Issues in the diagnosis of post-stroke depression.

Gordon, Wayne A.; Hibbard, Mary R.; Egelko, Susan; Riley, Ellen; al., et

doi:10.1037/0090-5550.36.2.71

Cited by 19 publications

(35 citation statements)

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“…There are few, if any, validated scales for use in the TBI population. Gordon et al (1991) devised the Structured Assessment of Depression in Brain Damaged Individuals, but it has not been widely adopted (Aben et al, 2001). One must also take into consideration when using selfreport scales that responses of TBI patients may be obscured by deficits in awareness (Kreutzer et al, 2001).…”

Section: Resultsmentioning

confidence: 99%

The neuropsychiatry of depression after brain injury

Fleminger

Oliver

Williams

et al. 2003

Neuropsychological Rehabilitation

115

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Biological aspects of depression after brain injury, in particular traumatic brain injury (TBI) and stroke, are reviewed. Symptoms of depression after brain injury are found to be rather non-specific with no good evidence of a clear pattern distinguishing it from depression in those without brain injury. Nevertheless symptoms of disturbances of interest and concentration are particularly prevalent, and guilt is less evident. Variabilitiy of mood is characteristic. The prevalence of depression is similar after both stroke and TBI with the order of 20-40% affected at any point in time in the first year, and about 50% of people experience depression at some stage. There is no good evidence for areas of specific vulnerability in terms of lesion location, and early suggestions of a specific association with injury to the left hemisphere have not been confirmed. Insight appears to be related to depressed mood with studies of TBI indicating that greater insight over time post-injury may be associated with greater depression. We consider that this relationship may be due to depression appearing as people gain more awareness of their disability, but also suggest that changes in mood may result in altered awareness. The risk of suicide after TBI is reviewed. There appears to be about a three to fourfold increased risk of suicide after TBI, although much of this increased risk may be due to pre-injury factors in terms of the characteristics of people who suffer TBI. About 1% of people who have suffered TBI will commit suicide over a 15-year follow-up. Drug management of depression is reviewed. There is little specific evidence to guide the choice of antidepressant medication and most psychiatrists would start with a selective serotonin reuptake inhibitor (SSRI). It is important that the drug management of depression after brain injury is part of a full package of care that can address biological as well as psychosocial factors in management.

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Section: Resultsmentioning

confidence: 99%

The neuropsychiatry of depression after brain injury

Fleminger

Oliver

Williams

et al. 2003

Neuropsychological Rehabilitation

115

View full text Add to dashboard Cite

show abstract

“…It has been suggested that the discrepancies resulting from sole use of self-report measures were due to underreporting of depressive symptomology compared with observer ratings. Gordon et al (1991) suggest that either patients tend to minimize the severity of their mood disorders or examiners are sensitive to patients' behaviors. Based on results of the current study, assessment using objective scales is essential for identifying the impact of psychological state on functional recovery.…”

Section: Discussionmentioning

confidence: 98%

The relationship between post-stroke depression and physical recovery

Matsuzaki

Hashimoto

Yuki

et al. 2015

Journal of Affective Disorders

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“…t-tests demonstrated a highly signi cant improvement with a mean difference of 14.5 ± 9.7, (t = 5.9, df = 15, CI 9.3-19.7, p < 0.001). By this second assessment, no patients remained in the severe category (BDI-II 29-63) and only two were in the moderate category (20)(21)(22)(23)(24)(25)(26)(27)(28). Three fell in the mild (14)(15)(16)(17)(18)(19) and six in the minimal category (9)(10)(11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%