Chulalongkorn Medical Journal


Background: Stroke is one of the most common public health problems worldwide. In addition, it is neurological disease and it is a major problem of Thai public health. It is a chronic illness, a stroke patient that needs lifelong care for both physical and psychological aspects. Previous studies on self-esteem and post-stroke depression in stroke patients in recovery phase are scant in Thailand. Objectives: To determine the prevalence of low self-esteem, depression and its associated factors in stroke patients in recovery phase at Public Health Center 19 Wongsawang, Bangkok, Thailand. Methods: A descriptive analysis study was conducted at the Public Health Center 19 Wongsawang, Bangkok, Thailand. The recruited subjects were 88 adults with stroke in recovery phase (6 months – 3 years) from December 2018 to February 2019. The instruments were demographic and clinical characteristics questionnaires, Thai Meatal State Examination (TMSE), Barthel Index of Activity of Daily Living, Self – Esteem assessed by Coopersmith Self-Esteem Inventory Adult Form 1984 and Depression assessed by Thai Geriatric Depression Scale (TGDS). The statistics used to analyze data were frequencies, percentages, mean and standard deviation, Chi-square test, t - test, Mann-Whisney U test, Pearson product-moment correlation coefficient and logistic regression. Results: Of the total 88 participants, the mean age was 66.9 years; 73.9% had ischemic stroke and 52.3 % had stroke for more than 2 years. The prevalence of self-esteem was 41.0% and depression was 55.7 %. Self-esteem and depression was significantly related to the educational group below graduated level, had communication problem, swallowing problem and TMSE’s score lesser than 23 (P < 0.05). Conclusion: This study found that lower TMSE’s score, ADL’s score and swallowing problem were related to the severity of stroke. Our study will be beneficial for recognizing low self – esteem and depression, providing appropriate care for stroke patient in recovery phase and decreasing obstruction for rehabilitation.


Faculty of Medicine, Chulalongkorn University



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