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poststroke depression screening

Eun-Young Park, Jung-Hee Kim
BACKGROUND: The rehabilitation of depressed stroke patients is more difficult because poststroke depression is associated with disruption of daily activities, functioning, and quality of life. However, research on depression in stroke patients is limited. The aim of our study was to evaluate the interaction of demographic characteristics including gender, age, education level, the presence of a spouse, and income status on depressive symptoms in stroke patients and to identify groups that may need more attention with respect to depressive symptoms...
April 8, 2017: BMC Psychiatry
Lisa A Babkair
BACKGROUND: Poststroke depression (PSD) is the most common stroke-related emotional disorder and affecting one-third of stroke survivors at any time up to 5 years after stroke. Poststroke depression affects rehabilitation after stroke and may delay recovery. The purpose of this integrative review is to analyze the state of the science in regard to risk factors for PSD. METHODS: The electronic databases PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo were searched...
April 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Savannah C Rogers
No abstract text is available yet for this article.
April 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Joel Salinas, Roberta M Ray, Rami Nassir, Kamakshi Lakshminarayan, Christina Dording, Jordan Smoller, Sylvia Wassertheil-Smoller, Jonathan Rosand, Erin C Dunn
BACKGROUND: Psychosocial characteristics have a strong effect on risk of depression, and their direct treatment with behavioral interventions reduces rates of depression. Because new-onset poststroke depression (NPSD) is frequent, devastating, and often treatment-resistant, novel preventive efforts are needed. As a first step toward developing behavioral interventions for NPSD, we investigated whether prestroke psychosocial factors influenced rates of NPSD in a manner similar to the general population...
February 1, 2017: Journal of the American Heart Association
Christine Graven, Kim Brock, Keith D Hill, Sue Cotton, Lynette Joubert
BACKGROUND AND PURPOSE: Depression is a common issue after stroke. A focus on assisting people to achieve their personal participation goals may reduce levels of depression. The aim of this study was to investigate the effectiveness of a person-centered, integrated approach on facilitating goal achievement in the first year poststroke on depressive symptoms. METHODS: This study was a randomized controlled trial that addressed ways to enhance participation in patient-valued activities and intermittently screen for adverse sequelae postdischarge from rehabilitation...
November 2016: Stroke; a Journal of Cerebral Circulation
Celia McIntosh
BACKGROUND: Depression after stroke is common and is associated with poor functional recovery, suicidal ideation, decreased quality of life, and increased mortality. Despite this knowledge, poststroke depression (PSD) is often underdetected and thus undertreated. PSD is clinically important for the caregiver, the family, and the stroke survivor. Inconsistencies in screening and treatment practices may further contribute to these negative outcomes. PURPOSE: The purposes of this evidence-based clinical scholarship project were to (1) determine the efficacy of an evidence-based depression screening protocol in improving early detection and treatment of PSD and (2) identify if there were any relationships between the protocol interventions, depression scores, and diagnosis...
September 5, 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Walter Swardfager, Bradley J MacIntosh
Background Ten percent of stroke survivors develop dementia, which increases to more than a third after recurrent stroke. Other survivors develop less severe vascular cognitive impairment. In the general population, depression, and diabetes interact in predicting dementia risk, and they are both prevalent in stroke. Objective To assess the cumulative association of comorbid depressive symptoms and type 2 diabetes with cognitive outcomes among stroke survivors. Methods Multicenter observational cohort study of people within 6 months of stroke...
January 2017: Neurorehabilitation and Neural Repair
Sarah Hirata, Bruce Ovbiagele, Daniela Markovic, Amytis Towfighi
BACKGROUND: Depression, one of the most common complications encountered after stroke, is associated with poorer outcomes. The aim of this study was to determine the factors independently associated with and predictive of poststroke depression (PSD). METHODS: We assessed the prevalence of depression (Patient Health Questionnaire [PHQ-8] score >10) among a national sample of adults (≥20 years) with stroke who participated in the National Health and Nutrition Examination Surveys from 2005 to 2010...
