Analysis of mental health status and related factors in patients with acute cerebral infarction

Table 1 Demographic characteristics of acute cerebral infarction patients

Characteristics	Classification	n	Constituent ratio
Gender	Male	142	64.5%
	Female	78	35.5%
Age (yr)	≤ 59	49	22.3%
	60-74	94	42.7%
	≥ 74	77	35.0%
Degree of education	Primary school and below	39	17.7%
	Junior middle school	54	24.5%
	High school/technical secondary school	91	41.4%
	College degree or above	36	16.4%
Marital status	Married	134	60.9%
	Bereft of one’s spouse	26	11.8%
	Divorce or other	60	27.3%
Living situation	Live with parents	10	4.5%
	Live with children	41	18.6%
	Live with partner	108	49.1%
	Living alone	61	27.7%
Domicile	City	114	51.8%
	Village	106	48.2%
Monthly profit (yuan)	≤ 1000	17	7.7%
	1001-3000	75	34.1%
	3001-5000	76	34.5%
	≥ 5001	52	23.6%
Medical insurance type	Medical insurance for urban employees	63	28.6%
	Medical insurance for urban residents	40	18.2%
	New rural cooperative	95	43.2%
	Self-paying	22	10.0%
Caregiver	Parents	11	5.0%
	Spouse	114	51.8%
	Children	76	34.5%
	Other	19	8.6%
History of smoking	No	105	47.7%
	Yes	115	52.3%

Table 2 Disease-related data of acute cerebral infarction patients

Factors	Classification	n	Constituent ratio
Course of disease	1-6 mo	96	43.64%
	7-12 mo	73	33.18%
	1-2 yr	36	16.36%
	More than 2 yr	15	6.82%
Number of ACIs	One	122	55.45%
	More than two	98	44.55%
History of hypertension	Yes	132	60.00%
	No	88	40.00%
History of diabetes	Yes	117	53.18%
	No	103	46.82%
History of coronary heart disease	Yes	109	49.55%
	No	111	50.45%
Number of previous chronic diseases	0	17	7.73%
	1	75	34.09%
	2	101	45.91%
	3	27	12.27%
Informed status of ACI	Fully informed	97	44.09%
	Partially informed	73	33.18%
	Completely uninformed	50	22.73%

ACI: Acute cerebral infarction.

Table 3 Mental health status of acute cerebral infarction patients

Factors	Classification	Number	Constituent ratio	mean ± SD
SDS	Without	93	42.27%	43.31 ± 7.49
	M	73	33.18%	57.29 ± 2.74
	M	39	17.73%	66.51 ± 2.68
	S	10	4.55%	76.30 ± 1.64
SAS	Without	57	25.91%	43.09 ± 8.86
	M	65	29.55%	52.85 ± 10.03
	M	61	27.73%	60.38 ± 8.28
	S	37	16.82%	75.92 ± 4.97

SDS: Self-rating depression scale; SAS: Self-rating anxiety scale.

Table 4 Influence of sociological characteristics of the population on mental health

