Effects Of Post-stroke Depression Research Articles

Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study

ObjectiveTo investigate the prevalence of post-stroke depression in a rehabilitation ward and elucidate its effect on functional improvement and outcomes. DesignRetrospective cohort study. SettingA convalescent rehabilitation ward at a University Hospital. ParticipantsA total of 114 patients with stroke (mean [SD] age, 67.2 [13.5] years; men, 76) assessed at 2 weeks after admission using the Mini-International Neuropsychiatric Interview were enrolled. Main Outcome MeasureFunctional independence measure (FIM) efficiency during hospitalization in the ward. ResultsEleven patients (9.6%) had depression based on the Mini-International Neuropsychiatric Interview. Total FIM efficiency and FIM efficiency in the subtotal of motor items were significantly higher in the non-depression group than in the depression group (median [interquartile range]: 0.69 [0.39-0.95] vs 0.41 [0.24-0.63], P=.027; and 0.56 [0.38-0.80] vs 0.42 [0.18-0.49], P=.023, respectively). Patients in the non-depression group had higher FIM scores at discharge (median [interquartile range]: 116.0 [104.5-123.0] vs 104.0 [82.5-112.0], P=.013, respectively), and were more likely to be discharged home (80.6% vs 36.4%, P=.003). Furthermore, patients in the depression group also stayed significantly longer in the ward (71.0 [36.1] vs 106.1 [43.3], P=.010). ConclusionsPatients with post-stroke depression showed poorer efficiency of functional recovery than those without depression. A future multicenter study with a larger sample size is needed to verify these findings.

526 - Stroke survivor depressive symptoms and anger expression: A Literature review

Background:After stroke, patients may have to accept and face many changes and complications that affect their quality of life. Consequently, they may feel a variety of emotions such as fear, anxiety, denial, depression, anger, rage. Depression is the most common complication after stroke. Anger often occurs in the acute phase of stroke but also during the chronic phase of the patient’s recovery.Objective:To explore the relationship between depressive symptoms and anger expression among stroke survivors.Method:A literature review was conducted in PubMed and Scopus database.Results:Patients, who exhibited more depressive symptoms, seemed to control less their anger. Further research has shown the effectiveness of both pharmacological and other therapeutic interventions that have a simultaneous effect on both reducing anger expression and level of depression. The way individuals express their anger remain a crucial question. There are three main categories of anger expression. Individuals may anger-out when they tend to openly express anger, usually in negative and aggressive ways, or they anger-in when they experience but suppress the open expression of anger. Finally, individuals may control their anger. The main goal of an individual in this case is to reduce and eliminate these feelings, so the expression of anger could be more controlled.Conclusions:Given all the negative effects of post stroke depression and anger, as those emotional states are responsible for a wide range of health-related behaviors, it is important to incorporate the above concepts in both theoretical and practical fields of health sciences in order to reduce their impact and improve the quality of services provided in post stroke rehabilitation programs.

The effects of post-stroke depression on working memory

Objective To explore the effects of post-stroke depression on working memory,aiming to find a new method for alleviating the dysfunction in post-stroke depression patients.Methods Eighteen patients with poststroke depression and 20 stroke survivors with no depression were recruited as the experimental and control groups respectively.Both groups' working memory was tested early every morning.The two groups' performance was compared in terms of each working memory test item and their results were correlated with their scores on the Hamilton depression scale (HAMD).Results The average HAMD score was 21.78 ± 3.21 for the experimental group and 5.06 ±2.35 for the control group.Compared with the control group,the experimental group was significantly different in its performance counting backward,in its word memory span and its calculation task span,as well as in successive subtraction.At the same time,compared with the control,the experimental group was significantly better in total reaction number and the percentage of number of right reaction of the number of total reaction of Digit Subtraction Test.The HAMD scores of the experimental group were negatively correlated with their performance in counting backward,their word memory span,their successive subtraction performance and their calculation task span.Conclusion Poststroke depression has an obvious negative effect on working memory. Key words: Post-stroke depression; Working memory

