. Keywords: Psychosocial, post stroke depression, ischemic stroke