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Emotional symptoms in acute ischemic stroke
Brynjar Fure1, Torgeir Bruun Wyller, Knut Engedal
1Department of Geriatric Medicine, Ullevaal University Hospital, Oslo, Norway. bryfure@online.no
International Journal of Geriatric Psychiatry
|March 15, 2006
Summary
Anxiety symptoms (26.4%) were more common than depressive symptoms (14.0%) in acute ischemic stroke patients. Marital status and cognitive function impacted anxiety, while daily living abilities influenced depression.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Anxiety and depressive symptoms in acute stroke patients significantly impact neurological outcomes and family psychosocial burden.
- These emotional changes may stem from brain damage or psychological responses to the stroke event.
Purpose of the Study:
- To determine the prevalence of anxiety and depressive symptoms during the acute phase of ischemic stroke.
- To identify factors associated with these symptoms in stroke survivors.
Main Methods:
- 178 acute ischemic stroke patients were assessed for anxiety and depressive symptoms using the Hospital Anxiety and Depression Scale (HADS) between days 3-7 post-admission.
- Logistic regression analyses were employed to identify factors correlated with anxiety and depressive symptoms.
Main Results:
- Anxiety symptoms were present in 26.4% of patients, depressive symptoms in 14.0%, and both in 7.9%.
- Anxiety was linked to single marital status (OR 2.53) and lower Mini Mental State Examination (MMSE) scores (<26; OR 0.53).
- Depressive symptoms correlated with lower Barthel Activities of Daily Living (BI) scores (<90; OR 0.37).
Conclusions:
- Anxiety symptoms are more prevalent than depressive symptoms in the acute stage of ischemic stroke.
- Addressing both anxiety and depressive symptoms during rehabilitation is crucial for improving patient well-being and neurological recovery.