open access

Vol 3, No 4 (2006)
Review paper
Published online: 2006-12-08
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Post-stroke depression: review of selected problems and risk factors

Hubert Wichowicz
Psychiatria 2006;3(4):160-168.

open access

Vol 3, No 4 (2006)
Prace poglądowe - nadesłane
Published online: 2006-12-08

Abstract

Depression is linked to such post-stroke symptoms as: slower recovery, worse functional outcome, worse quality of life below level suitable for degree of disability and increased mortality. It is estimated that post-stroke depression (PSD) occurs in approximately one-third of stroke survivors (16-47%). It means in medical practice that PSD in very common after stroke but sometimes can be incorrectly estimated. The most common causes of misdiagnosis are: patient’s psychological distress, poor relationship between medical staff and patient and variety of criteria of depression. Such syndromes as: anxiety disorders, apathy (abulia), loss of psychic self-activation, pathological laughing and crying, catastrophe reaction are disturbances which can often be misdiagnosed with PSD. PSD is potentially linked to: place of ischaemic area, female sex, age, physical and mental disability, family or personal bias of affective disturbances and psychological factors. The most popular hypothesis, having most representative references, says that PSD is connected with left hemisphere injury. But neither this hypothesis nor other potentially risk factors have been fully confirm, perhaps because of methodical variety of approaches.

Abstract

Depression is linked to such post-stroke symptoms as: slower recovery, worse functional outcome, worse quality of life below level suitable for degree of disability and increased mortality. It is estimated that post-stroke depression (PSD) occurs in approximately one-third of stroke survivors (16-47%). It means in medical practice that PSD in very common after stroke but sometimes can be incorrectly estimated. The most common causes of misdiagnosis are: patient’s psychological distress, poor relationship between medical staff and patient and variety of criteria of depression. Such syndromes as: anxiety disorders, apathy (abulia), loss of psychic self-activation, pathological laughing and crying, catastrophe reaction are disturbances which can often be misdiagnosed with PSD. PSD is potentially linked to: place of ischaemic area, female sex, age, physical and mental disability, family or personal bias of affective disturbances and psychological factors. The most popular hypothesis, having most representative references, says that PSD is connected with left hemisphere injury. But neither this hypothesis nor other potentially risk factors have been fully confirm, perhaps because of methodical variety of approaches.
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Keywords

post-stroke depression; diagnostic difficulties; risk factors

About this article
Title

Post-stroke depression: review of selected problems and risk factors

Journal

Psychiatria (Psychiatry)

Issue

Vol 3, No 4 (2006)

Article type

Review paper

Pages

160-168

Published online

2006-12-08

Bibliographic record

Psychiatria 2006;3(4):160-168.

Keywords

post-stroke depression
diagnostic difficulties
risk factors

Authors

Hubert Wichowicz

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