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Related Experiment Video

Updated: Aug 17, 2025

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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Longitudinal Trajectories of Post-Stroke Depression Symptom Subgroups.

Sameer A Ashaie1,2, Carter J Funkhouser3,4, Roxana Jabbarinejad3

  • 1Think and Speak, Shirley Ryan AbilityLab, Chicago, IL, USA.

Neurorehabilitation and Neural Repair
|December 16, 2022
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Post-stroke depression involves somatic symptoms and anhedonia, which influence each other over time. Identifying these interconnected symptoms early can aid in targeted interventions for stroke survivors.

Keywords:
cross-laggeddepressionlongitudinalstroke

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Post-stroke depression is common and debilitating.
  • Distinct depressive symptom dimensions may follow different trajectories.
  • Understanding these patterns is crucial for public health.

Purpose of the Study:

  • Examine within-person and between-person links between depressive symptom dimensions post-stroke.
  • Investigate associations across three time points in the year after hospital discharge.
  • Assess the influence of clinical variables like aphasia.

Main Methods:

  • Stroke survivors completed the CES-D scale at discharge, 3 months, and 12 months.
  • Analyzed somatic symptoms, anhedonia, and negative affect subscales.
  • Employed random intercept cross-lagged panel models to differentiate effects.

Main Results:

  • Found reciprocal within-person associations between somatic symptoms and anhedonia.
  • These links persisted from discharge to 3 months and 3 months to 12 months.
  • Negative affect was not associated with somatic symptoms or anhedonia.

Conclusions:

  • Reciprocal links suggest a potential "vicious cycle" between somatic symptoms and anhedonia.
  • These dimensions may serve as key indicators for risk and intervention targets.
  • Early and regular depression assessment during rehabilitation is recommended.