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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
Published on: May 22, 2019
Recognition of depression in aphasic stroke patients
A C Laska1, B Mårtensson, T Kahan
1Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. ann-charlotte.laska@ds.se
Cerebrovascular Diseases (Basel, Switzerland)
|May 24, 2007
Summary
Diagnosing depression in acute stroke patients with aphasia is feasible using DSM-IV criteria and the Montgomery-Asberg Depression Rating Scale (MADRS), with reliability improving over time.
Area of Science:
- Neurology
- Psychiatry
- Speech-Language Pathology
Background:
- Limited data exist on post-stroke depression in patients with aphasia.
- Aphasia significantly impacts communication, potentially complicating psychiatric assessments.
Purpose of the Study:
- To assess the reliability and validity of diagnosing depression in acute stroke patients with aphasia.
- To evaluate the feasibility of using the Montgomery-Asberg Depression Rating Scale (MADRS) and Clinical Global Impressions (CGI) scale in this population.
Main Methods:
- Eighty-nine acute stroke patients with aphasia were followed for 6 months.
- Diagnosis of depression followed DSM-IV criteria.
- Verbal MADRS and global CGI scales were used for assessment, alongside aphasia testing.
Main Results:
- Reliable DSM-IV depression diagnosis was possible in 67% at baseline and 100% at 6 months.
- MADRS was feasible in 95% at baseline and 100% at 6 months.
- Depression was identified in 24% of patients over the 6-month period.
Conclusions:
- Depression diagnosis and severity rating are reliably achievable in the acute phase for aphasic stroke patients.
- Assessment feasibility improves over time, with support from relatives and staff enhancing usability.
- This study supports the routine psychiatric evaluation of aphasic stroke survivors.
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