Research Article  |   September 2013
Minimal Depression: How Does It Relate to Upper-Extremity Impairment and Function in Stroke?
Author Affiliations
  • Lindy L. Weaver, MOT, OTR/L, is Doctoral Student, School of Health and Rehabilitation Sciences, The Ohio State University Wexner Medical Center, Columbus
  • Stephen J. Page, PhD, MS, MOT, OTR/L, is Associate Professor, School of Health and Rehabilitation Sciences, and Director, Neuromotor Recovery and Rehabilitation Laboratory, The Ohio State University Wexner Medical Center, 453 West 10th Avenue, Suite 406, Columbus, OH 43210; Stephen.page@osumc.edu
  • Lynne Sheffler, MD, is Assistant Professor, Case Western Reserve University School of Medicine, Cleveland, OH
  • John Chae, MD, is Director of Research and Professor of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH
Article Information
Mental Health / Neurologic Conditions / Stroke / Rehabilitation, Disability, and Participation
Research Article   |   September 2013
Minimal Depression: How Does It Relate to Upper-Extremity Impairment and Function in Stroke?
American Journal of Occupational Therapy, September/October 2013, Vol. 67, 550-555. doi:10.5014/ajot.2013.008391
American Journal of Occupational Therapy, September/October 2013, Vol. 67, 550-555. doi:10.5014/ajot.2013.008391
Abstract

OBJECTIVE. We sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke.

METHOD. We conducted a retrospective, secondary analysis of an interventional study. Correlational analyses were performed using the following outcome measures: the UE section of the Fugl-Meyer Assessment (FM), the functional ability section of the Arm Motor Ability Test (AMAT), and the Beck Depression Inventory (BDI–II).

RESULTS. We found a negative correlation between BDI–II and both the FM (−.120, p = .196) and the AMAT (−.110, p = .275); however, this correlation was not statistically significant. Women exhibited higher depression scores (8.75 ± 0.78) than men (6.29 ± 0.46; p = .008).

CONCLUSION. Low levels of depression are not associated with UE motor impairment and function in people with minimal to moderate UE disability levels. Poststroke depression occurs more frequently in women, warranting additional research on sex-specific differences. Given the proliferation of UE therapies targeting this group, this information is important for effective therapy planning and implementation.