Association among depression, cognitive impairment and executive dysfunction after stroke

Terroni, Luisa; Sobreiro, Matildes F.M.; Conforto, Adriana Bastos; Adda, Carla Cristina; Guajardo, Valeri Delgado; Lúcia, Mara Cristina Souza de; Fráguas, Renério

doi:10.1590/s1980-57642012dn06030007

Cited by 43 publications

(28 citation statements)

References 53 publications

(65 reference statements)

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“…Broadly speaking, PSCI denotes cognitive impairment following a stroke that is not severe enough for patients to be classified as having dementia. PSCI may also progress slowly to PSD [11,12,15]. PSCI has four subtypes, ranging from pure amnestic to multidomain impairment with little or no effect on activities of daily living [40].…”

Section: Definition Of Psci Psd Vad Vamci and Vcimentioning

confidence: 99%

“…PSCI predicts suboptimal recovery in activities of daily living, which in turn results in a lower quality of life [14]. Early detection of cognitive dysfunction using an appropriate evidence-based tool and timely intervention may reduce the cognitive burden of post-stroke cognitive impairment (PSCI) and post-stroke dementia (PSD) [15]. One of the biggest challenge in younger cohort is stroke-related depression, leading to high suicide risk.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of Cognitive Screening Tools to Detect Cognitive Impairment After an Ischaemic Stroke: a Systematic Review

Kosgallana¹,

Cordato

Chan

et al. 2019

SN Compr. Clin. Med.

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There is no gold standard screening tool available to assess post-stroke cognitive impairment (PSCI). PSCI is a common and under-recognised global problem in stroke patients that may eventually lead to post-stroke dementia (PSD). Two major issues in PSCI research include the lack of a clear-cut definition and a lack of highly specific and sensitive screening tools that accurately predict PSCI. To identify the most appropriate cognitive screening tool to be used in the diagnosis of PSCI. MEDLINE and BThe Cochrane Library^were searched for articles published between January 2000 and August 2016 that contained the keywords Bpost-stroke cognitive impairment^, Bpost-stroke dementia^or Bcognitive tools after stroke^or Bcognitive impairment after stroke^. Abstracts were selected using predetermined inclusion and exclusion criteria, and full-text reviews were performed. Publications on cognitive screening tools and PSCI or PSD were pooled separately for the review process. A total of 22 publications discussing cognitive screening tools in PSCI and PSD were identified. Only two publications discussed the use of multidomain cognitive tools. Some publications reported that domain-specific cognitive screening tools had higher sensitivity and specificity when compared to commonly use cognitive screening tools such as the Montreal Cognitive Assessment (MOCA) and Mini-Mental State Examination (MMSE). The superiority of one available tool was not evident in studies that performed a meta-analysis. The Oxford Cognitive Screen (OCS), a multidomain tool, was found to be a better predictor of PSCI/PSD than the MOCA or MMSE. To date, the literature on PSCI has primarily focused on nonspecific cognitive screening tools, although there has been a recent move towards domain-specific screening tools. Multidomain screening tools such as the OCS may be better than existing tools in the diagnosis of PSD and PSCI.

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Section: Definition Of Psci Psd Vad Vamci and Vcimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of Cognitive Screening Tools to Detect Cognitive Impairment After an Ischaemic Stroke: a Systematic Review

Kosgallana¹,

Cordato

Chan

et al. 2019

SN Compr. Clin. Med.

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“…Existe tradición en cuanto a relacionar el desarrollo de la depresión postictus y el rendimiento cogniti vo. De hecho, el deterioro cognitivo tras haber su frido un ictus es frecuente y se estima entre el 35,2% y el 87% de los pacientes [32], y hasta un 2531% puede llegar a sufrir demencia postictus [33]. Como en anteriores apartados, la revisión de la bibliogra fía existente específica sobre esta cuestión muestra diversidad de resultados y heterogeneidad metodo Tabla.…”

Section: Depresión Postictus Y Rendimiento Cognitivounclassified

“…Con cluyeron que la depresión postictus se asocia con mayor deterioro cognitivo, y que los déficits cogni tivos postictus más frecuentes son de funciones ejecutivas, memoria, lenguaje y velocidad de proce samiento de la información. Los resultados también apuntaron a la asociación entre la gravedad de la depresión y la magnitud de los déficits cognitivos, y éstos son hasta tres veces más frecuentes en los pa cientes con depresión grave, comparados con los que presentan depresión leve [32].…”

Section: Datos De Neuroimagenunclassified

Actualización de la depresión postictus: nuevos retos en pacientes con ictus minor o ataque isquémico transitorio

Carnes-Vendrell¹,

Deus-Yela²,

Molina-Seguin³

et al. 2016

RevNeurol

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Update on post-stroke depression: posing new challenges in patients with a minor stroke or transient ischaemic attack Introduction. Stroke is a leading cause of disability in adults. The development of depressive symptoms is the most common emotional complication. To date, most studies of post-stroke depression have excluded patients who have suffered a minor stroke or transient ischaemic attack (TIA), although they are equally vulnerable subgroups of this sickness. Aim. We present a review of published studies of post-stroke depression to elucidate aspects that have already been widely demonstrated and those who need more evidence. Development. The post-stroke depression is both frequent in patients with established stroke and minor stroke or TIA. Although there are discrepancies in the definition used, in up to one out of three patients will develop this complication. We have identified risk factors of post-stroke depression with a broad scientific background (female, history of depression or other psychiatric disorders, stroke severity, functional impairment) and other without it (quality of life, cognitive impairment and neuroimaging biomarkers). The main methodological limitations found are: confusion between poststroke depression and depressive symptoms; variability in rating scales used; and temporal variability in the time of the evaluation of mood. To date very few studies focused on minor stroke or TIA. Conclusions. Further studies are required with improved design in order to help establish the risk of post-stroke depression at different times after the stroke, minor stroke or TIA and the importance of all the factors described above.

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“…предиктором депресії [8,9]. Доведено, що судинне порушення когнітивних функцій може сприяти виконавчої дисфункції [10], а також поєднується з порушенням виконавчих функцій [11,12].…”

unclassified

Analysis of interference factors in the analysis provdennya neuropsychological characteristics of patients with recurrent ischemic stroke

Mykytei¹

2016

East Europ. Journ. of Neurology

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Executive functions yavlyayuyut a complex cognitive domain, which affects and depends on the behavior, emotional state, motor and other cognitive impairment patients, especially in patients with brain disasters. Executive dysfunction can compromise the patient's functional status, due to interaction with depression, emotional instability, motor disorders and movement disorders, leading to deterioration of quality of life. The aim was to analyze the interference factor in the analysis of neuropsychological characteristics of patients with recurrent ischemic stroke to optimize re-diagnosis of acute cerebral ischemia. During the study it was found that the dynamics of the functional state of patients depends on a high degree of interference in the performance of Stroop test, due to the difficulty in differentiation, switching attention and adaptation associated with increased anxiety.

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Association among depression, cognitive impairment and executive dysfunction after stroke

Cited by 43 publications

References 53 publications

Use of Cognitive Screening Tools to Detect Cognitive Impairment After an Ischaemic Stroke: a Systematic Review

Use of Cognitive Screening Tools to Detect Cognitive Impairment After an Ischaemic Stroke: a Systematic Review

Actualización de la depresión postictus: nuevos retos en pacientes con ictus minor o ataque isquémico transitorio

Analysis of interference factors in the analysis provdennya neuropsychological characteristics of patients with recurrent ischemic stroke

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