Sex Differences in the Prevalence of Post-Stroke Depression: A Systematic Review
Background Depression after stroke occurs in 33% of individuals. It is grossly underdiagnosed and untreated. Objective The authors studied sex differences in the prevalence of post-stroke depression (PSD), which have not been adequately studied, and may have important implications for clinicians. Me...
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| Veröffentlicht in: | Psychosomatics (Washington, D.C.) D.C.), 2009-11, Vol.50 (6), p.563-569 |
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| creator | Poynter, Brittany, M.D Shuman Hon, Mira, B.Sc Diaz-Granados, Natalia, M.Sc Kapral, Moira, M.D., FRCPC Grace, Sherry L., Ph.D Stewart, Donna E., M.D., FRCPC |
| description | Background Depression after stroke occurs in 33% of individuals. It is grossly underdiagnosed and untreated. Objective The authors studied sex differences in the prevalence of post-stroke depression (PSD), which have not been adequately studied, and may have important implications for clinicians. Method The authors performed a systematic review of five databases of all observational studies that stratified data by sex, measuring the prevalence of PSD. Results Fiftysix publications, including 47 primary studies between 1982 and 2006, met eligibility criteria and were included in the review. A total of 75,131 subjects comprised these studies, with 11,910 women and 62,899 men. Results The prevalence of depression among women was higher in 35 studies. Moreover, the prevalence was generally higher among inpatient populations (both in acute-care and rehabilitation facilities) than in community-dwelling subjects. Conclusions PSD is highly prevalent in both sexes, but appears to be slightly more common among women than men. Untreated depression after stroke can lead to a reduced quality of life, poorer prognosis, and increased mortality. All stroke patients should be routinely screened for depression, and further research is needed to determine whether there are sex-specific differences in response to treatment. |
| doi_str_mv | 10.1016/S0033-3182(09)70857-6 |
| format | Article |
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It is grossly underdiagnosed and untreated. Objective The authors studied sex differences in the prevalence of post-stroke depression (PSD), which have not been adequately studied, and may have important implications for clinicians. Method The authors performed a systematic review of five databases of all observational studies that stratified data by sex, measuring the prevalence of PSD. Results Fiftysix publications, including 47 primary studies between 1982 and 2006, met eligibility criteria and were included in the review. A total of 75,131 subjects comprised these studies, with 11,910 women and 62,899 men. Results The prevalence of depression among women was higher in 35 studies. Moreover, the prevalence was generally higher among inpatient populations (both in acute-care and rehabilitation facilities) than in community-dwelling subjects. Conclusions PSD is highly prevalent in both sexes, but appears to be slightly more common among women than men. Untreated depression after stroke can lead to a reduced quality of life, poorer prognosis, and increased mortality. All stroke patients should be routinely screened for depression, and further research is needed to determine whether there are sex-specific differences in response to treatment.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1016/S0033-3182(09)70857-6</identifier><language>eng</language><publisher>Arlington, VA: Elsevier Inc</publisher><subject>Adult and adolescent clinical studies ; Biological and medical sciences ; Depression ; Internal Medicine ; Medical sciences ; Mood disorders ; Neurology ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Somatoform disorders. Psychosomatics ; Systematic review ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Psychosomatics (Washington, D.C.), 2009-11, Vol.50 (6), p.563-569</ispartof><rights>The Academy of Psychosomatic Medicine</rights><rights>2011 The Academy of Psychosomatic Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright American Psychiatric Publishing, Inc. Nov/Dec 2009</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-bd873bbd1a37a0449852aaf43c34b97215d5aed680b4c304e913c39c146534003</citedby><cites>FETCH-LOGICAL-c398t-bd873bbd1a37a0449852aaf43c34b97215d5aed680b4c304e913c39c146534003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/220331322?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22244953$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Poynter, Brittany, M.D</creatorcontrib><creatorcontrib>Shuman Hon, Mira, B.Sc</creatorcontrib><creatorcontrib>Diaz-Granados, Natalia, M.Sc</creatorcontrib><creatorcontrib>Kapral, Moira, M.D., FRCPC</creatorcontrib><creatorcontrib>Grace, Sherry L., Ph.D</creatorcontrib><creatorcontrib>Stewart, Donna E., M.D., FRCPC</creatorcontrib><title>Sex Differences in the Prevalence of Post-Stroke Depression: A Systematic Review</title><title>Psychosomatics (Washington, D.C.)