Evidence map›Paper›PMID 28716256›Full record

ArticleJournal of the neurological sciences2017

Post-stroke depression in Ghana: Characteristics and correlates.

Fred Stephen Sarfo, Carolyn Jenkins, Arti Singh, Mayowa Owolabi, Akin Ojagbemi, Nathaniel Adusei, Raelle Saulson, Bruce Ovbiagele

Open access · greenAbstract read
In one paragraph

Article in Journal of the neurological sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Post-Stroke Depression and Determinants in Ethiopia; A Systematic Review and Meta-Analysis.International journal of methods in psychiatric research · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
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  5. Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Pooled it
  6. Post-Stroke Depression in Patients with Large Spontaneous Intracerebral Hemorrhage.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Trial
  7. Article
  8. Article
  9. Review
  10. From stroke to depression: The need for systematic screening for post-stroke depression.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Differential associations between pre-diabetes, diabetes and stroke occurrence among West Africans.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  15. New Onset Poststroke Dementia at one Year in Africans.Journal of geriatric psychiatry and neurology · 2022
    Observational
  16. Key determinants of long-term post-stroke mortality in Ghana.Journal of the neurological sciences · 2022
    Article
  17. Article
  18. Article
  19. Neuropsychiatric symptoms among young stroke survivors-frequency, patterns, and associated factors.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Fred Stephen SarfoKwame Nkrumah University of Science & Technology, Kumasi, Ghana; Komfo Anokye Teaching Hospital, Kumasi, Ghana. Electronic address: stephensarfo78@gmail.com.
Carolyn JenkinsMedical University of South Carolina, USA.
Arti SinghKwame Nkrumah University of Science & Technology, Kumasi, Ghana.
Mayowa OwolabiUniversity College Hospital Ibadan, Nigeria.
Akin OjagbemiUniversity College Hospital Ibadan, Nigeria.
Nathaniel AduseiKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Raelle SaulsonMedical University of South Carolina, USA.
Bruce OvbiageleMedical University of South Carolina, USA.
Medical University of South Carolina · USKwame Nkrumah University of Science and Technology · GHUniversity College Hospital, Ibadan · NGKomfo Anokye Teaching Hospital · GH

Funding

Phone-based Intervention Under Nurse Guidance after Stroke (PINGS)R21NS094033 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OVBIAGELE, BRUCE · 2015 to 2016
$337k
Evaluation of Vascular Event Risk while on Long-term Antiretroviral Suppressive Treatment (EVERLAST)R21TW010479 · FIC · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI OVBIAGELE, BRUCE, SARFO, FRED STEPHEN · 2016 to 2017
$312k
FIC NIH HHS R21 TW010479NINDS NIH HHS R21 NS094033
6 · The paper itself

Abstract

backgroundPoststroke depression (PSD) is prevalent and is an important determinant of functional recovery, quality of life and mortality after stroke. Scanty data on the nature of PSD among stroke survivors in sub-Saharan Africa prompted this study.

objectiveTo assess the prevalence and predictors of depression in a convenience sample of Ghanaian stroke survivors.

methodsWe evaluated consecutive stroke survivors encountered at a comprehensive neurology clinic in a tertiary medical center in Ghana. The Center for Epidemiologic Studies Depression Scale (CES-D) and Geriatric Depression Scale (GDS) were both used to screen for depressive symptoms and subjects were considered as depressed if they scored ≥16 on the CES-D scale and >5 on the GDS. Demographic and clinical data on stroke type and severity as well as health-related quality of life indicators were collected. Predictors of stroke-related depression were assessed using a logistic regression model.

resultsOf 200 stroke survivors, mean±SD age was 62.0±14.4years, and 105 (52.5%) patients were men. Among the cohort 78.5% were classified as being depressed by CES-D, 42.5% by GDS, and 36.5% on both CES-D and GDS. In multivariable analyses, for each unit increase on the Modified Rankin scale (i.e. worsening disability), there were higher odds of depression (adjusted OR 1.85; 1.28-2.69, p=0.001), and being divorced (vs. being married) was linked to depression (adjusted 2.82; 1.18-6.71, p=0.02). Stroke survivors with depression demonstrated profound diminutions in the physical, psycho-social, cognitive and eco-social domains of quality of life compared with those without depression (p<0.05).

conclusionAlmost 4 out of 10 stroke survivors in this Ghanaian cohort displayed clinically significant depression. Prospective interventional studies are urgently needed to provide solid evidence-based and culturally tailored interventions to address post-stroke depression particularly in LMICs.

Indexed as

ComorbidityDepressionFemaleGhanaHumansMaleMiddle AgedPrevalenceProspective StudiesQuality of LifeRisk FactorsSeverity of Illness IndexStrokeSurvivorsTertiary Care CentersDisabilityGhanaPost-stroke depressionQuality of life

Identifiers

PMID28716256
PMCPMC5542581
OpenAlexW2679727206

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.