Prevalence and Associated Factors of Psychological Distress of Patients with Stroke Attending a Neurology Clinic — An Analytical Cross-sectional Study

Authors

DOI:

https://doi.org/10.5195/ijms.2024.2454

Keywords:

Psychological distress, Stroke, Cross-sectional study, Sri Lanka, Stroke Patients, Neurology Clinic, Kessler Psychological Distress Scale (K-10), Disability, Modified Rankin Scale, Multivariate Analysis, Socio-demographic Factors, Behavioral Factors

Abstract

Background: A vast range of factors lead to psychological distress among stroke patients, causing poor outcomes. This study aimed to assess the prevalence of psychological distress and identify the associated factors among stroke patients attending the Neurology Clinics of the National Hospital of Sri Lanka (NHSL), Colombo.

Methods: A descriptive cross-sectional study with an analytical component was conducted among 177 patients with stroke attending the Neurology Clinics of the NHSL, Colombo, who were sampled by multistage random sampling. Psychological distress was assessed using the Kessler Psychological Distress Scale (K-10). Data collected under 6 domains underwent initial bivariate analysis using Chi-square and Fisher's Exact Tests, followed by multivariate analysis via binary logistic regression.

Results: The mean age of the participants with stroke was 59.7 (SD:12.3) years. The prevalence of psychological distress among stroke patients was found to be 23.3% (95% CI:16.1–31.9). During bivariate analysis, six factors (p<0.05) were significant. The regression analysis identified five independent predictors: younger age (OR =0.87, 95% CI=0.79–0.97, p<0.05), female gender (OR=70.94, 95% CI=3.73–1348.89, p=0.05), patient being the sole source of income (OR=24.71, 95% CI=1.67–362.01, p<0.05), increased level of disability (OR=13.05, 95% CI=3.59–47.36, p<0.001), and past personal history of psychiatric disorders (OR=172.59, 95% CI=3.64–8174.42, p<0.05) with a R2 of 0.772.

Conclusion: The prevalence of psychological distress among patients with stroke attending the Neurology Clinics of the NHSL, Colombo, is considerably high and is associated with multiple health and non-health related factors.

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This diagram represents factors associated with psychological distress (K-10) organized in a circular layout. At the center is 'Psychological Distress K-10,' surrounded by seven interconnected categories: 1) Socio-demographic Factors, 2) Non-Stroke Related Health Factors, 3) Stressful Life Events, 4) Behavioral Factors, 5) Family & Caregiver Related Factors, 6) Stroke Related Factors, and 7) Disability and Dependence. Subcategories under 'Disability and Dependence' include 'Disability - Modified Rankin Scale' and 'Dependence - Barthel Index.' The diagram visually highlights how various factors interact and contribute to psychological distress.

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Published

2024-10-03 — Updated on 2024-12-17

How to Cite

Weerasekara, P., Warshawithana, C., Weerasinghe, N., & Mashood, I. (2024). Prevalence and Associated Factors of Psychological Distress of Patients with Stroke Attending a Neurology Clinic — An Analytical Cross-sectional Study. International Journal of Medical Students, 12(4), 415–421. https://doi.org/10.5195/ijms.2024.2454

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Vol. 12 No. 4 (2024)

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Original Article

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Copyright (c) 2024 Pumudu Weerasekara, Chalitha Warshawithana, Nelushi Weerasinghe, Irshad Mashood

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