Post Stroke Depression

Sebestova, Martina; Lackner, Ingrid; Inayat, Muhammad; Ademaj, Armend; Mikutta, Christian

doi:10.1024/0040-5930/a001274

Cited by 6 publications

(6 citation statements)

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“…Research published in Turkey by Karakus et al (2017) mentioned that patients with limited education, who are often the poorest, seem more defenseless than others. However, this contradicts a recent study in the United States that found even higher education levels are vulnerable (Sebestova et al, 2021). The study result for family income is similar to the study discovered in Tanzania by Jones et al (2012), which indicated that lowand middle-income countries suffer more than two-thirds of the global stroke burden, signifying that a clearer understanding of stroke and its wider influence on psychological health makes them less likely to experience health anxiety compared to high-income families from urban areas that are more likely to have health anxiety.…”

Section: The Relationship Between Health Anxiety Score and Socio-demo...contrasting

confidence: 82%

“…Other than that, the results of this study also found that the level of health anxiety by gender was not significantly associated. In contrast, females have been found to be more prone to experiencing post-stroke anxiety than men, although there is no strong evidence to prove that gender impacts the psychological burden after stroke (Tang et al, 2013;Sebestova et al, 2021). Following that, the marital status of the respondents revealed that there was a significant association between health anxiety and as demonstrated by the recent analyses of Beauchamp et al (2020), it appears that research including more than 200 patients conveys the importance of establishing social support and psychological well-being, which is emphasized by nonmarried status in preventing post-stroke anxiety.…”

Section: The Relationship Between Health Anxiety Score and Socio-demo...mentioning

confidence: 99%

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Stroke Knowledge and Health Anxiety among Stroke Patients in A Rehabilitation Clinic, Tertiary Hospital

Othman,

Din,

Ahmad Sharoni

et al. 2024

MJN

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Background: Stroke generally results in life-altering changes, and the significance of stroke knowledge and health anxiety has become a global priority. Aim: This study aims to determine the level of stroke knowledge and health anxiety among stroke patients in the rehabilitation clinic at the University Malaya Medical Centre and to determine the association of stroke knowledge and health anxiety with socio-demographic data. Methods: This study employed cross-sectional surveys conducted using a convenience sampling technique. The data was gathered from April to October 2021, and approximately 150 stroke patients were required to respond to a set of validated questionnaires (the Stroke Knowledge Test and the Health Anxiety). The data were analyzed with descriptive and inferential statistics. Results: The finding shows that on average, the age of respondents was 51 years (SD=13.12), and the majority of them were male (n=83, 55.3%), married (n=130, 86.7%), had a secondary level of education (n=81, 54.0%) and categorized under B40 (n=89, 59.3%). Most of them reported having good stroke knowledge (n=103, 68.7%), and experienced anxiety (mean=29.96, SD=8.72). There was no association between stroke knowledge and sociodemographic data (p > 0.05). For the health anxiety, age, marital status, and education level were found to be associated with the anxiety (p<0.05). Those who aged less than 30 years experienced more anxiety as compared to the seniors' group (r=-0.607, p<0.001). Furthermore, married respondents showed lower levels of anxiety than single respondents [t(148) = 0.266, p = 0.009]. Patients who had a high level of education were more anxious than those who had a primary level of education [F(2,147) = 16.03, p<0.001]. Conclusion: The organizations should provide ongoing awareness and psychological support to promote the patients and their family members. Nurses, who spend the most time with patients, are expected to reinforce the stroke education program and communicate with the patient's family to minimize their anxiety level.

