Post-stroke depression, another handicap
Post-stroke depression is a severe complication affecting 30-50% of patients during the first year. Experienced medical and paramedical staff in stroke units, using validated scales, can now identify initial signs of depression in the first days after stroke onset. This review of the literature is b...
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| Veröffentlicht in: | La Presse médicale (1983) 2006-12, Vol.35 (12 Pt 1), p.1789-1793 |
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| container_issue | 12 Pt 1 |
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| container_title | La Presse médicale (1983) |
| container_volume | 35 |
| creator | Pinoit, Jean-Michel Bejot, Yannick Rouaud, Olivier Benatru, Isabelle Osseby, Guy-Victor Bonin, Bernard Gisselmann, André Giroud, Maurice |
| description | Post-stroke depression is a severe complication affecting 30-50% of patients during the first year. Experienced medical and paramedical staff in stroke units, using validated scales, can now identify initial signs of depression in the first days after stroke onset.
This review of the literature is based on a Medline search for the terms stroke, depression, and epidemiology. It discusses problems of pathophysiology, diagnosis, prognosis, and therapeutics.
Depression is an emergency in stroke patients because it impedes rehabilitation and family and social insertion. Early diagnosis is difficult, but possible with clinical somatic and cognitive symptoms. Post-stroke depression may also be a marker of pending cognitive decline. Management requires both antidepressants and psychotherapy.
There is a pressing need for further research to improve clinical practice in this area of stroke care. |
| doi_str_mv | 10.1016/S0755-4982(06)74903-X |
| format | Article |
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This review of the literature is based on a Medline search for the terms stroke, depression, and epidemiology. It discusses problems of pathophysiology, diagnosis, prognosis, and therapeutics.
Depression is an emergency in stroke patients because it impedes rehabilitation and family and social insertion. Early diagnosis is difficult, but possible with clinical somatic and cognitive symptoms. Post-stroke depression may also be a marker of pending cognitive decline. Management requires both antidepressants and psychotherapy.
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This review of the literature is based on a Medline search for the terms stroke, depression, and epidemiology. It discusses problems of pathophysiology, diagnosis, prognosis, and therapeutics.
Depression is an emergency in stroke patients because it impedes rehabilitation and family and social insertion. Early diagnosis is difficult, but possible with clinical somatic and cognitive symptoms. Post-stroke depression may also be a marker of pending cognitive decline. Management requires both antidepressants and psychotherapy.
There is a pressing need for further research to improve clinical practice in this area of stroke care.</description><subject>Activities of Daily Living</subject><subject>Antidepressive Agents - administration & dosage</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Cognition Disorders - etiology</subject><subject>Data Collection</subject><subject>Depression - complications</subject><subject>Depression - diagnosis</subject><subject>Depression - drug therapy</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression - therapy</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychotherapy</subject><subject>Recurrence</subject><subject>Risk Factors</subject><subject>Stroke - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>0755-4982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j8tKxDAYRrNQnHH0EZSuZASj-XOdLGXwBgMKKrgruTLVtqlJu_DtFRxdHfg4fHAQOgFyCQTk1TNRQmCuV3RJ5LnimjD8tofm__MMHZbyTggFrvQBmoECoRXVc7R8SmXEZczpI1Q-DDmU0qT-ojJ9GrchV1vT-8aZ4QjtR9OWcLzjAr3e3rys7_Hm8e5hfb3BAzA9Ys-EBBMBHCjOvDOrEKI3nCvQSlkahHQ6EuItFYYqQ220lknhaBSES80W6Oz3d8jpcwplrLumuNC2pg9pKrVcUQ5Eix_xdCdOtgu-HnLTmfxV_7Wxb6_tTz0</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Pinoit, Jean-Michel</creator><creator>Bejot, Yannick</creator><creator>Rouaud, Olivier</creator><creator>Benatru, Isabelle</creator><creator>Osseby, Guy-Victor</creator><creator>Bonin, Bernard</creator><creator>Gisselmann, André</creator><creator>Giroud, Maurice</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Post-stroke depression, another handicap</title><author>Pinoit, Jean-Michel ; Bejot, Yannick ; Rouaud, Olivier ; Benatru, Isabelle ; Osseby, Guy-Victor ; Bonin, Bernard ; Gisselmann, André ; Giroud, Maurice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-d3561af11c1743dca8eefda4471977b2e56c9f00db25a27a2bfbb365c2f504693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2006</creationdate><topic>Activities of Daily Living</topic><topic>Antidepressive Agents - administration & dosage</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Cognition Disorders - etiology</topic><topic>Data Collection</topic><topic>Depression - complications</topic><topic>Depression - diagnosis</topic><topic>Depression - drug therapy</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Depression - therapy</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychotherapy</topic><topic>Recurrence</topic><topic>Risk Factors</topic><topic>Stroke - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pinoit, Jean-Michel</creatorcontrib><creatorcontrib>Bejot, Yannick</creatorcontrib><creatorcontrib>Rouaud, Olivier</creatorcontrib><creatorcontrib>Benatru, Isabelle</creatorcontrib><creatorcontrib>Osseby, Guy-Victor</creatorcontrib><creatorcontrib>Bonin, Bernard</creatorcontrib><creatorcontrib>Gisselmann, André</creatorcontrib><creatorcontrib>Giroud, Maurice</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>La Presse médicale (1983)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pinoit, Jean-Michel</au><au>Bejot, Yannick</au><au>Rouaud, Olivier</au><au>Benatru, Isabelle</au><au>Osseby, Guy-Victor</au><au>Bonin, Bernard</au><au>Gisselmann, André</au><au>Giroud, Maurice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-stroke depression, another handicap</atitle><jtitle>La Presse médicale (1983)</jtitle><addtitle>Presse Med</addtitle><date>2006-12</date><risdate>2006</risdate><volume>35</volume><issue>12 Pt 1</issue><spage>1789</spage><epage>1793</epage><pages>1789-1793</pages><issn>0755-4982</issn><abstract>Post-stroke depression is a severe complication affecting 30-50% of patients during the first year. Experienced medical and paramedical staff in stroke units, using validated scales, can now identify initial signs of depression in the first days after stroke onset.
This review of the literature is based on a Medline search for the terms stroke, depression, and epidemiology. It discusses problems of pathophysiology, diagnosis, prognosis, and therapeutics.
Depression is an emergency in stroke patients because it impedes rehabilitation and family and social insertion. Early diagnosis is difficult, but possible with clinical somatic and cognitive symptoms. Post-stroke depression may also be a marker of pending cognitive decline. Management requires both antidepressants and psychotherapy.
There is a pressing need for further research to improve clinical practice in this area of stroke care.</abstract><cop>France</cop><pmid>17159729</pmid><doi>10.1016/S0755-4982(06)74903-X</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Activities of Daily Living Antidepressive Agents - administration & dosage Antidepressive Agents - therapeutic use Cognition Disorders - etiology Data Collection Depression - complications Depression - diagnosis Depression - drug therapy Depression - epidemiology Depression - etiology Depression - therapy Diagnosis, Differential Humans Interview, Psychological Prevalence Prognosis Prospective Studies Psychiatric Status Rating Scales Psychotherapy Recurrence Risk Factors Stroke - psychology Surveys and Questionnaires Time Factors |
| title | Post-stroke depression, another handicap |
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