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poststroke depression screening

Chunfang Wang, Yuanyuan Chen, Changcheng Sun, Ying Zhang, Dong Ming, Jingang Du
BACKGROUND: We aimed to explore the electrophysiological changes in poststroke subjects with depressed mood. METHODS: Resting-state electroencephalogram (EEG) signals of 16 electrodes in 35 poststroke depressed, 24 poststroke nondepressed, and 35 age-matched healthy control subjects were analyzed by means of spectral power analysis, a quantitative EEG measurement of different frequency bands. The relationship among depressed mood, functional status, lesion side, and poststroke time was assessed by using variance and Spearman correlation analysis...
March 13, 2018: International Journal of Geriatric Psychiatry
Devin L Brown, Chengwei Li, Ronald D Chervin, Erin Case, Nelda M Garcia, Susan D Tower, Lynda D Lisabeth
Background: We sought to investigate the frequency of wake-up stroke (WUS) and its association with sleep-disordered breathing (SDB) in women. Methods: Within a population-based study, women with acute ischemic stroke were asked about their stroke symptom onset time. SDB screening was performed with the well-validated ApneaLink Plus device; SDB was defined by a respiratory event index ≥10. Logistic regression was used to test the association between SDB presence and severity and WUS unadjusted and adjusted for potential confounders including prestroke depression and sleep duration...
February 2018: Neurology. Clinical Practice
Akin Ojagbemi, Mayowa Owolabi, Joshua Akinyemi, Bruce Ovbiagele
Objectives: The optimal tool for identifying postsroke depression (PSD) is yet to be identified. In the present study, we rely on the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) as a meaningful criterion to investigate the psychometric properties of the HRQOLISP-E, a new context-specific screening tool for PSD developed from a large cross-cultural sample. Methods: We assessed baseline data being collected as part of an intervention to improve one-year blood pressure control among recent (≤one month) stroke survivors...
2017: Behavioural Neurology
Lakshmi Shankar, Nicole Smith, Ken Uchino, Nicolas R Thompson, Leopoldo Pozuelo, Irene L Katzan
BACKGROUND: The ideal time to screen for poststroke depression remains uncertain. We evaluated the 2-item Patient Health Questionnaire (PHQ-2) as a screening tool for depression during the acute stroke admission by determining the prevalence of positive depression screen during admission and by calculating the level of agreement between positive screens during admission and follow-up. METHODS: This was a retrospective cohort of adult stroke survivors discharged January to December 2013 with principal discharge diagnosis of acute ischemic stroke or intracerebral hemorrhage...
November 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Fred Stephen Sarfo, Carolyn Jenkins, Arti Singh, Mayowa Owolabi, Akin Ojagbemi, Nathaniel Adusei, Raelle Saulson, Bruce Ovbiagele
BACKGROUND: Poststroke depression (PSD) is prevalent and is an important determinant of functional recovery, quality of life and mortality after stroke. Scanty data on the nature of PSD among stroke survivors in sub-Saharan Africa prompted this study. OBJECTIVE: To assess the prevalence and predictors of depression in a convenience sample of Ghanaian stroke survivors. METHODS: We evaluated consecutive stroke survivors encountered at a comprehensive neurology clinic in a tertiary medical center in Ghana...
August 15, 2017: Journal of the Neurological Sciences
Gwendolyn M Hamid, Meredith A MacKenzie
: Nearly one-third of stroke survivors experience depression. Poststroke depression is associated with longer hospital stays, poor physical and cognitive recovery, poor quality of life, high caregiver distress, increased risk of recurrent stroke, and higher rates of morbidity and mortality. Poststroke depression, however, often goes unrecognized and untreated because the physical and cognitive repercussions of stroke make it difficult to identify. Nurses are well positioned to recognize poststroke depression, educate patient caregivers, and aid patients who have poststroke depression in their efforts to achieve physical, cognitive, and emotional recovery...
July 2017: American Journal of Nursing
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...
February 2017: 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
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