Depression in acute stroke: prevalence, dominant symptoms and associated factors. A systematic literature review

Kouwenhoven, Siren E.; Kirkevold, Marit; Engedal, Knut; Kim, Hesook S.

doi:10.3109/09638288.2010.505997

Cited by 132 publications

(110 citation statements)

References 64 publications

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“…The origin of PSD is complex and presents a multifactorial aetiology with biological and/or psychosocial components 19,20 . Some studies found a higher prevalence of PSD among women [8][9] , survivors with fewer years of education 9 and the older elderly 10 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of post stroke depression among elderly stroke survivors

Santos

Rodrigues

Pontes-Neto

2016

Arq. Neuro-Psiquiatr.

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Objective To identify the prevalence of post stroke depression (PSD) and their socio-demographic and clinical predictors among elderly stroke survivors after hospital discharge to home. Methods In this cross-sectional study, 90 elderly stroke survivors were evaluated 14 days after hospital discharge with the following scales: National Institutes of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale – 15 items (GDS-15). PSD was defined as a score > 5 on GDS-15. After univariate analyses, a multivariate logistic regression model was built to identify independent predictors of PSD. Results Fourteen days after hospital discharge, 27.7% (95%CI 18.1 to 37.2) of elderly stroke survivors had PSD. Functional dependence was the only independent predictor of PSD (OR: 1.04 95%CI: 1.01 to 1.09; p = 0.02). Conclusion After stroke, depressive symptoms are common among elderly survivors. The degree of functional dependency is the main predictor of PSD among elderly stroke patients in Brazil.

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of post stroke depression among elderly stroke survivors

Santos

Rodrigues

Pontes-Neto

2016

Arq. Neuro-Psiquiatr.

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“…Studies of PSD use a variety of different rating scales to assess for depressive symptoms, and the distinction between depressive symptoms and a depressive disorder is often not clear [31]. Further, the cut-off points for defining depressive symptoms using individual scales tend to differ from study to study [31].…”

Section: Assessing Psd and Psfmentioning

confidence: 99%

“…Further, the cut-off points for defining depressive symptoms using individual scales tend to differ from study to study [31]. A meta-analysis suggests that while some of commonly used scales are helpful in screening for PSD, none are satisfactory for case finding [32].…”

Section: Assessing Psd and Psfmentioning

confidence: 99%

Inflammation and the Silent Sequelae of Stroke

Becker

2016

Neurotherapeutics

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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.

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“…In some studies it was investigated that cognitive status and mood are more impaired than those in the same age, healthy group in the early stages of stroke (8,9). Apathy, which is a common disturbance in stroke, is defined as a lack of motivation or interest in goal-directed activities.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

Hüseyinsinoğlu

Aslan

Tarakçı

et al. 2017

Arch Neuropsychiatr

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Introduction: Physical inactivity is an important risk factor for stroke and stroke recurrence. There is insufficient knowledge about the physical activity (PA) level in stroke patients who are ambulatory in the subacute phase. Our aim was to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate neuropsychological factors that could affect the PA level in the same stroke group.Methods: Eighty-five subacute stroke patients and 58 healthy subjects were included. Patients' demographic features, disease-related features, and comorbidities were recorded. The PA level was assessed by the International Physical Activity Questionnaire-Short Version and a pedometer (OMRON Walking style II). The Apathy Rating Scale was applied to determine the apathy level. Depression level was investigated by the Geriatric Depression Scale. The standardized Mini-mental State Examination was performed to assess the cognitive status.Results: The PA level was significantly higher in the healthy group than in the stroke group (p<0.001).Step count and walking distance were significantly higher in healthy group (p=0.001 and p=0.04, respectively). The PA level of men was significantly higher than that of women (p=0.03). Participants who were classified as level 4 had a lower PA level than those who were classified as level 5 according to the Functional Ambulation Category. There was no relationship between the PA level and the apathy, cognitive, and depression levels in the stroke patients (p>0.05). Conclusion:Subacute stroke patients have a lower PA level than healthy subjects. This is not related to neuropsychological factors. The reasons for minor deficits related to ambulation should be researched further while developing strategies for increasing the PA level of subacute stroke patients.Keywords: Stroke, apathy, depression, cognition, physical activity ABSTRACT 155level cannot be explained only by loss of motor function, psychological and cognitive factors have been proposed to analyze (13,14). In light of these findings, we aimed to compare the PA level between ambulatory stroke patients and a population of the same age and to investigate the demographic features and disease-related and neuropsychological factors that could affect the PA level in the same stroke group. We hypothesized that the PA level of ambulatory subacute stroke patients would be less than that of healthy subjects. We further hypothesized that the PA level would be affected by neuropsychological factors in the same population.

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Depression in acute stroke: prevalence, dominant symptoms and associated factors. A systematic literature review

Cited by 132 publications

References 64 publications

Prevalence and predictors of post stroke depression among elderly stroke survivors

Prevalence and predictors of post stroke depression among elderly stroke survivors

Inflammation and the Silent Sequelae of Stroke

Physical Activity Level of Ambulatory Stroke Patients: Is it Related to Neuropsychological Factors?

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