Depression and stroke

Cause or consequence?

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Depression after stroke is common. Although different opinions exist about the definition, diagnosis, and measurement of outcomes related to depression after stroke, there is little debate about the prevalence of depression symptoms and their impact on stroke survivors and their families. Depression after stroke has long been recognized as a common condition with many negative effects in the poststroke period, but more recently depression has also been identified as an independent stroke risk factor. Given that there are at least 500,000 new ischemic strokes yearly in the United States, a conservative estimate is that 150,000 U.S. stroke survivors develop poststroke depression each year. Because effective treatments exist but are likely underutilized for depression, this is an important example of an evidence-practice gap to which increased efforts to improve care should be made. Such efforts would likely improve not only patient symptoms but may also decrease stroke risk, influence stroke functional recovery, decrease mortality, and reduce poststroke health care utilization. This article provides an overview of depression diagnosis in stroke, reviews the epidemiology of poststroke depression and its associated morbidity and mortality, and reviews existing evidence on the treatment and prevention of poststroke depression.

Original languageEnglish
Pages (from-to)396-409
Number of pages14
JournalSeminars in Neurology
Volume25
Issue number4
DOIs
StatePublished - Dec 2005

Fingerprint

Stroke
Depression
Survivors
Patient Acceptance of Health Care
Mortality
Epidemiology
Morbidity
Therapeutics

Keywords

  • Depression
  • Recovery
  • Risk factors
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Depression and stroke : Cause or consequence? / Williams, Linda.

In: Seminars in Neurology, Vol. 25, No. 4, 12.2005, p. 396-409.

Research output: Contribution to journalArticle

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