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poststroke depression

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https://www.readbyqxmd.com/read/27868400/association-between-stroke-status-and-depression-in-a-community-setting-the-2014-korea-national-health-and-nutrition-examination-survey
#1
Mina Kim, Gyung Jae Oh, Young Hoon Lee
BACKGROUND AND PURPOSE: Previous studies have examined the risk factors for depression in stroke patients, but little information is available on the relationship between stroke status and depression in the community-dwelling general population. We evaluated the association between stroke status and depression using representative nationwide data. METHODS: In total, 3,487 subjects (aged ≥40 years) who participated in version VI-2 of the sixth Korea National Health and Nutrition Examination Survey (KNHANES) performed in 2014 were included...
November 17, 2016: Journal of Clinical Neurology
https://www.readbyqxmd.com/read/27866120/evidence-based-guidelines-on-the-therapeutic-use-of-transcranial-direct-current-stimulation-tdcs
#2
REVIEW
Jean-Pascal Lefaucheur, Andrea Antal, Samar S Ayache, David H Benninger, Jérôme Brunelin, Filippo Cogiamanian, Maria Cotelli, Dirk De Ridder, Roberta Ferrucci, Berthold Langguth, Paola Marangolo, Veit Mylius, Michael A Nitsche, Frank Padberg, Ulrich Palm, Emmanuel Poulet, Alberto Priori, Simone Rossi, Martin Schecklmann, Sven Vanneste, Ulf Ziemann, Luis Garcia-Larrea, Walter Paulus
A group of European experts was commissioned by the European Chapter of the International Federation of Clinical Neurophysiology to gather knowledge about the state of the art of the therapeutic use of transcranial direct current stimulation (tDCS) from studies published up until September 2016, regarding pain, Parkinson's disease, other movement disorders, motor stroke, poststroke aphasia, multiple sclerosis, epilepsy, consciousness disorders, Alzheimer's disease, tinnitus, depression, schizophrenia, and craving/addiction...
October 29, 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27833249/quality-of-life-and-associated-factors-among-poststroke-clinic-attendees-at-a-university-teaching-hospital-in-nigeria
#3
Osunwale Dahunsi Oni, Olatunji F Aina, Francis I Ojini, Victor O Olisah
BACKGROUND: Quality of life (QOL) measures are effective in quantifying disease burden after stroke, more so than levels of debility. The objective of this study is to determine QOL and associated factors of stroke survivors in Lagos, Nigeria. MATERIALS AND METHODS: Seventy stroke survivors (study sample) and seventy stable hypertensive patients (control sample) attending clinics at a Nigerian hospital were recruited for the study. Respondents were assessed using sociodemographic/clinical questionnaires, modified mini-mental state examination, modified Rankin Scale, schedule for clinical assessment in neuropsychiatry, and World Health Organization-QOL-BREF...
September 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27824803/caregiving-immediately-after-stroke-a-study-of-uncertainty-in-caregivers-of-older-adults
#4
Eeeseung Byun, Barbara Riegel, Marilyn Sommers, Nancy Tkacs, Lois Evans
BACKGROUND: Caregivers of stroke survivors experience high rates of mental and physical morbidity. Stroke has sudden onset, and the outcome is not immediately known. Uncertainties surrounding the new caregiving role may not only necessitate major changes in the lives of family caregivers but also contribute to negative health outcomes for the caregiver. PURPOSE: The purposes of this study were to describe caregiver uncertainty across the early weeks after a family member's stroke and to explore characteristics of caregivers and stroke survivors associated with that uncertainty...
December 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27749332/central-poststroke-pain-can-occur-with-normal-sensation
#5
Ajit Kumar, Sanjeev K Bhoi, Jayantee Kalita, Usha K Misra
OBJECTIVE: In view of the paucity of studies on central poststroke pain (CPSP), in this hospital-based prospective study, we evaluated the frequency, the spectrum, imaging, and quantitative sensory testing in a cohort of stroke patients with CPSP. METHODS: Stroke patients who developed CPSP at onset or during follow-up were included. Patients were subjected to clinical evaluation and sensory testing. The severity of stroke was defined by the Modified Rankin Scale and disability by the Barthel Index...
November 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/27746082/the-impact-of-ischemic-cerebral-stroke-on-the-quality-of-life-of-patients-based-on-clinical-social-and-psychoemotional-factors
#6
Marta Dąbrowska-Bender, Magdalena Milewska, Aleksandra Gołąbek, Aneta Duda-Zalewska, Anna Staniszewska
BACKGROUND: Cerebral stroke is the major cause of disability in the modern world and, given its consequences, poses serious medical and social problems. The purpose of the study was to evaluate the quality of life of patients who suffered from an ischemic cerebral stroke with respect to various areas of life, including, in particular, clinical and psychoemotional factors. The study hypothesis states that the poststroke quality of life is reduced in the general context as well as in the context of specific areas of life...
