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Related Concept Videos

Stress and Mental Health01:30

Stress and Mental Health

77
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
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Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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  11. Depression And Anxiety At 1- And 12-months Post Ischemic Stroke: Methods For Examining Individual Change Over Time.
  1. Home
  3. Research Domains
  5. Language, Communication And Culture
  7. Cultural Studies
  9. Postcolonial Studies
  11. Depression And Anxiety At 1- And 12-months Post Ischemic Stroke: Methods For Examining Individual Change Over Time.

Related Experiment Video

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time.

Suzanne Barker-Collo1, Rita Krishnamurthi2, Balakrishnan Nair2

  • 1School of Psychology, University of Auckland, Auckland, New Zealand.

Brain Impairment : a Multidisciplinary Journal of the Australian Society for the Study of Brain Impairment
|December 5, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Anxiety symptoms significantly decreased post-stroke, while depression showed no significant change. Reliable change analysis is recommended for monitoring mental health after ischemic stroke.

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Area of Science:

  • Neurology
  • Psychiatry
  • Public Health

Background:

  • Depression is frequently studied post-stroke, but anxiety receives less research attention.
  • Understanding the longitudinal prevalence and change in depression and anxiety is crucial for stroke patient care.

Purpose of the Study:

  • To determine the prevalence and change in depression and anxiety symptoms at 1 and 12 months post-ischemic stroke.
  • To compare three methods for assessing within-subjects change in these symptoms over time.

Main Methods:

  • Analysis of data from the Auckland Regional Community Stroke Study (ARCOS-V) including 343 patients at 1 month and 307 at 12 months.
  • Utilized repeated measures ANOVA, Reliable Change Index (RCI), and Sankey diagrams to analyze symptom changes.
  • Assessed caseness using Hospital Anxiety and Depression Scale cut-off scores (>7).

Main Results:

  • Repeated measures ANOVA indicated a significant decrease in anxiety but not depression symptoms over time.
  • RCI revealed reliable decreases in anxiety for 4.2% and depression for 5.7% of individuals.
  • Sankey diagrams showed stable anxiety caseness, a slight increase in depression caseness, and a decrease in comorbid caseness.

Conclusions:

  • Different statistical methods yield divergent findings regarding post-stroke depression and anxiety changes.
  • Clinically reliable change calculation is recommended over simple cut-off scores due to limitations.
  • Continued monitoring and intervention for both depression and anxiety are vital in acute and late stroke recovery stages.