Abstract
Individuals with mild strokes are generally considered fully functional and do not traditionally receive rehabilitation services. Because patients with mild stroke are assumed to have a good recovery, they may have deficits in other areas, including mental health, that are not addressed. As a result, patients with mild stroke are unable to meet quality of life standards. In addition, healthcare professionals are likely unaware of the potential mental health issues that may arise in mild stroke. To address this gap in knowledge, we review the evidence supporting mental health evaluation and intervention in mild stroke. Specifically, we review comorbid diagnoses including depression, anxiety, fatigue, and sleep disturbances and their potential effects on health and function. Finally, we conclude with general recommendations describing best practice derived from current evidence.
Highlights
Half of all strokes are mild in nature [1]
The most common way to identify persons with mild stroke are the NIH stroke scale and the modified Rankin
One reason for the oversight of the mental health of mild stroke survivors is that healthcare professionals are often unaware of the potential mental health issues that may arise in mild stroke
Summary
The most common way to identify persons with mild stroke are the NIH stroke scale (mild stroke defined as NIHSS < 5) and the modified Rankin (mild stroke defined as mRS < 2) While these tools are of historical significance, they focus on physical ability and do not fully capture the cognitive and emotional issues of stroke survivors. Mental health is one aspect that negatively impacts persons with mild stroke and their caregivers [5]. These patients are assumed to have a good recovery and subsequently they are not evaluated and treated for mental health concerns.
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