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Related Experiment Videos

Mood disorders in the year after first stroke.

A House1, M Dennis, L Mogridge

  • 1Department of Liaison Psychiatry, Leeds General Infirmary.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1991
PubMed
Summary

Following a first stroke, psychiatric issues like mood disorders are common but typically resolve within 12 months. Major depression is less persistent than often suggested in stroke patient literature.

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Area of Science:

  • Neurology
  • Psychiatry
  • Epidemiology

Background:

  • Stroke is a significant health event with potential long-term psychological consequences.
  • Previous research has suggested a high incidence of persistent psychiatric disorders, particularly major depression, post-stroke.

Purpose of the Study:

  • To investigate the incidence and persistence of psychiatric disorders in a community sample of first-time stroke patients over 12 months.
  • To compare the psychiatric status of stroke patients with a general population control group.
  • To evaluate the prevalence of specific psychiatric symptoms and disorders following stroke.

Main Methods:

  • A prospective study of 128 unselected community patients following their first stroke.
  • Comparison with a control sample from the general population.

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  • Assessment of psychiatric status using the Present State Examination (PSE) and Beck Depression Inventory (BDI).

    • Main Results:

    • Symptoms of mood disorder were more frequent in stroke patients than controls initially.
    • These differences in mood disorder symptoms diminished substantially by the 12-month follow-up.
    • Observed psychiatric problems included agoraphobia, social withdrawal, apathy, self-neglect, irritability, and pathological emotionalism.
    • A high cumulative incidence of psychiatric disorder was noted, but most were transient.

    Conclusions:

    • While psychiatric disturbances are common in the early period after stroke, they are generally not persistent.
    • The study suggests that major depression is not a consistently enduring syndrome following stroke.
    • The emphasis on major depression as a specific, long-term post-stroke syndrome may be overstated in current literature.