October 13, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27743927/repetitive-transcranial-magnetic-stimulation-for-depression-due-to-cerebrovascular-disease-a-systematic-review
#7
Amanda McIntyre, Spencer Thompson, Amer Burhan, Swati Mehta, Robert Teasell
OBJECTIVE: This study aims to perform a systematic review evaluating the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in improving depression resulting from cerebrovascular disease including vascular depression (VD) and poststroke depression (PSD). METHODS: A literature search of multiple scientific databases was conducted for English studies published from January 1980 to June 2016. Studies were included if the sample consisted of 50% or more adult humans with VD or PSD and had 3 or more subjects, the intervention applied was rTMS, and depression was assessed pre- and post intervention using a formal outcome measure...
October 12, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27738234/first-year-after-stroke-an-integrated-approach-focusing-on-participation-goals-aiming-to-reduce-depressive-symptoms
#8
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
https://www.readbyqxmd.com/read/27720524/depression-and-functional-status-among-african-american-stroke-survivors-in-inpatient-rehabilitation
#9
Gabrielle M Harris, Janice Collins-McNeil, Qing Yang, Vu Q C Nguyen, Mark A Hirsch, Charles F Rhoads, Tami Guerrier, J George Thomas, Terrence M Pugh, Deanna Hamm, Carol Pereira, Janet Prvu Bettger
PURPOSE: To examine the prevalence of poststroke depression (PSD) among African American stroke survivors and the association of depression with functional status at inpatient rehabilitation facility (IRF) discharge. METHODS: Secondary data analysis was conducted of a patient cohort who received care at 3 IRFs in the United States from 2009 to 2011. Functional status was measured by the Functional Independence Measure (FIM). Multiple linear regression models were used to examine associations of PSD and FIM motor and cognitive scores...
October 6, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27706193/outstanding-symptoms-of-poststroke-depression-during-the-acute-phase-of-stroke
#10
Taizen Nakase, Maiko Tobisawa, Masahiro Sasaki, Akifumi Suzuki
Poststroke depression (PSD) is a critical complication which might lead to unfavorable outcomes. However, most cases of PSD in the acute phase, during the 2 or 3 weeks following a stroke, are neglected because of the variable comorbid conditions. In this study, aimed at revealing the outstanding symptoms of PSD during the acute phase, consecutive patients with intracranial hemorrhage (ICH) or brain infarction (BI) were asked to fill out a depression questionnaire (Quick Inventory of Depressive Symptomatology Self-Report: QIDS-SR) at 1 week and 1 month following stroke onset...
2016: PloS One
https://www.readbyqxmd.com/read/27621121/incidence-and-risk-factors-of-poststroke-depression-in-patients-with-acute-ischemic-stroke-a-1-year-prospective-study-in-taiwan
#11
Ching-Shu Tsai, Chen-Long Wu, Tai-Hsin Hung, Shih-Yong Chou, Jian-An Su
BACKGROUND: Poststroke depression (PSD) is one of the most frequent and devastating neuropsychiatric consequences of stroke. The purpose of this study was to investigate the incidence and risk factors for PSD in a general hospital in Taiwan. METHODS: One hundred and one patients with ischemic stroke were enrolled initially, and 91 (90.1%) completed the 1-year study. Assessments were performed at baseline, and at the 1st, 3rd, 6th, 9th, and 12th month after enrolment...
June 2016: Biomedical Journal
https://www.readbyqxmd.com/read/27603431/poststroke-agitation-and-aggression-and-social-quality-of-life-a-case-control-study
#12
Chieh Grace Lau, Wai Kwong Tang, Xiang Xin Liu, Hua Jun Liang, Yan Liang, Adrian Wong, Vincent Mok, Gabor S Ungvari, Ka Sing Wong, Jong S Kim, Sergio Paradiso
BACKGROUND AND OBJECTIVE: Aggression and agitation are common after a stroke. The association between agitation/aggression following stroke and Health-Related Quality of Life (HRQoL) in stroke survivors is unknown. This study aimed to examine the association between agitation/aggression and HRQoL in Chinese stroke survivors. METHODS: Three hundred and twenty-four stroke patients entered this cross-sectional study. Agitation/aggression was assessed using the Chinese version of Neuropsychiatric Inventory (CNPI)...
