Abstract

Poststroke depression (PSD) is a frequently occurring complication of stroke that affects up to 30% of all stroke survivors in the first 24 months after stroke. PSD has been correlated with increases in hospital length of stay and hospital costs, increased physical morbidity and mortality, the risk for recurrent stroke at one year, decreased functional outcome, decreased cognitive function, and decreased quality of life post stroke. Estimates are >50% stroke survivors with depressive symptoms are left untreated due to lack of recognition. Moreover, depression in family caregivers of stroke survivors may negatively influence stroke recovery and stroke survivor quality of life.

This explanatory sequential mixed-method study sought to examine the relationship between stroke disability as measured by the Modified Rankin Scale (mRS) (Van Sweiten et al., 1988), caregiver burden as measured by Zarit Burden Interview-12 (ZBI- 12) (Bedard et al., 2001), rurality, prior history of depression and depressive symptoms after stroke as measured by the Beck Depression Inventory-Fast Screen (BDI©-FS) (Beck et al, 2000) and to also identify specific symptoms of depressive symptoms after stroke from the perspectives of stroke survivors and their caregivers in rural and urban communities.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30485661; ProQuest document ID: 2824599337. The author still retains copyright.

Author Details

Tanya L. Brekenridge-Trotter, PhD, CNS

Sigma Membership

Zeta Phi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Mixed/Multi Method Research

Keywords:

Poststroke Depression, Quality of Life, Caregivers, Burden

Advisor

Tracy A. Evanson

Second Advisor

Dawn L. Denny

Third Advisor

F. Richard Ferraro

Fourth Advisor

Patricia A. O'Malley

Degree

PhD

Degree Grantor

University of North Dakota

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-09-11

Full Text of Presentation

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