Apathy and suicide-related ideation 3 months after stroke: a cross-sectional study

Tang, Wai Kwong; Caeiro, Lara; Lau, Chieh Grace; Liang, Huajun; Mok, Vincent; Ungvári, Gábor S.; Wong, Ka Sing

doi:10.1186/s12883-015-0323-3

Cited by 19 publications

(8 citation statements)

References 50 publications

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“…Deductively, this manifestation of depression was probably because they were lonely. Studies disclose that depression is common among stroke survivors as a result of social, cognitive, and physical dysfunction decreasing the quality of life of affected persons ( 33 - 35 ). The direct link between physical impairment and depression probably explains why those participants, in this current study who showed signs of depression, also showed signs of frustration.…”

Section: Discussionmentioning

confidence: 99%

Why Me?: A Qualitative Study on the Experiences of Young Stroke Survivors in the Accra Metropolis of Ghana, West Africa

Opoku¹,

Eliason

Akpalu

2020

Journal of Patient Experience

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Young stroke survivors are affected gravely when diagnosed with stroke between the ages of 18 to 45 years. The psychological and social effects of young stroke require stringent coping factors geared toward recovery and regeneration of self. A qualitative exploratory design was used to explore coping experiences and purposive sampling technique was employed to recruit 10 participants. Data were collected using tape recorded interviews which lasted between 45 minutes to 1 hour 30 minutes and guided by a semistructured interview guide which was informed by the research objectives and literature review. Thematic content analysis was used to analyze the transcribed data and 6 themes namely: psychological disruption, disruption to social identity, spiritual practices and beliefs, self-determination, support, and herbal medicine were derived. These themes gave insight into how these young stroke victims experienced and coped with physical signs and symptoms which negatively impacted their activities of daily living and resulted in social isolation, fear, anxiety, depression, guilt, and suicidal ideations. Provision of continuity of care for young adults living with stroke is highly recommended.

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Section: Discussionmentioning

confidence: 99%

Why Me?: A Qualitative Study on the Experiences of Young Stroke Survivors in the Accra Metropolis of Ghana, West Africa

Opoku¹,

Eliason

Akpalu

2020

Journal of Patient Experience

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“… 10 Apathy is also associated with suicidal ideation independently of depression three months after stroke. 32 This suggests that apathy can not only occur in tandem with depression but also exacerbate it.…”

Section: Effects Of Apathy On Functional Outcomesmentioning

confidence: 99%

Apathy after stroke: Diagnosis, mechanisms, consequences, and treatment

Tay

Morris

Markus

2021

International Journal of Stroke

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Apathy is a reduction in goal-directed activity in the cognitive, behavioural, emotional, or social domains of a patient's life, and occurs in one out of three patients after stroke. Despite this, apathy is clinically under-recognised and poorly understood. This overview provides a contemporary introduction to apathy in stroke for researchers and practitioners, covering topics including diagnosis, neurobiological mechanisms, associated consequences, and potential treatments for apathy. Apathy is often misdiagnosed as other post-stroke conditions such as depression. Accurate differential diagnosis of apathy, which manifests as reductions in initiative, and depression, which manifests as negative emotionality, is important as it informs prognosis. Research on the neurobiology of apathy suggests that there are few consistent associations between stroke lesion location and the development of apathy. These may be resolved by adopting a network neuroscience approach, which conceptualises of apathy as a pathology arising from structural or functional damage to brain networks underlying motivated behaviour. Importantly, networks can be affected by physiological changes related to stroke, including the acute infarct but also diaschisis and neurodegeneration. Aside from neurobiological changes, apathy is also associated with other negative outcome measures such as functional disability, cognitive impairment, and emotional distress, suggesting that apathy is indicative of a worse prognosis following stroke. Unfortunately, high-quality trials aimed at treating apathy are scarce. Antidepressants may have limited effects on apathy. Acetylcholine and dopamine pharmacotherapy, behavioural interventions, and transcranial magnetic stimulation may be more promising avenues for treatment.

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“…The pharmacological treatment suggests a daily dose of nefiracetam-900 mg given for 4 weeks or cilostazol for 6 months helps in reducing symptoms of apathy in post-stroke depression. The non-pharmacological treatment such as problem-solving therapy, motivational therapy, milieu therapy, and occupational therapy showed a significant reduction in apathy after stroke [72].…”

Section: Post-stroke Apathymentioning

confidence: 97%

Post-Stroke Psychiatric Disorders: An Overview on Its Screening and Management

Chandrasekar

Sai

John

et al. 2019

Asian J Pharm Clin Res

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Stroke is the third leading cause of death. Stroke occurs when an insufficient amount of blood is supplied to the brain due to a thrombus or an emboli leading to permanent tissue damage. Lesions in the brain can lead to psychiatric complications. The prevalence of psychiatric complications after stroke is very common. Psychiatric complications such as depression, anxiety, apathy, pseudobulbar effects (laughing and crying), mania, psychosis, and bipolar disorders are seen after stroke. In this review, various psychiatric disorders are reported among post-stroke survivors in which depression and anxiety are common. Consequently, apathy, pseudobulbar effects, catastrophic reactions, psychosis, bipolar disorder, and mania are also observed after stroke. Therefore, early detection and management of psychiatric disorders prevent further complications and improve the quality of life in post-stroke patients.

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Apathy and suicide-related ideation 3 months after stroke: a cross-sectional study

Cited by 19 publications

References 50 publications

Why Me?: A Qualitative Study on the Experiences of Young Stroke Survivors in the Accra Metropolis of Ghana, West Africa

Why Me?: A Qualitative Study on the Experiences of Young Stroke Survivors in the Accra Metropolis of Ghana, West Africa

Apathy after stroke: Diagnosis, mechanisms, consequences, and treatment

Post-Stroke Psychiatric Disorders: An Overview on Its Screening and Management

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