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Related Experiment Video

Updated: May 11, 2026

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
04:38

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

Published on: May 22, 2019

Psychosocial problems associated with depression at 18 months poststroke.

A De Ryck1, E Fransen, R Brouns

  • 1Department of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Neurology, Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim and Hoge Beuken, Antwerp, Belgium.

International Journal of Geriatric Psychiatry
|April 30, 2013
PubMed
Summary

Poststroke depression (PSD) affects 28% of stroke survivors, with reduced activity and relationship problems being key risk factors. Addressing these issues is crucial for improving patient outcomes and quality of life after stroke.

Keywords:
depressionpoststroke depressionpsychosocial problemsstroke

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Last Updated: May 11, 2026

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
04:38

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

Published on: May 22, 2019

Area of Science:

  • Neurology
  • Psychiatry
  • Epidemiology

Background:

  • Poststroke depression (PSD) is a common complication following a stroke, with reported prevalence rates ranging from 20% to 65%.
  • Understanding the incidence and identifying risk factors for PSD is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To determine the incidence of poststroke depression (PSD) at 18 months after stroke.
  • To identify the key risk factors associated with the development of PSD at 18 months poststroke.

Main Methods:

  • A prospective, longitudinal epidemiological study was conducted, following 125 stroke patients for 18 months.
  • Poststroke depression (PSD) was assessed using the Cornell Scale for Depression (CSD) and Montgomery and Åsberg Depression Rating Scale.
  • Activities of daily living and social engagement were measured using the Stroke Impact Scale (SIS), and relational problems were assessed via questionnaire.

Main Results:

  • The incidence of depression (CSD score ≥8) was 28% at 18 months poststroke.
  • Patients with PSD exhibited greater dependency in activities of daily living, and more significant physical and cognitive impairments.
  • Increased patient activity (per unit on SIS) was associated with a 5% decreased risk of depression (OR=0.95, 95% CI=0.93-0.97).
  • Persistent relational problems since stroke onset increased the risk of depression by approximately four and a half times (OR=4.48, 95% CI=1.17-16.87).

Conclusions:

  • Reduced activity levels and relationship problems stemming from stroke are significant predictors of developing PSD at 18 months.
  • Further research into psychosocial risk factors for PSD is essential due to its detrimental impact on stroke rehabilitation and overall quality of life.