Factors	Classification	SAS (mean ± SD)	F/t value	P value	SDS (mean ± SD)	F/t value	P value
Gender	Male	54.74 ± 11.05	8.5771	0.004	52.36 ± 11.31	0.2931	0.589
	Female	62.5 ± 13.63			57.59 ± 11.78
Age (yr)	≤ 59	51.33 ± 12.67	10.504	< 0.001	49.35 ± 11.18	8.878	< 0.001
	60-74	57.49 ± 11.42			53.67 ± 11.39
	≥ 74	61.42 ± 12.38			57.97 ± 11.34
Degree of education	Primary school and below	58.05 ± 12.82	0.494	0.687	55.38 ± 13.83	1.096	0.352
	Junior middle school	58.3 ± 11.05			53.15 ± 10.13
	High school/technical secondary school	57.67 ± 13.43			55.33 ± 11.25
	College degree or above	55.22 ± 12.36			51.72 ± 12.60
Marital status	Married	57.51 ± 12.32	1.687	0.188	53.88 ± 11.88	1.559	0.213
	Bereft of one’s spouse	61.23 ± 12.30			57.96 ± 9.28
	Divorce or other	55.83 ± 13.04			53.33 ± 12.18
Living situation	Live with parents	48.00 ± 10.71	3.849	0.01	44.40 ± 11.32	3.923	0.009
	Live with children	61.83 ± 10.76			57.88 ± 11.32	2.4
	Live with partner	57.36 ± 12.82			53.61 ± 11.99	3.4
	Living alone	56.36 ± 12.61			54.43 ± 10.72
Domicile	City	55.97 ± 12.30	3.4941	0.063	54.18 ± 11.05	0.0021	0.96
	Village	59.12 ± 12.69			54.25 ± 12.46
Monthly profit (yuan)	≤ 1000	56.35 ± 12.52	1.9	0.131	50.00 ± 15.36	2.845	0.039
	1001-3000	56.57 ± 11.94			54.13 ± 12.24
	3001-5000	60.17 ± 12.45			56.88 ± 10.45
	≥ 5001	55.27 ± 13.26			51.81 ± 10.76
Medical insurance type	Medical insurance for urban employees	57.25 ± 13.46	1.245	0.294	55.60 ± 10.69	1.063	0.366
	Medical insurance for urban residents	54.3 ± 11.02			51.43 ± 11.08
	New rural cooperative	58.78 ± 12.79			54.40 ± 12.64
	Self-paying	58.41 ± 11.14			54.50 ± 11.53
Caregiver	Parents	48.55 ± 5.09	2.189	0.09	51.36 ± 12.75	1.012	0.388
	Spouse	58.00 ± 13.10			53.80 ± 11.29
	Children	58.41 ± 11.36			55.84 ± 12.41
	Other	55.95 ± 15.26			51.84 ± 10.81
History of smoking	No	55.63 ± 12.16	5.4221	0.021	53.39 ± 11.91	1.1861	0.277
	Yes	59.53 ± 12.77			55.11 ± 11.51

¹t value.

ACI: Acute cerebral infarction; SDS: Self-rating depression scale; SAS: Self-rating anxiety scale.

Table 5 Effects of acute cerebral infarction on mental health

Factors	Classification	SAS (mean ± SD)	F/t/Welch value	P value	SDS (mean ± SD)	F/t/Welch value	P value
Course of disease	1-6 mo	47.66 ± 9.80	72.127	< 0.001	46.36 ± 10.63	56.8352	< 0.001
	7-12 mo	62.97 ± 7.48			59.12 ± 7.83
	1-2 yr	68.17 ± 9.99			58.81 ± 8.51
	More than 2 yr	68.13 ± 6.55			69.53 ± 5.76
Number of ACIs	One	56.63 ± 13.34	1.2861	0.258	53.10 ± 13.18	2.6741	0.103
	More than two	58.56 ± 11.48			55.60 ± 9.50
History of hypertension	Yes	57.11 ± 12.28	0.3091	0.579	53.86 ± 11.60	0.2931	0.589
	No	58.07 ± 13.01			54.74 ± 11.96
History of diabetes	Yes	57.14 ± 13.01	0.1981	0.657	54.09 ± 10.83	0.031	0.863
	No	57.89 ± 12.07			54.36 ± 12.72
History of coronary heart disease	Yes	57.02 ± 12.43	0.3051	0.581	54.36 ± 11.54	0.0331	0.857
	No	57.95 ± 12.72			54.07 ± 11.96
Number of previous chronic diseases	0	64.94 ± 12.36	2.595	0.050	59.53 ± 10.33	2.277	0.081
	1	55.73 ± 12.07			52.09 ± 13.20
	2	57.76 ± 12.34			55.13 ± 10.78
	3	56.67 ± 13.67			53.33 ± 10.71
Informed status of ACI	Fully informed	57.04 ± 12.63	2.444	0.089	55.14 ± 11.22	5.161	0.006
	Partially informed	55.84 ± 11.99			50.88 ± 12.02
	Completely uninformed	60.78 ± 12.87			57.28 ± 11.31

¹t value.

²Welch value.

ACI: Acute cerebral infarction; SDS: Self-rating depression scale; SAS: Self-rating anxiety scale.

Table 6 Multivariate analysis of anxiety in patients with acute cerebral infarction

Variable	B	SE	Beta	t value	P value	95%CI
Constant	29.551	2.164		13.654	< 0.001	25.286-33.817
Course of disease	8.918	0.638	0.658	13.981	< 0.001	7.661-10.176
Sex	8.356	1.232	0.319	6.781	< 0.001	5.928-10.785

CI: Confidence interval.

Table 7 Multivariate analysis of depression in patients with acute cerebral infarction

Variable	B	SE	Beta	t value	P value	95%CI
Constant	41.149	1.457		28.252	< 0.001	38.279-44.02
Course of disease	8.769	0.7	0.647	12.524	< 0.001	7.389-10.149

CI: Confidence interval.