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Neurology

影响因子：11.8 DOI：10.1212/WNL.0000000000009394

作者： Dong L,Sánchez BN,Skolarus LE,Stulberg E,Morgenstern LB,Lisabeth LD 发表时间：2020-09-10 12:28:01

from：《NEUROLOGY》

keywords： Dong LSánchez BNSkolarus LEStulberg EMorgenstern LBLisabeth LD

关键词：

Abstract

OBJECTIVE:This study investigated the sex difference in prevalence of depression at 90 days after first-ever stroke. METHODS:Patients with first-ever stroke (n = 786) were identified from the population-based Brain Attack Surveillance in Corpus Christi project (2011-2016). Poststroke depressive symptoms were assessed by the 8-item Patient Health Questionnaire, and prestroke depression status (history and medication use) was self-reported. Logistic regression was used to examine the association between sex and depression after stroke, and effect modification by prestroke depression status, accounting for missing data. RESULTS:Women were more likely to have a history of and be on medication for depression at the time of stroke than men (p < 0.001). Prevalence of depression at 90 days was 28.2% for men (95% confidence interval [CI], 23.7%-32.8%) and 32.7% for women (95% CI, 27.8%-37.5%). The age-adjusted odds ratio (OR) of depression after stroke comparing women and men was 1.34 (95% CI, 0.97-1.85), and fully attenuated after adjustment for sociodemographic, stroke, and prestroke characteristics. Effect modification by prestroke depression status was present (p = 0.038). Among participants on medication for depression at the time of stroke, women were significantly less likely to have depression at 90 days compared with men (OR, 0.39; 95% CI, 0.16-0.96), whereas significant sex differences were not noted among those with and without a depression history. CONCLUSION:The sex difference in prevalence of depression at 90 days after first-ever stroke was not significant overall, but varied by prestroke depression status. Interventions to address and prevent poststroke depression are needed, particularly among those with prestroke depression but not undergoing treatment for depression at stroke onset.

摘要

期刊介绍

《NEUROLOGY》 (点击进入期刊详情)

英文简介 : As the leading clinical neurology journal worldwide, Neurology is directed to physicians concerned with diseases and conditions of the nervous system. The journal''s purpose is to advance the field by presenting new basic and clinical research with emphasis on knowledge that will influence the way neurology is practiced. The journal is at the forefront in disseminating cutting-edge, peer-reviewed information to the neurology community worldwide.

中文简介 : （来自Google、百度翻译）作为世界领先的临床神经病学杂志，神经病学是针对医生关心的疾病和条件的神经系统。该杂志的目的是通过介绍新的基础和临床研究，强调将影响神经病学实践方式的知识，推动该领域的发展。该杂志在向全球神经病学社区传播最前沿的、同行评议的信息方面处于领先地位。

CIRCULATION RESEARCH 期刊中科院评价数据

新中科院分区

大类(学科)	小类(学科)	学科排名
医学	CLINICAL NEUROLOGY (临床神经病学)	13/197

新发布的期刊年发文量

年度总发文量	年度论文发表量	年度综述发表量
529	505	24

总被引频次 :89258

特征因子 : 0.115200

影响因子趋势图

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