Evaluation of the relationship between functional status and depression, anxiety and personality characteristics in patients with stroke

Objective: The aim of this study was to evaluate the relationship between functional status and depression, anxiety, and type D personality in patients assessed after stroke. Materials and Methods: The study included patients who applied to the Department of Physical Medicine and Rehabilitation at Necmettin Erbakan University Faculty of Medicine between May 2022 and May 2023, with a diagnosis of stroke. The functional status of patients diagnosed with stroke was evaluated in terms of depression, anxiety, and personality traits. Informed consent forms were obtained. The Barthel Index of Activities of Daily Living, Functional Independence Measure, Hospital Anxiety and Depression Scale, Beck Depression Inventory, and Type D Personality Scale (D14) were administered to the patients, and the data were recorded. Demographic information (gender, age, education level, employment status, marital status), lesion localization, time elapsed since stroke, dominant extremity, and the presence of comorbidities were recorded on the patient evaluation form. Results: Statistically significant psychiatric medication usage was observed in stroke patients post-stroke compared to pre-stroke. It was concluded that the scores of Beck Depression Inventory, Hospital Anxiety and Depression Scale (HADS), Functional Independence Measure (FIM), and Barthel Index were not correlated with the time elapsed since the stroke. Females had significantly higher scores on Beck Depression Inventory, HADS-Anxiety, and HADS-Depression compared to males. Statistically, Type D personality traits were found to be more prevalent in females compared to males (p=0,005) There was no significant association found between scores of Beck Depression Inventory, HADS, D-type personality, FIM, Barthel Index, and lesion localization. In employee patients, the scores of FBÖ and Barthel GYA Index were found to be statistically significantly higher compared to housewives and retirees (p=0,025). The HADS-Depression score was also significantly lower compared to the other groups (p=0,013). Negative correlations were found between scores of Beck Depression Inventory, HADS-Anxiety, HADS-Depression, D-type personality traits, and functional status measures (FIM, Barthel Index). Conclusions: Our study revealed th It was concluded that stroke patients with Type D personality traits had worse functional status. e impact of depression and anxiety on the functional status and recovery process of stroke patients. Keywords: Stroke, Depression, Anxiety, Personality, Functional status