Prevalence of Depression and Associated Factors among Caregivers of Stroke Survivors in Developing Countries: A Systematic Review and Meta-Analysis.

Journal: Current problems in cardiology

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Affiliated Institutions:  Department of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: ttuog@gmail.com. Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: liknawabe@gmail.com. Department of Psychiatric Nursing, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: gebrietadesse@gmail.com. Department of Psychiatric Nursing, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: setegnf@gmail.com. Department of Medical Parasitology, School of Biomedical and Laboratory Sciences College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: abebawsetegn@gmail.com. Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: Berihunagegn@gmail.com. Department of Pharmaceutical Chemistry, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: minichilcw@gmail.com. Department of Pharmacognosy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: Aschemula@gmail.com. Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: abayfenta@gmail.com. Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: eskedardires@gmail.com. Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: rahelbelete@gmail.com. Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: kenzuleyla@gmail.com. Department of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: zemenuwube@gmail.com. Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Electronic address: gebremariamwulie@gmail.com.

Abstract summary 

Stroke is a leading cause of death and disability worldwide. While caregivers play a vital role in recovery, their long-term support can affect their mental well-being. This study aims to estimate the pooled prevalence of depression and associated factors among caregivers of stroke survivors in developing countries.A comprehensive literature search using the preferred reporting items for systematic review and meta-analysis (PRISMA) statement was conducted on Scopus, PsycINFO, EMBASE, Google Scholar, Psychiatry Online, and PubMed/MEDLINE. Data were extracted via a Microsoft Excel spreadsheet and analyzed via STATA version 11.0. Egger regression tests and funnel plot analysis were used to check for publication bias, and the I statistic was used to evaluate statistical heterogeneity. Sensitivity and subgroup analyses were also conducted to identify potential causes of heterogeneity.Seventeen articles from 12 different countries were analyzed. The pooled prevalence of depression among caregivers of stroke survivors was 48.75% (95% confidence interval (CI): 38.64- 58.86). However, the prevalence of depression ranged widely from 17.2%-76%, which may be due to the variation in the depression assessment tools used, types of caregivers, and continent. A long duration of caregiving was the only significant factor associated with depression among caregivers of stroke survivors.The current systematic review and meta-analysis revealed a high prevalence of depression among caregivers of stroke survivors in developing countries. However, there was significant heterogeneity between studies, which could be explained by differences in the depression assessment tools used, types of caregivers, and continents. Factors such as long caregiving times were significantly associated with depression among caregivers of stroke survivors. The study suggests that the depression assessment tool utilized itself could have modified the prevalence of depression among caregivers of stroke survivors. Therefore, a single depression assessment tool needs to be authorized.

Authors & Co-authors:  Alemayehu Tekletsadik Tekleslassie TT Wassie Yilkal Abebaw YA Tadesse Gebreslassie G Fentahun Setegn S Yazie Abebaw Setegn AS Mengistie Berhihun Agegn BA Worku Mnichil Chanie MC Mulatu Aschalew A Bekalu Abaynesh Fentahun AF Gebremeskel Eskedar Dires ED Belete Rahel R Kemal Leila Kenzu LK Wubie Zemenu Z Geremew Gebremariam Wulie GW

Study Outcome 

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Citations : 
Authors :  14
Identifiers
Doi : 10.1016/j.cpcardiol.2024.102876
SSN : 1535-6280
Study Population
Male,Female
Mesh Terms
Other Terms
Associated factors;Caregivers;Depression;Meta-analysis;Prevalence;Stroke survivors;Systematic review
Study Design
Study Approach
Systemic Review
Country of Study
Publication Country
Netherlands