Anxiety and depression after stroke: a 5 year follow-up

Abstract

Anxiety and depression were more frequent at 5 years after stroke than at 6 months. There were significant differences between four European centres in the severity of anxiety and depression. Although the main determinant of anxiety or depression scores at 5 years was the level of anxiety or depression at 6 months, this accounted for little of the variance. Centre was also a significant predictor of mood at 5 years. There needs to be greater recognition of the development of mood disorders late after stroke and evaluation of variation in management policies across centres.

The High Prevalence of Anxiety Disorders After Stroke

“…A seminal 1993 study in 309 consecutive acute stroke patients found that 27% had GAD according to DSM-III-R criteria [3]. Longitudinal studies indicate that GAD prevalence remains high up to 5 years after stroke [4][5][6]. A recent review of 44 post-stroke studies reported pooled prevalence of 18% when anxiety was assessed by clinical interview and 25% when assessed by rating scale [7].…”

Cardiovascular risk factors in elderly : With special emphasis on atrial fibrillation, hypertension and diabetes

“…Almost half of those over the age of 75 years had problems with anxiety or depression. Previous studies have shown that older stroke patients are more likely to experience depression, [165,166] even among those who are considered to have recovered fully physically [164].…”

Potenzialanalyse zu logopädischem Kommunikationstraining bei Aphasie nach Schlaganfall

“…Hackett und Kollegen [34] zeigen in ihrem Review auf, dass etwa ein Drittel aller Überlebenden eines Schlaganfalls im Verlauf eine Depression entwickelt. Diese Aussage wird gestützt durch eine aktuelle 5-JahresFollow-up-Studie der Forschergruppe um Lincoln [35]. Die psychosozialen Folgen einer Aphasie verstärken sich mit zunehmendem Alter [9].…”