ASSESSMENT OF DEPRESSION, FATIGUE, AND PSYCHOLOGICAL WELL-BEING IN PATIENTS AFTER STROKE: RESULTS OF A CROSS-SECTIONAL STUDY USING THE BECK, FAS, AND MHC-SF SCALES

Abstract

Relevance: Stroke represents a substantial challenge in contemporary medicine. In addition to the neurological deficits arising from cerebrovascular damage, this condition significantly influences the psychological state and overall quality of life of affected individuals. The provision of psychological support and timely emotional intervention during the acute phase of a cerebral hemorrhage is essential for facilitating optimal motor recovery. The early identification and treatment of psychoemotional disorders are particularly critical for enhancing recovery prospects following a stroke. This study aims to evaluate the levels of depression, fatigue, and psychological well-being among stroke survivors utilizing validated assessment tools, specifically the Beck Depression Inventory (BDI), Fatigue Assessment Scale (FAS), and Mental Health Continuum-Short Form (MHC-SF). Materials and Methods: Cross-sectional study conducted across two multidisciplinary hospitals in Aktobe from February to July 2024, the study encompassed 150 inpatients at designated stroke centers. Assessment of depression, fatigue, and psychological well-being was performed via the BDI, FAS, and MHC-SF scales. Results: Among the 150 participants, a majority were female (58.7%). Ischemic strokes accounted for 55.3% of cases. Fatigue was reported by 54.7% of participants, with a mean FAS score of 35.68±9.28. The mean BDI score of 10.74±8.03 indicated the presence of mild depression, while the average MHC-SF score of 79.19±17.797 suggested a moderately high level of subjective psychological well-being. Conclusion: The results underscore the necessity of adopting a comprehensive approach to post-stroke rehabilitation, which emphasizes not only the importance of physical recovery but also the reduction of fatigue, enhancement of psychological well-being, and timely diagnosis of depressive states. The emotional resources preserved by numerous patients can be utilized to elevate their quality of life and rehabilitation outcomes.