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With the rising prevalence of strokes, understanding the impact of post-stroke depression on healthcare utilization is crucial. The study examined the association between patient-reported post-stroke depressiveness and the healthcare service utilization three months post-stroke. The prospective Stroke Cohort Augsburg (SCHANA) study assessed post-stroke depressiveness using the Patient Health Questionnaire (PHQ-9) during hospital stay. Participants reported their utilization of medical and therapeutic services, rehabilitation, and inpatient hospital stays three months post-discharge. Multivariable adjusted linear and binary logistic regression analyses examined the association between post-stroke depressiveness and healthcare service utilization. Among 546 participants included into the analyses, 57.1% had no depression, 28.8% had mild depression and 14.9% had moderate to severe depression. Higher PHQ-9 scores were associated with a significantly increased likelihood of inpatient hospital treatment (OR\u2009=\u20091.07; 95% CI: 1.01\u20131.14; <jats:italic>p<\/jats:italic>\u2009=\u20090.016), attendance at rehabilitation programs (OR\u2009=\u20091.09; 95% CI: 1.03\u20131.15; <jats:italic>p<\/jats:italic>\u2009=\u20090.003), and more frequent utilization of general practitioners\/internists (beta\u2009=\u20090.10; 95% CI: 0.01\u20130.19; <jats:italic>p<\/jats:italic>\u2009=\u20090.036). In conclusion, post-stroke depressiveness was associated with increased healthcare service utilization. Further studies are required to gain a more comprehensive understanding.<\/jats:p>","DOI":"10.1038\/s41598-025-12875-x","type":"journal-article","created":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T20:15:08Z","timestamp":1754165708000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association between post-stroke depressiveness and the utilization of healthcare services three months after the stroke"],"prefix":"10.1038","volume":"15","author":[{"given":"Raphaela","family":"Artner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Meisinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ertl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Naumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Linseisen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"Schmitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,2]]},"reference":[{"key":"12875_CR1","unstructured":"Robert Koch-Institut (RKI). 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