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Anxiety after stroke: A systematic review and meta-analysis
Lena Rafsten1, Anna Danielsson, Katharina S Sunnerhagen
1Clinical Neuroscience and Rehabilitation Medicine, Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 413 46 Gothenburg, Sweden. lena.rafsten@vgregion.se.
Journal of Rehabilitation Medicine
|September 6, 2018
Summary
Anxiety is a common condition in the first year after stroke, affecting nearly 30% of patients. Early detection and screening for anxiety post-stroke are recommended due to its impact on quality of life.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Anxiety is a frequent complication following a stroke.
- Understanding the prevalence and timing of anxiety post-stroke is crucial for patient care.
Purpose of the Study:
- To provide an updated synthesis of evidence on the prevalence of anxiety in the first year after stroke.
- To inform clinical practice regarding anxiety screening in stroke survivors.
Main Methods:
- Systematic literature search across multiple databases (EMBASE, MEDLINE, PsycINFO, Cochrane Library, AMED, CINAHL) in 2015 and 2017.
- Inclusion of studies assessing anxiety symptoms within one year post-stroke diagnosis.
- Rigorous data extraction and review process involving multiple independent reviewers.
Main Results:
- The pooled prevalence of anxiety disorders within the first year post-stroke was 29.3%.
- Anxiety prevalence varied by time post-stroke: 36.7% (0-2 weeks), 24.1% (2 weeks-3 months), and 23.8% (3-12 months).
- High statistical heterogeneity was observed in the prevalence estimates (I²=97%).
Conclusions:
- Anxiety is a significant and common issue for individuals in the year following a stroke.
- Given its impact on quality of life and association with depression, routine anxiety screening post-stroke should be considered.
- Further research may be warranted to explore effective interventions for post-stroke anxiety.
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