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Section: The Relationship Between Health Anxiety Score and Socio-demo...contrasting

confidence: 82%

Section: The Relationship Between Health Anxiety Score and Socio-demo...mentioning

confidence: 99%

Stroke Knowledge and Health Anxiety among Stroke Patients in A Rehabilitation Clinic, Tertiary Hospital

Othman,

Din,

Ahmad Sharoni

et al. 2024

MJN

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“…Common medications include benzodiazepines, tricyclic antidepressants, SSRIs, and SNRIs ( 3 ). However, the long-term use of antidepressants, potential for dependency, and various side effects have led to an increased focus on non-pharmacological options ( 44 ). These include psychotherapy, cognitive therapy, rTMS, tDCS, electroencephalographic biofeedback therapy, and TCM rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture combined with repetitive transcranial magnetic stimulation for the treatment of post-stroke depression: a systematic evaluation and meta-analysis based on a randomised controlled trial

Xiao,

Li,

et al. 2024

Front. Neurol.

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ObjectiveThis study aimed to systematically assess the efficacy of combining acupuncture with repetitive transcranial magnetic stimulation (rTMS) in treating post-stroke depression (PSD).MethodsWe conducted a comprehensive search of eight major domestic and international databases, including the China Knowledge Network, from inception until December 2023. Included were randomized controlled trials that investigated acupuncture combined with rTMS for PSD. The screening process adhered to predetermined inclusion and exclusion criteria, and study quality was assessed using Cochrane Handbook 5.1 guidelines. Meta-analysis was conducted using RevMan 5.4 software.ResultsTwelve studies involving 800 patients were included in the analysis. The meta-analysis showed that acupuncture combined with rTMS significantly improved the clinical effectiveness rate (RR = 1.19, 95% CI: 1.12 to 1.27, p < 0.00001) and reduced scores on several scales: Hamilton Depression Scale (HAMD) (MD = −3.35, 95% CI: −3.79 to −2.90, p < 0.00001), Self-Depression Scale (SDS) (MD = −9.57, 95% CI: −12.26 to −6.89, p < 0.00001), Chinese Medicine Symptom Score (MD = −3.34, 95% CI: −3.76 to −2.91, p < 0.00001), Pittsburgh Sleep Quality Scale (MD = −3.91, 95% CI: −4.58 to −3.25, p < 0.00001), and National Institutes of Health Stroke Scale (NIHSS) (MD = −2.77, 95% CI: −3.21 to −2.32, p < 0.00001). Furthermore, acupuncture combined with rTMS treatment improved cognitive functioning (MMSE, MoCA scores) (p < 0.00001) and ability to perform activities of daily living scores (MD = 10.40, 95% CI: 9.53 to 11.28, p < 0.00001). Additionally, it was found to reduce interleukin 6, tumor necrosis factor alpha, interleukin 1β, and increase 5-hydroxytryptamine and brain-derived neurotrophic factor levels (p < 0.001).ConclusionAcupuncture combined with rTMS therapy is recommended for treating PSD, as it effectively improves clinical outcomes, alleviates depressive symptoms, enhances cognitive function, and daily living capabilities, and modulates inflammatory responses and neurotransmitter levels. However, it is important to note that the limitations of the sample size and quality of the included studies warrant the need for more high-quality research to validate these conclusions.Systematic review registrationINPLASY, Identifier INPLASY202430085.

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“…Brain tissue damage occurs in patients after stroke, which may damage the emotional center (14). The reduction of the biochemical transmitter 5-HT and norepinephrine in brain tissues can lead to depression, and the blockade of nerve conduction pathways can also make patients in low spirits (15).…”

Section: Discussionmentioning

confidence: 99%

Bioinformatic prediction of depression-related signaling pathways regulated by miR-146a in peripheral blood of patients with post-stroke depression

Chen¹,

Wang²,

Na³

et al. 2022

Cell Mol Biol (Noisy-le-grand)

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Post Stroke Depression

Cited by 6 publications

References 0 publications

Stroke Knowledge and Health Anxiety among Stroke Patients in A Rehabilitation Clinic, Tertiary Hospital

Stroke Knowledge and Health Anxiety among Stroke Patients in A Rehabilitation Clinic, Tertiary Hospital

Acupuncture combined with repetitive transcranial magnetic stimulation for the treatment of post-stroke depression: a systematic evaluation and meta-analysis based on a randomised controlled trial

Bioinformatic prediction of depression-related signaling pathways regulated by miR-146a in peripheral blood of patients with post-stroke depression

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