May 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Yang-Kun Chen, Jian-Feng Qu, Wei-Min Xiao, Wan-Yi Li, Wei Li, Xue-Wen Fang, Han-Yu Weng, Yong-Lin Liu, Gen-Pei Luo, Gabor S Ungvari, Yu-Tao Xiang
BACKGROUND: Intracranial atherosclerosis (ICAS) is a common etiology of ischemic stroke in Chinese patients, probably leading to regional hypoperfusion in the brain. The purpose of this prospective study was to investigate the association between ICAS and poststroke depression in Chinese patients with ischemic stroke. METHODS: During the study period, a total of 569 patients aged between 40 and 80 years with acute ischemic stroke were consecutively admitted and screened...
April 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Nena Kruithof, Melanie Hubertina Maria Van Cleef, Sascha Maria Cornelia Rasquin, Thamar Johannes Henricus Bovend'Eerdt
OBJECTIVE: Our objective is to investigate the feasibility and validity of a new instrument to screen for determinants of poststroke fatigue during the rehabilitation process. DESIGN AND SETTING: This prospective cohort study was conducted within the stroke department of a rehabilitation center. PARTICIPANTS: The participants in the study were postacute adult stroke patients. The Detection List Fatigue (DLF)was administered 2 weeks after the start of the rehabilitation program and again 6 weeks later...
January 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Gustavo José Luvizutto, Rodrigo Bazan, Gabriel Pereira Braga, Luiz Antônio de Lima Resende, Silméia Garcia Z Bazan, Regina El Dib
BACKGROUND: Unilateral spatial neglect (USN) is characterized by the inability to report or respond to people or objects presented on the side contralateral to the lesioned side of the brain and has been associated with poor functional outcomes and long stays in hospitals and rehabilitation centers. Pharmacological interventions (medical interventions only, use of drugs to improve the health condition), such as dopamine and noradrenergic agonists or pro-cholinergic treatment, have been used in people affected by USN after stroke, and effects of these treatments could provide new insights for health professionals and policy makers...
November 6, 2015: Cochrane Database of Systematic Reviews
Ying Zhang, Chunfang Wang, Changcheng Sun, Xi Zhang, Yongjun Wang, Hongzhi Qi, Feng He, Xin Zhao, Baikun Wan, Jingang Du, Dong Ming
BACKGROUND: Poststroke depression (PSD) is one of the most common emotional disorders affecting post-stroke patients. However, the neurophysiological mechanism remains elusive. This study was aimed to study the relationship between complexity of neural electrical activity and PSD. METHODS: Resting state eye-closed electroencephalogram (EEG) signals of 16 electrodes were recorded in 21 ischemic poststroke depression (PSD) patients, 22 ischemic poststroke non-depression (PSND) patients and 15 healthy controls (CONT)...
December 1, 2015: Journal of Affective Disorders
Gail A Eskes, Krista L Lanctôt, Nathan Herrmann, Patrice Lindsay, Mark Bayley, Laurie Bouvier, Deirdre Dawson, Sandra Egi, Elizabeth Gilchrist, Theresa Green, Gord Gubitz, Michael D Hill, Tammy Hopper, Aisha Khan, Andrea King, Adam Kirton, Paige Moorhouse, Eric E Smith, Janet Green, Norine Foley, Katherine Salter, Richard H Swartz
Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals, and the evidence suggests one-third or more will experience vascular-cognitive impairment, and/or intractable fatigue, either alone or in combination. The 2015 update of the Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Module guideline is a comprehensive summary of current evidence-based recommendations for clinicians in a range of settings, who provide care to patients following stroke...
October 2015: International Journal of Stroke: Official Journal of the International Stroke Society
Timo Siepmann, Jessica Kepplinger, Charlotte Zerna, Ulrike Schatz, Ana Isabel Penzlin, Lars-Peder Pallesen, Ben Min-Woo Illigens, Kerstin Weidner, Heinz Reichmann, Volker Puetz, Ulf Bodechtel, Kristian Barlinn
BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs) administered in patients following acute ischemic stroke have shown to improve clinical recovery independently of changes in depression. Animal studies have demonstrated that sustained SSRI treatment is superior to short-term SSRI in evoking neurogenesis but how this benefit translates into humans remains to be answered. We hypothesized that in acute ischemic stroke patients, SSRI treatment started before the event leads to improved short-term outcomes compared to de novo SSRI treatment poststroke...
