Types of affective response to stroke

J. F. Malec, J. W. Richardson, M. Sinaki, M. W. O'Brien

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Most studies of depression after stroke have included heterogeneous samples of patients. These studies have generally not qualified patients as to age, absence of neurologic, psychiatric, and substance abuse histories, and other complicating factors. Of 155 inpatient rehabilitation admissions after acute unilateral cerebrovascular accident, only 26 met the following strict criteria for inclusion: age older than 55 years, no history of or concomitant brain disease or injury, and no history of major affective, thought, or substance abuse disorder. Two examiners independently administered the Hamilton Depression Rating Scale, a mood adjective checklist, and a modified Mini-Mental State Examination to 20 subjects who agreed to participate. They also rated subjects on research diagnostic criteria for depression and obtained a dexamethasone suppression test for each subject. Eighteen subjects completed neuropsychologic evaluation. All evaluations were completed within six weeks of the patient's stroke. Subjects fell into four distinct clinical groups based on averaged data: (1) no affective symptoms, (2) verbal distress only, (3) vegetative symptoms only, and (4) a combined disorder with both distress and vegetative symptoms. The presence of verbal reports of distress, vegetative signs, or both were associated with longer hospital stays and greater neuropsychologic impairment.

Original languageEnglish (US)
Pages (from-to)279-284
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume71
Issue number5
StatePublished - 1990
Externally publishedYes

Fingerprint

Stroke
Depression
Substance-Related Disorders
Affective Symptoms
Brain Diseases
Checklist
Brain Injuries
Dexamethasone
Nervous System
Psychiatry
Inpatients
Length of Stay
Rehabilitation
Research

Keywords

  • Cerebrovascular disorders
  • Depression

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Malec, J. F., Richardson, J. W., Sinaki, M., & O'Brien, M. W. (1990). Types of affective response to stroke. Archives of Physical Medicine and Rehabilitation, 71(5), 279-284.

Types of affective response to stroke. / Malec, J. F.; Richardson, J. W.; Sinaki, M.; O'Brien, M. W.

In: Archives of Physical Medicine and Rehabilitation, Vol. 71, No. 5, 1990, p. 279-284.

Research output: Contribution to journalArticle

Malec, JF, Richardson, JW, Sinaki, M & O'Brien, MW 1990, 'Types of affective response to stroke', Archives of Physical Medicine and Rehabilitation, vol. 71, no. 5, pp. 279-284.
Malec JF, Richardson JW, Sinaki M, O'Brien MW. Types of affective response to stroke. Archives of Physical Medicine and Rehabilitation. 1990;71(5):279-284.
Malec, J. F. ; Richardson, J. W. ; Sinaki, M. ; O'Brien, M. W. / Types of affective response to stroke. In: Archives of Physical Medicine and Rehabilitation. 1990 ; Vol. 71, No. 5. pp. 279-284.
@article{cf9c63cce60044aaa691c8962a158b6b,
title = "Types of affective response to stroke",
abstract = "Most studies of depression after stroke have included heterogeneous samples of patients. These studies have generally not qualified patients as to age, absence of neurologic, psychiatric, and substance abuse histories, and other complicating factors. Of 155 inpatient rehabilitation admissions after acute unilateral cerebrovascular accident, only 26 met the following strict criteria for inclusion: age older than 55 years, no history of or concomitant brain disease or injury, and no history of major affective, thought, or substance abuse disorder. Two examiners independently administered the Hamilton Depression Rating Scale, a mood adjective checklist, and a modified Mini-Mental State Examination to 20 subjects who agreed to participate. They also rated subjects on research diagnostic criteria for depression and obtained a dexamethasone suppression test for each subject. Eighteen subjects completed neuropsychologic evaluation. All evaluations were completed within six weeks of the patient's stroke. Subjects fell into four distinct clinical groups based on averaged data: (1) no affective symptoms, (2) verbal distress only, (3) vegetative symptoms only, and (4) a combined disorder with both distress and vegetative symptoms. The presence of verbal reports of distress, vegetative signs, or both were associated with longer hospital stays and greater neuropsychologic impairment.",
keywords = "Cerebrovascular disorders, Depression",
author = "Malec, {J. F.} and Richardson, {J. W.} and M. Sinaki and O'Brien, {M. W.}",
year = "1990",
language = "English (US)",
volume = "71",
pages = "279--284",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "5",

}

TY - JOUR

T1 - Types of affective response to stroke

AU - Malec, J. F.

AU - Richardson, J. W.

AU - Sinaki, M.

AU - O'Brien, M. W.

PY - 1990

Y1 - 1990

N2 - Most studies of depression after stroke have included heterogeneous samples of patients. These studies have generally not qualified patients as to age, absence of neurologic, psychiatric, and substance abuse histories, and other complicating factors. Of 155 inpatient rehabilitation admissions after acute unilateral cerebrovascular accident, only 26 met the following strict criteria for inclusion: age older than 55 years, no history of or concomitant brain disease or injury, and no history of major affective, thought, or substance abuse disorder. Two examiners independently administered the Hamilton Depression Rating Scale, a mood adjective checklist, and a modified Mini-Mental State Examination to 20 subjects who agreed to participate. They also rated subjects on research diagnostic criteria for depression and obtained a dexamethasone suppression test for each subject. Eighteen subjects completed neuropsychologic evaluation. All evaluations were completed within six weeks of the patient's stroke. Subjects fell into four distinct clinical groups based on averaged data: (1) no affective symptoms, (2) verbal distress only, (3) vegetative symptoms only, and (4) a combined disorder with both distress and vegetative symptoms. The presence of verbal reports of distress, vegetative signs, or both were associated with longer hospital stays and greater neuropsychologic impairment.

AB - Most studies of depression after stroke have included heterogeneous samples of patients. These studies have generally not qualified patients as to age, absence of neurologic, psychiatric, and substance abuse histories, and other complicating factors. Of 155 inpatient rehabilitation admissions after acute unilateral cerebrovascular accident, only 26 met the following strict criteria for inclusion: age older than 55 years, no history of or concomitant brain disease or injury, and no history of major affective, thought, or substance abuse disorder. Two examiners independently administered the Hamilton Depression Rating Scale, a mood adjective checklist, and a modified Mini-Mental State Examination to 20 subjects who agreed to participate. They also rated subjects on research diagnostic criteria for depression and obtained a dexamethasone suppression test for each subject. Eighteen subjects completed neuropsychologic evaluation. All evaluations were completed within six weeks of the patient's stroke. Subjects fell into four distinct clinical groups based on averaged data: (1) no affective symptoms, (2) verbal distress only, (3) vegetative symptoms only, and (4) a combined disorder with both distress and vegetative symptoms. The presence of verbal reports of distress, vegetative signs, or both were associated with longer hospital stays and greater neuropsychologic impairment.

KW - Cerebrovascular disorders

KW - Depression

UR - http://www.scopus.com/inward/record.url?scp=0025232563&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025232563&partnerID=8YFLogxK

M3 - Article

C2 - 2327877

AN - SCOPUS:0025232563

VL - 71

SP - 279

EP - 284

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 5

ER -