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[Post-stroke depression].

Mónika Schulte-Altedorneburg1, Dániel Bereczki2

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Summary

Post-stroke depression affects 30-35% of patients within a year. Despite its prevalence, this condition is often missed, negatively impacting recovery and survival.

Keywords:
befolyásoló tényezőkepidemiologyepidemiológiakezelésmegelőzéspost-stroke depressionpoststroke-depressziópredictorspreventiontreatment

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Area of Science:

  • Neurology
  • Psychiatry
  • Public Health

Background:

  • Cerebrovascular diseases frequently co-occur with psychiatric disorders.
  • Post-stroke depression (PSD) is a significant concern, extensively studied for decades.
  • PSD affects 30-35% of stroke patients in the first year.

Purpose of the Study:

  • To review the prevalence, pathogenesis, clinical course, treatment, and prevention of PSD.
  • To highlight the underdiagnosis and undertreatment of PSD.
  • To emphasize the negative impact of untreated PSD on patient outcomes.

Main Methods:

  • Literature review of studies on post-stroke depression.
  • Analysis of data on prevalence, risk factors, and clinical presentation.
  • Synthesis of information regarding treatment and prevention strategies.

Main Results:

  • High incidence of depression following stroke (30-35%).
  • Despite extensive research, PSD remains frequently unrecognized and untreated.
  • Untreated PSD adversely affects rehabilitation, quality of life, cognition, and mortality.

Conclusions:

  • PSD is a common and serious complication of stroke.
  • Improved recognition and treatment of PSD are crucial for better patient outcomes.
  • Addressing PSD is essential for optimizing stroke recovery and reducing long-term morbidity and mortality.