{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:30:00Z","timestamp":1785540600955,"version":"3.56.0"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Poststroke depression (PSD) is a highly prevalent and serious mental health condition affecting a significant proportion of stroke survivors worldwide. While its exact causes remain under investigation, managing PSD presents a significant challenge.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aim<\/jats:title>\n<jats:p>This study aimed to evaluate the prevalence and predictors of depression among Bangladeshi stroke victims.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A cross-sectional study was carried out with 725 stroke victims who were receiving medical care at three designated tertiary care hospitals in Sylhet from January to December 2023. Depression and disability were measured using the Patient Health Questionnaire-9 and the Modified Rankin Scale. Logistic regression analysis was employed to examine the predictors linked to depression.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>According to the study, 80.8% of individuals had moderate to severe disability, and 58.1% of them experienced a moderate to severe level of depression. Individuals who had hemorrhagic stroke (AOR 1.31, 95% CI: 0.77\u20132.25), repeated episodes (AOR 3.41, 95% CI: 1.89\u20136.14), tobacco use (AOR 1.76, 95% CI: 1.16\u20132.67), or coexisting health conditions (AOR 1.68, 95% CI: 1.00\u20132.82) exhibited elevated levels of depression. Participants whose medical expenses covered by relatives or others were six times more likely to experience depressive symptoms (AOR 6.32, 95% CI: 1.61\u201324.76). Individuals who did not receive rehabilitation services had two times greater odds of being depressed (OR 1.85, 95% CI: 1.23\u20132.77, p = 0.003). Consequently, individuals with low functional status had eleven times greater levels of depression (AOR 11.03, 95% CI: 7.14\u201317.04).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>More than half of the participants in this present study reported moderate to extreme levels of depression which is a serious health issue among Bangladeshi stroke survivors. Understanding the predictors of depression linked to stroke could enhance the effectiveness of therapeutic interventions for this condition. In addition, multidisciplinary teams should work collaboratively to address this serious issue.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0311325","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T18:53:18Z","timestamp":1735930398000},"page":"e0311325","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Disability and depression among stroke survivors attending rehabilitation facilities at three designated tertiary care hospitals in Bangladesh: A cross-sectional study"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7893-1855","authenticated-orcid":true,"given":"Mohammad Jahirul","family":"Islam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8706-9841","authenticated-orcid":true,"given":"Sohel","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khandaker Md","family":"Kamrul Islam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Progya Laboni","family":"Tina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayon Deb","family":"Nath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipa","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Shafiqul","family":"Islam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bikash Juty","family":"Dey Shikder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammed Abdullah","family":"Al Mamun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasima","family":"Yasmin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shishir Ranjan","family":"Chakraborty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"pone.0311325.ref001","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/S1474-4422(16)30073-4","article-title":"Global burden of stroke and risk factors in 188 countries, during 1990\u20132013: a systematic analysis for the Global Burden of Disease Study 2013","volume":"15","author":"VL Feigin","year":"2016","journal-title":"Lancet Neurol"},{"key":"pone.0311325.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: A systematic analysis for the Global Burden of Disease Study 2019","volume":"20","author":"VL Feigin","year":"2021","journal-title":"Lancet Neurol"},{"key":"pone.0311325.ref003","doi-asserted-by":"crossref","first-page":"100414","DOI":"10.1016\/j.ensci.2022.100414","article-title":"Prevalence and risk factors of stroke in Bangladesh: A nationwide population-based survey","volume":"28","author":"MBA Mondal","year":"2022","journal-title":"eNeurologicalSci"},{"key":"pone.0311325.ref004","doi-asserted-by":"crossref","first-page":"e1931","DOI":"10.1016\/S2214-109X(23)00432-1","article-title":"The burden of diseases and risk factors in Bangladesh, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"11","author":"SMS Islam","year":"2023","journal-title":"Lancet Glob Heal"},{"key":"pone.0311325.ref005","doi-asserted-by":"crossref","first-page":"e431","DOI":"10.1161\/STROKEAHA.108.534487","article-title":"What are the social consequences of stroke for working-aged adults? 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