Depression, Anxiety, Stress and Disability after Ischemic Stroke at Maharaj Nakorn Chiang Mai Hospital
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Abstract
Objective: To examine the levels of depression, anxiety, stress, disability, and factors associated with mental health among patients with ischemic stroke.
Materials and methods: Survey research was conducted among 100 patients at the Outpatient Department (OPD 21) of Maharaj Nakorn Chiang Mai Hospital between October 2024 and September 2025. Data were collected using a general information questionnaire, the Depression Anxiety Stress Scales–21 (DASS-21), and the Modified Rankin Scale. Descriptive statistics and binary logistic regression were used for data analysis, with statistical significance set at p < .05.
Results: Most participants were male (55%) with a median age of 64 years. The prevalence of mental health problems included anxiety (45%), stress (21%), and depression (19%). Forty-eight percent of patients had no or slight disability. Female patients had 13.59 times higher odds of developing depression compared with males (p < .05), and patients with moderate to severe disability had 23.19 times higher odds of experiencing stress than those with no or slight disability (p < .05).
Conclusion: Stroke patients have a high prevalence of anxiety, particularly among women. The level of disability is associated with mental health status. Mental health screening is recommended.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
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