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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
Published on: May 22, 2019
Post stroke depression: The sequelae of cerebral stroke
Jyotirekha Das1, Rajanikant G K1
1School of Biotechnology, National Institute of Technology Calicut, Calicut, 673601, India.
Insights
Post-stroke depression (PSD) affects one-third of stroke survivors, hindering recovery and increasing relapse risks. Research is ongoing to understand its causes, improve screening, and optimize treatments for better patient outcomes.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Post-stroke depression (PSD) is a prevalent complication, affecting approximately 33% of stroke survivors.
- PSD negatively impacts motor and cognitive rehabilitation, prolongs recovery, and increases the risk of recurrent neurovascular events.
- Both biological and psychological factors contribute to the development of PSD, necessitating comprehensive research into its etiology.
Purpose of the Study:
- To review current evidence on predictors, incidence, prevalence, and etiology of PSD.
- To discuss existing screening and diagnostic approaches for PSD.
- To explore therapeutic modalities, management strategies, and the influence of pre-stroke depression on PSD.
Main Methods:
- Literature review of existing evidence on post-stroke depression.
- Analysis of studies focusing on risk factors, predictors, and etiology.
- Examination of current screening, diagnostic, and therapeutic approaches.
Main Results:
- Biological and psychological factors play significant roles in PSD.
- Current screening and diagnostic tools for PSD require further development.
- Pharmacotherapy and psychotherapy are key treatment modalities, with ongoing research into pathophysiology.
Conclusions:
- Further research is essential to elucidate the pathophysiology of PSD.
- Development of a suitable screening tool is needed for early detection and intervention.
- Optimizing management strategies, including pharmacotherapy and psychotherapy, is crucial for improving patient outcomes.
Abstract:
Post-stroke depression (PSD) is the most common mental health issue, afflicting around 33% of stroke survivors. PSD has a negative impact on the rehabilitation, recuperation of motor and cognitive deficits following stroke and significantly increases the chances of relapsing neurovascular events. It has been demonstrated that biological and psychological factors have a significant role in PSD. Numerous endeavors have been made to discover the risk factors and predictors of PSD. Screening and diagnosis also have gained attention; however, a suitable tool is yet to be developed. Medications are chosen based on their viability and reaction profile in the patients. Besides pharmacotherapy, psychotherapy treatment is also highly valued by both psychiatrists and stroke patients. Additional research is needed to examine the pathophysiology of PSD. This review attempts to highlight the existing evidence and gaps in the present knowledge of the predictors of PSD, incidence, prevalence, and etiology. Further, it also discusses the screening and diagnostic approaches, therapeutic modalities and management of PSD and the impact of pre-stroke depression on PSD.
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