Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

Utama Hadiputra Surbakti; R.A. Dwi Pujiastuti; Kiking Ritarwan

doi:10.47353/jsocmed.v2i3.40

Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

Utama Hadiputra Surbakti
Resident of Neurology Department, Faculty of Medicine, University of North Sumatera / Haji Adam Malik General Hospital, Medan, Indonesia
R.A. Dwi Pujiastuti
Staff of Neurology Department, Faculty of Medicine, University of North Sumatera / Haji Adam Malik General Hospital, Medan, Indonesia
Kiking Ritarwan
Staff of Neurology Department, Faculty of Medicine, University of North Sumatera / Haji Adam Malik General Hospital, Medan, Indonesia

Abstract

Introduction: Sleep disorders are common in stroke patients and can affect 20% - 78% of patients. Stroke patients also often experience depression and anxiety associated with a decrease in the patient's sleep quality. The purpose of this study was to determine the relationship between depression and anxiety with sleep quality in post-stroke patients.

Method: This study used a cross-sectional design. The research subjects were post-stroke patients at the neuro polyclinic at H. Adam Malik General Hospital Medan and Satellite Hospital during July - December 2022 who met the inclusion criteria. Assessment of depression, anxiety and sleep quality used Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Pittsburgh Sleep Quality Index (PSQI) Questionnaires, respectively. Data were analyzed using Spearman's correlation test.

Results: Bivariate analysis found that there was a strong relationship between the HDRS score and the PSQI score (r = 0.708; p <0.001), and the HARS score and PSQI (r = 0.650; p <0.001).

Conclusion: There was strong correlation between depression and anxiety with sleep quality in post-stroke patients.

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Published at

31. March 2023
https://doi.org/10.47353/jsocmed.v2i3.40
Issue:

Vol. 2 No. 3 (2023): March
Section:

Articles
Keywords:

Anxiety Depression Sleep Quality
References:

Stinear CM, Lang CE, Zeiler S, Byblow WD. Advances and challenges in stroke rehabilitation. Lancet Neurol. 2020; 19 (4): 348–60.

Whitiana GD, Vitriana, Cahyani A. Level of Activity Daily Living in Post Stroke Patients. Althea Med J. 2017; 4 (2): 261–6.

Karaca B. Factors Affecting Poststroke Sleep Disorders. J Stroke Cerebrovasc Dis. 2016; 25 (3): 727–32.

Khot SP, Morgenstern LB. Sleep and Stroke. Stroke. 2019; 50 (6): 1612–7.

Schöttke H, Gerke L, Düsing R, Möllmann A. Post-stroke depression and functional impairments – A 3-year prospective study. Compr Psychiatry. 2020; 99: 152171.

Zhao L, Yang F, Sznajder KK, Zou C, Jia Y, Yang X. Resilience as the Mediating Factor in the Relationship Between Sleep Disturbance and Post-stroke Depression of Stroke Patients in China: A Structural Equation Modeling Analysis. Front Psychiatry. 2021;12:1–9.

Towfighi A, Ovbiagele B, El Husseini N, Hackett ML, Jorge RE, Kissela BM, et al. Poststroke Depression: A Scientific Statement for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke. 2017 ; 48 (2): e30–43.

Medeiros GC, Roy D, Kontos N, Beach SR. Post-stroke depression: A 2020 updated review. Gen Hosp Psychiatry. 2020; 66: 70–80.

Srivastava A, Taly AB, Gupta A, Murali T. Post-stroke depression: Prevalence and relationship with disability in chronic stroke survivors. Ann Indian Acad Neurol. 2010; 13 (2): 123–7.

Hu Z, Zhu X, Kaminga AC, Zhu T, Nie Y, Xu H. Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: A cross-sectional study. BMJ Open. 2020; 10 (7): 1–8.

Suh M, Choi-Kwon S, Kim JS. Sleep Disturbances at 3 Months after Cerebral Infarction. Eur Neurol. 2016; 75 (1–2): 75–81.

Cumming TB, Blomstrand C, Skoog I, Linden T. The high prevalence of anxiety disorders after stroke. Am J Geriatr Psychiatry. 2016; 24 (2): 154–60.

Almhdawi KA, Alazrai A, Kanaan S, Shyyab AA, Oteir AO, Mansour ZM, et al. Post-stroke depression, anxiety, and stress symptoms and their associated factors: A cross-sectional study. Neuropsychol Rehabil. 2021; 31 (7): 1091–104.

Sari DA, Setyaningsih I, Gofir A. Tingkat keparahan stroke iskemik sebagai faktor risiko late-onset seizure. Berk Neurosains. 2020; 19 (2): 77–82.

Maryanti Y, Susanti D, Maulidyastuti D. Gambaran Faktor Risiko Pasien Stroke Iskemik yang dirawat di Bangsal Saraf RSUD Arifin Achmad Provinsi Riau Periode 1 Januari 2018 31 Desember 2018. J Ilmu Kedokt. 2019; 13 (1): 44.

Fuadi MI, Nugraha DP, Bebasari E. Gambaran obesitas pada pasien stroke akut di Rumah Sakit Umum DaerahArifin Achmad Provinsi Riau periode Januari-Desember 2019. J Kedokt Syiah Kuala. 2020; 20 (1) :13–7.

Tambunan LP, Sjahrir H, et al. The Difference of Stroke Risk Factor between Bataknese and Non-Bataknese at H. Adam Malik General Hospital Medan. Indones J Med. 2019; 4 (2): 122–34.

Rambe AS, Fithrie A, Nasution I, Tonam. Profil Pasien Stroke Pada 25 Rumah Sakit Di Sumatera Utara 2012 Survei Berbasis Rumah Sakit. Neurona. 2013; 30 (2).

Dogru Huzmeli E, Sarac ET. Examination of Sleep Quality, Anxiety and Depression in Stroke Patients. Turkish J Cerebrovasc Dis. 2017; 23 (2): 51–5.

Liu F, Yang Y, Wang S, Zhang XL, Wang AX, Liao XL, et al. Impact of Sleep Duration on Depression and Anxiety After Acute Ischemic Stroke. Front Neurol. 2021; 12: 1–8.

Khairunnisa S, Elita V, Bayhakki B. Faktor - Faktor Yang Berhubungan Dengan Kecemasan Pada Pasien Pasca Stroke. Coping Community Publ Nurs. 2022; 10 (3): 233.

Xiao M, Huang G, Feng L, Luan X, Wang Q, Ren W, et al. Impact of sleep quality on post-stroke anxiety in stroke patients. Brain Behav. 2020; 10 (12): 1–9.

Medina AB, Lechuga DYA, Escandón OS, Moctezuma JV. Update of sleep alterations in depression. Sleep Sci. 2014; 7 (3): 165–9.
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Surbakti, U. H., R.A. Dwi Pujiastuti, & Kiking Ritarwan. (2023). Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients. Journal of Society Medicine, 2(3), 91–97. https://doi.org/10.47353/jsocmed.v2i3.40