September 7, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27602529/a-depression-screening-protocol-for-patients-with-acute-stroke-a-quality-improvement-project
#13
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
https://www.readbyqxmd.com/read/27579957/a-review-and-conceptual-model-of-dopaminergic-contributions-to-poststroke-depression
#14
Ansley Stanfill, Lucas Elijovich, Brandon Baughman, Yvette Conley
About one third of all patients recovering from stroke will experience some degree of poststroke depression (PSD). PSD lengthens recovery times and reduces overall quality of life for these individuals. Although demographic, environmental, and clinical factors may explain some of the variability seen, these factors cannot fully predict the development of PSD. Furthermore, the precise mechanism of action is largely unknown. Recent work has begun to shed light on the influence of the monoamine neurotransmitter dopamine...
October 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27548750/relationship-between-walking-capacity-biopsychosocial-factors-self-efficacy-and-walking-activity-in-persons-poststroke
#15
Kelly A Danks, Ryan T Pohlig, Margie Roos, Tamara R Wright, Darcy S Reisman
BACKGROUND/PURPOSE: Many factors appear to be related to physical activity after stroke, yet it is unclear how these factors interact and which ones might be the best predictors. Therefore, the purpose of this study was twofold: (1) to examine the relationship between walking capacity and walking activity, and (2) to investigate how biopsychosocial factors and self-efficacy relate to walking activity, above and beyond walking capacity impairment poststroke. METHODS: Individuals greater than 3 months poststroke (n = 55) completed the Yesavage Geriatric Depression Scale (GDS), Fatigue Severity Scale (FSS), Modified Cumulative Illness Rating (MCIR) Scale, Walk 12, Activities-Specific Balance Confidence (ABC) Scale, Functional Gait Assessment (FGA), and oxygen consumption testing...
October 2016: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/27536114/discriminating-poststroke-depression-from-stroke-by-nuclear-magnetic-resonance-spectroscopy-based-metabonomic-analysis
#16
Jianqi Xiao, Jie Zhang, Dan Sun, Lin Wang, Lijun Yu, Hongjing Wu, Dan Wang, Xuerong Qiu
Poststroke depression (PSD), the most common psychiatric disease that stroke survivors face, is estimated to affect ~30% of poststroke patients. However, there are still no objective methods to diagnose PSD. In this study, to explore the differential metabolites in the urine of PSD subjects and to identify a potential biomarker panel for PSD diagnosis, the nuclear magnetic resonance-based metabonomic method was applied. Ten differential metabolites responsible for discriminating PSD subjects from healthy control (HC) and stroke subjects were found, and five of these metabolites were identified as potential biomarkers (lactate, α-hydroxybutyrate, phenylalanine, formate, and arabinitol)...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27507865/affective-prosody-and-depression-after-stroke-a-pilot-study
#17
Marie Villain, Charlotte Cosin, Bertrand Glize, Sylvie Berthoz, Joel Swendsen, Igor Sibon, Willy Mayo
BACKGROUND AND PURPOSE: Poststroke depression (PSD) is a frequent complication of stroke with detrimental consequences in terms of quality of life and functional outcomes. In individuals with major depression, several studies have demonstrated an alteration of affective prosody. The aim of this study is to identify prosodic markers that may be predictive of PSD. METHODS: Patient voices were recorded at baseline and 3 months after stroke. We extracted prosodic parameters, including fundamental frequency, percentage of voice breaks, and shimmer...
September 2016: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27413577/influence-of-medication-on-fatigue-six-months-after-stroke
#18
Amélie Ponchel, Julien Labreuche, Stéphanie Bombois, Christine Delmaire, Régis Bordet, Hilde Hénon
Poststroke fatigue (PSF) is frequent and affects patients' quality of life. Medication use was hypothesized as being responsible for PSF. Our objective was to evaluate potential relationships between 6-month PSF and medication use at discharge and 6 months after an ischemic stroke. This study is part of STROKDEM, an ongoing longitudinal cohort study, whose main aim is to determine predictors of poststroke dementia. Patients were included within 72 hours after an ischemic stroke and followed up with standardized evaluations...
2016: Stroke Research and Treatment
https://www.readbyqxmd.com/read/27364648/depression-type-2-diabetes-and-poststroke-cognitive-impairment
#19
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...
June 29, 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27324389/inflammation-and-the-silent-sequelae-of-stroke
#20
REVIEW
Kyra J Becker
Depression and fatigue are common after stroke and negatively impact the quality of life of stroke survivors. The biological bases of these symptoms are unknown, but an abundance of data point to a role for inflammation. This review highlights evidence supporting the contribution of inflammation to poststroke depression and poststroke fatigue. Potential treatments for poststroke depression and poststroke fatigue are explored, with a special emphasis on those that modulate the immune response.
October 2016: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
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