Influence of Physical Activity and Socio-Economic Status on Depression and Anxiety Symptoms in Patients after Stroke

Małgorzata Paprocka-Borowicz, Mona Wiatr, Maria Ciałowicz, Wojciech Borowicz, Agnieszka Kaczmarek, Adilson Marques and Eugenia Murawska-Ciałowicz
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Małgorzata Paprocka-Borowicz: Department of Physiotherapy, Physiotherapy Faculty, Medical University in Wroclaw, 50-355 Wroclaw, Poland
Mona Wiatr: Department of Physiotherapy, Physiotherapy Faculty, Medical University in Wroclaw, 50-355 Wroclaw, Poland
Maria Ciałowicz: Physiotherapy Faculty, University School of Physical Education, 51-612 Wroclaw, Poland
Wojciech Borowicz: Neurological Diseases Department, Medical University in Wroclaw, 51-618 Wroclaw, Poland
Agnieszka Kaczmarek: Physiology and Biochemistry Department, University School of Physical Education, 51-612 Wroclaw, Poland
Adilson Marques: CIPER, Faculty of Human Kinetics, University of Lisbon, 1499-002 Cruz Quebrada, Portugal
Eugenia Murawska-Ciałowicz: Physiology and Biochemistry Department, University School of Physical Education, 51-612 Wroclaw, Poland

IJERPH, 2021, vol. 18, issue 15, 1-14

Abstract: Stroke is a high-risk factor for depression. Neurological rehabilitation is greatly difficult and often does not include treatment of depression. The post-stroke depression plays an important role in the progress of treatment, health, and the life of the patient. The appropriate treatment of depression could improve the quality of life of the patient and their family. The study aimed to evaluate the impact of physical activity and socio-economic status of the patient on the effectiveness of recovery from depression and the severity of the symptoms of depression. The study was conducted with 40 patients after stroke aged 42–82 years, and included 10 women and 30 men who were hospitalized for two weeks. The severity of depression/anxiety (D/A) symptoms were evaluated two times; at admission and after two weeks of physical therapy. The hospital anxiety and depression scale (HADS) questionnaire was used for this purpose. Socio-economic status was evaluated by several simple questions. It was revealed that physical therapy has a positive influence on mental state. The severity of D/A symptoms after stroke is related to the financial status of the patients (? 2 = 11.198, p = 0.024). The state of health (? 2 = 20.57, p = 0.022) and physical fitness (? 2 = 12.95, p = 0.044) changed the severity of symptoms of anxiety and depressive disorders. The kinesiotherapy in the group of patients with post-stroke depression had positive effects; however, economic and health conditions may influence the prognosis of the disease.

Keywords: stroke; post-stroke depression; exercise; physical activity; kinesiotherapy; socio-economic status (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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