</title><description>Background Depression after stroke occurs in 33% of individuals. It is grossly underdiagnosed and untreated. Objective The authors studied sex differences in the prevalence of post-stroke depression (PSD), which have not been adequately studied, and may have important implications for clinicians. Method The authors performed a systematic review of five databases of all observational studies that stratified data by sex, measuring the prevalence of PSD. Results Fiftysix publications, including 47 primary studies between 1982 and 2006, met eligibility criteria and were included in the review. A total of 75,131 subjects comprised these studies, with 11,910 women and 62,899 men. Results The prevalence of depression among women was higher in 35 studies. Moreover, the prevalence was generally higher among inpatient populations (both in acute-care and rehabilitation facilities) than in community-dwelling subjects. Conclusions PSD is highly prevalent in both sexes, but appears to be slightly more common among women than men. Untreated depression after stroke can lead to a reduced quality of life, poorer prognosis, and increased mortality. All stroke patients should be routinely screened for depression, and further research is needed to determine whether there are sex-specific differences in response to treatment.</description><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Internal Medicine</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Neurology</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Somatoform disorders. 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Psychosomatics</topic><topic>Systematic review</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>online_resources</toplevel><creatorcontrib>Poynter, Brittany, M.D</creatorcontrib><creatorcontrib>Shuman Hon, Mira, B.Sc</creatorcontrib><creatorcontrib>Diaz-Granados, Natalia, M.Sc</creatorcontrib><creatorcontrib>Kapral, Moira, M.D., FRCPC</creatorcontrib><creatorcontrib>Grace, Sherry L., Ph.D</creatorcontrib><creatorcontrib>Stewart, Donna E., M.D., FRCPC</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><jtitle>Psychosomatics (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poynter, Brittany, M.D</au><au>Shuman Hon, Mira, B.Sc</au><au>Diaz-Granados, Natalia, M.Sc</au><au>Kapral, Moira, M.D., FRCPC</au><au>Grace, Sherry L., Ph.D</au><au>Stewart, Donna E., M.D., FRCPC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex Differences in the Prevalence of Post-Stroke Depression: A Systematic Review</atitle><jtitle>Psychosomatics (Washington, D.C.)</jtitle><date>2009-11-01</date><risdate>2009</risdate><volume>50</volume><issue>6</issue><spage>563</spage><epage>569</epage><pages>563-569</pages><issn>0033-3182</issn><eissn>1545-7206</eissn><abstract>Background Depression after stroke occurs in 33% of individuals. It is grossly underdiagnosed and untreated. Objective The authors studied sex differences in the prevalence of post-stroke depression (PSD), which have not been adequately studied, and may have important implications for clinicians. Method The authors performed a systematic review of five databases of all observational studies that stratified data by sex, measuring the prevalence of PSD. Results Fiftysix publications, including 47 primary studies between 1982 and 2006, met eligibility criteria and were included in the review. A total of 75,131 subjects comprised these studies, with 11,910 women and 62,899 men. Results The prevalence of depression among women was higher in 35 studies. Moreover, the prevalence was generally higher among inpatient populations (both in acute-care and rehabilitation facilities) than in community-dwelling subjects. Conclusions PSD is highly prevalent in both sexes, but appears to be slightly more common among women than men. Untreated depression after stroke can lead to a reduced quality of life, poorer prognosis, and increased mortality. All stroke patients should be routinely screened for depression, and further research is needed to determine whether there are sex-specific differences in response to treatment.</abstract><cop>Arlington, VA</cop><pub>Elsevier Inc</pub><doi>10.1016/S0033-3182(09)70857-6</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychosomatics (Washington, D.C.), 2009-11, Vol.50 (6), p.563-569 |
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| subjects | Adult and adolescent clinical studies Biological and medical sciences Depression Internal Medicine Medical sciences Mood disorders Neurology Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Somatoform disorders. Psychosomatics Systematic review Vascular diseases and vascular malformations of the nervous system |
| title | Sex Differences in the Prevalence of Post-Stroke Depression: A Systematic Review |
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