The Effect of Poststroke Depression on Recovery from Stroke

Background: Stroke is a major health problem and poststroke depression is known to be one of the frequent and severe psychiatric complications following stroke. Methods: Based on the results of structured psychiatric mental state exams and DSM diagnostic criteria, the prevalence of poststroke depression has been examined in numerous study populations throughout the world. Longitudinal examinations have documented the effect of poststroke depression on recovery from stroke. Results: The mean prevalence of poststroke major depression was 21.1 % and minor depression was 17.1% among hospitalized or outpatient samples. Community samples showed a slightly lower rate of 14.1% and 9.1%, respectively. Furthermore, the existence of poststroke depression leads to poorer physical recovery, greater cognitive impairment, and worse recovery in activities of daily living compared with non‐depressed patients. Several studies have also found that poststroke depression is associated with increased mortality compared with non‐depressed patients who had comparable strokes and similar premorbid risk factors. Finally, several studies have found that successful treatment of poststroke depression improves both cognitive and physical recovery and decreases mortality. Conclusion: The current review documents the beneficial effect of identifying and treating poststroke depression on both recovery and survival following stroke.

Denial of illness and depression in stroke.

HomeStrokeVol. 25, No. 1Denial of illness and depression in stroke. Free AccessAbstractPDF/EPUBAboutView PDFSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessAbstractPDF/EPUBDenial of illness and depression in stroke. R Ramasubbu R RamasubbuR Ramasubbu Search for more papers by this author Originally published5 Apr 2018https://doi.org/10.1161/str.25.1.226bStroke. 1994;25:226–227"Denial of illness and depression in stroke.." Stroke, 25(1), pp. 226–227 Previous Back to top Next FiguresReferencesRelatedDetailsCited By Matsuzaki S, Hashimoto M, Yuki S, Koyama A, Hirata Y and Ikeda M (2015) The relationship between post-stroke depression and physical recovery, Journal of Affective Disorders, 10.1016/j.jad.2015.01.020, 176, (56-60), Online publication date: 1-May-2015. Salter K, Bhogal S, Foley N, Jutai J and Teasell R (2014) The Assessment of Poststroke Depression, Topics in Stroke Rehabilitation, 10.1310/tsr1403-1, 14:3, (1-24), Online publication date: 1-May-2007. Carson A, Zeman A, Myles L and Sharpe M (2007) Neurological disorders Handbook of Liaison Psychiatry, 10.1017/CBO9780511543975.015, (305-364) Robinson R (2003) Poststroke depression: prevalence, diagnosis, treatment, and disease progression, Biological Psychiatry, 10.1016/S0006-3223(03)00423-2, 54:3, (376-387), Online publication date: 1-Aug-2003. Bogousslavsky J and Carota A (2002) Mood Changes and Disorders After Stroke Long-Term Effects of Stroke, 10.1201/9780203908884.ch8, Online publication date: 21-Jun-2002. Tateno A and Robinson R (2002) The Effect of Poststroke Depression on Recovery from Stroke, Psychogeriatrics, 10.1111/j.1479-8301.2002.tb00054.x, 2:2, (73-84), Online publication date: 1-Jun-2002. Ramasubbu R and Kennedy S (1994) Factors Complicating the Diagnosis of Depression in Cerebrovascular Disease, Part Ii — Neurological Deficits and Various Assessment Methods * , The Canadian Journal of Psychiatry, 10.1177/070674379403901004, 39:10, (601-607), Online publication date: 1-Dec-1994. January 1994Vol 25, Issue 1 Advertisement Article InformationMetrics Copyright © 1994 by American Heart Associationhttps://doi.org/10.1161/str.25.1.226bPMID: 8266375 Originally publishedApril 5, 2018 PDF download Advertisement