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Affective illness after stroke.

S Ebrahim1, D Barer, F Nouri

  • 1Nottingham University Medical School.

The British Journal of Psychiatry : the Journal of Mental Science
|July 1, 1987
PubMed
Summary
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A significant number of stroke survivors experience affective illness, often linked to functional decline. Early detection by general practitioners using tools like the General Health Questionnaire (GHQ) is crucial for timely treatment.

Area of Science:

  • Neurology
  • Psychiatry
  • Public Health

Background:

  • Stroke survivors frequently experience mood disorders, impacting recovery and quality of life.
  • Effective identification and management of affective illness post-stroke remain critical challenges in healthcare.

Purpose of the Study:

  • To determine the prevalence of affective illness in acute stroke survivors six months post-discharge.
  • To explore associations between affective illness and stroke-related factors, including functional ability and hemisphere of stroke.
  • To assess the current treatment rates for affective illness in this population.

Main Methods:

  • A cohort of 149 acute stroke survivors was assessed six months after hospital admission.
  • The General Health Questionnaire (GHQ) was used to identify affective illness (score ≥ 12).

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  • Data on functional ability, limb weakness, and hospital stay were collected and analyzed.

    • Main Results:

    • The prevalence of significant affective illness was 23% among stroke survivors.
    • Affective illness showed strong associations with impaired functional ability and limb weakness.
    • Survivors with good functional recovery and affective illness experienced longer hospital stays.
    • Only 15% of those with high GHQ scores were receiving antidepressant medication.

    Conclusions:

    • Affective illness is common in stroke survivors and linked to functional deficits.
    • General practitioners are well-positioned for early detection of psychiatric morbidity in stroke patients.
    • Utilizing mood rating scales like the GHQ alongside clinical assessment can enhance the detection of affective illness.