August 2015: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Wai-Kwong Tang, Chieh Grace Lau, Vincent Mok, Gabor S Ungvari, Ka-Sing Wong
BACKGROUND: Pain is common in stroke; however, its impacts on health-related quality of life (HRQoL) are unclear due to the limitations of previous studies. OBJECTIVES: The current study aims to examine and compare the demographic and clinical characteristics of Chinese stroke patients with and without pain and explore the correlations between poststroke pain and HRQoL. METHOD: Four hundreds and forty-one participants recruited in an acute stroke unit in a regional hospital...
June 2015: Topics in Stroke Rehabilitation
Wai Kwong Tang, Lara Caeiro, Chieh Grace Lau, Huajun Liang, Vincent Mok, Gabor S Ungvari, Ka Sing Wong
BACKGROUND: Both apathy and suicide are common in poststroke patients. However, the association between poststroke apathy and suicide-related ideation (SI) in Chinese stroke patients is not clear and poorly understood. The aim of this study was to examine the association between apathy and SI in stroke. METHODS: A cross-sectional study was conducted to investigate the association in 518 stroke survivors from Acute Stroke Unit of the Prince of Wales Hospital in Hong Kong...
April 23, 2015: BMC Neurology
Alisa Grigorovich, Samantha Forde, Dahlia Levinson, Marina Bastawrous, Angela M Cheung, Jill I Cameron
OBJECTIVE: To identify caregiver-, stroke survivor-, and caregiving situation-related factors that are associated with caregivers' restriction from participation in their normative activities (ie, participation restriction) over the first 2 years poststroke. DESIGN: Longitudinal cohort study. SETTING: Acute care facilities and community. PARTICIPANTS: A secondary data analysis of caregiver/survivor dyads (N=399). INTERVENTIONS: Not applicable...
July 2015: Archives of Physical Medicine and Rehabilitation
Kari D B Vallury, Martin Jones, Richard Gray
INTRODUCTION: Up to half of all stroke survivors become depressed. Poststroke depression (PSD) negatively impacts on quality of life and rehabilitation outcomes and increases risk of mortality. Depression is also common in carers, leading to poorer outcomes in survivors. Few stroke patients receive adequate care to support prevention and management of PSD. We aimed to systematically review the evidence regarding the effectiveness of family-oriented interventions to prevent and manage depression after stroke and identify components of effective interventions...
December 2015: Topics in Stroke Rehabilitation
Leanne Menlove, Elise Crayton, Ian Kneebone, Rhani Allen-Crooks, Elisabeth Otto, Helena Harder
BACKGROUND: Anxiety disorders or symptoms are relatively common after stroke. A better understanding of the predictors of anxiety in stroke patients may improve the management of these disorders. The current review was conducted to determine the predictors of anxiety after stroke. METHODS: Relevant articles concerning population, hospital, or rehabilitation-based studies were identified by searching 10 electronic databases up to May 2014. Methodological quality appraisal, including the validity of prognostic models and data extraction were conducted by 3 reviewers...
June 2015: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Anne-Marije V Blömer, Maria L van Mierlo, Johanna M Visser-Meily, Caroline M van Heugten, Marcel W Post
OBJECTIVE: To investigate changes in the frequency of participation 6 months poststroke compared with prestroke; and to establish whether the change is associated with participation restrictions and satisfaction with participation 6 months poststroke. DESIGN: Inception cohort study. Prestroke frequency of participation was measured retrospectively in the first week poststroke. Frequency, participation restrictions, and satisfaction with participation were assessed 6 months poststroke...
March 2015: Archives of Physical Medicine and Rehabilitation
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