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Affective Illness After Stroke

Published online by Cambridge University Press:  03 January 2018

S. Ebrahim ,
D. Barer  and
F. Nouri
S. Ebrahim
Affiliation:
Nottingham University Medical School (St George's Hospital Medical School)
D. Barer
Affiliation:
Nottingham University Medical School
F. Nouri
Affiliation:
Nottingham University Medical School
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Extract

Mood assessments were made after six months of 149 survivors taken from a register of all patients admitted to hospital with acute stroke. Using a General Health Questionnaire score of 12 or more as a criterion of important affective illness, its prevalence was 23%. There was no difference in risk of affective illness between left and right hemisphere strokes. Affective illness was strongly associated with functional ability, with limb weakness and with longer hospital stay in those with good functional recovery. Only 15% of those with high scores were receiving antidepressant drugs. The general practitioner is in the best position to detect psychiatric illness in stroke survivors; the use of mood rating scales such as the GHQ, in conjunction with clinical assessment may improve detection.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 1 , July 1987 , pp. 52 - 56
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Adams, G. F. & Hurwitz, L. J. (1963) Mental barriers to recovery from strokes. The Lancet, ii, 533–537.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) (DSM-III). Washington DC: APA.Google Scholar
Bridges, K. & Goldberg, D. (1984) Psychiatric illness in in-patients with neurological disorders: patients' views on discussion of emotional problems with neurologists. British Medical Journal, 289, 656–658.Google Scholar
Dimond, S. J., Farrington, L. & Johnson, P. (1976) Differing emotional response from left and right hemispheres. Nature, 261, 690–692.Google Scholar
Ebrahim, S., Nouri, F. & Barer, D. (1985) Measuring disability after a stroke. Journal of Epidemiology and Community Health, 39, 86–89.Google Scholar
Feibel, J. H., Berks, S. A. Joynt, R. J. (1979) The unmet needs of stroke survivors. Neurology, 29, 592.Google Scholar
Folsthn, M. F., Folsthn, S. E. & McHugh, P. R. (1975) Mini-Mental State. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychological Research, 12, 189–198.Google Scholar
Folsthn, M. Maiberger, R. & McHugh, P. R. (1977) Mood disorder as a specific complication of stroke. Journal of Neurology, Neurosurgery and Psychiatry, 40, 1018–1020.Google Scholar
Giainotti, G. (1972) Emotional behaviour and hemispheric side of lesion. Cortex, 8, 41–55.Google Scholar
Goldberg, D. P. & Hiluer, V. F. (1979) A scaled version of the General Health Questionnaire. Psycholgical Medicine, 9, 139–145.Google Scholar
Lim, L. M. & Ebrahim, S. (1983) Depression after stroke: a hospital treatment survey. Postgraduate MedicalJournal, 59, 489–491.Google Scholar
Lipsey, J. R., Robinson, R. G., Pearlson, G. D., Rao, K. & Price, T. R. (1984) Nortriptyline treatment of post-stroke depression: a double blind study. The Lancet, i, 297–300.Google Scholar
Lishman, W. (1968) Brain damage in relation to psychiatric disability after head injury. British Journal of Psychiatry, 114, 373–410.Google Scholar
Murphy, E. (1982) Social origins of depression in old age. British Journal of Psychiatry, 141, 135–142.Google Scholar
Robinson, R. G. & Coyle, J. T. (1980) The differential effect of right versus left hemispheric cerebral infarction on catecholamines and behaviour in the rat. Brain Research, 188, 63–78.Google Scholar
Robinson, R. G. & Price, T. R. (1982) Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke, 13, 635–641.Google Scholar
Robinson, R. G., Starr, L. B., Kubos, L. & Price, T. R. (1983) A two-year longitudinal study of post-stroke mood disorder findings during the initial evaluation. Stroke, 14, 736–741.Google Scholar
Robinson, R. G., Starr, L. B. & Price, T. R. (1984a) A two-year longitudinal study of mood disorder following stroke: prevalence and duration at six months follow-up. British Journal of Psychiatry, 144, 256–262.Google Scholar
Robinson, R. G., Kubos, K. L., Starr, L. B., Rao, K. & Price, T. R. (1984b) Mood disorders in stroke patients. Importance of location of lesion. Brain, 107, 81–93.Google Scholar
Rosen, S. & Martorano, J. (1965) Clinical application of antidepressant agents in disabled and rehabilitation patients. Archives of Physical Medicine and Rehabilitation, 46, 739–744.Google Scholar
Royal College of General Practitioners (1974) Morbidity Statistics From General Practice: Studies on Medical and Population Subjects No. 26. London: HMSO.Google Scholar
World Health Organisation (1978) Cerebrovascular Disease: A Clinical and Research Classification. WHO Offset Series No. 43. Geneva: WHO.Google Scholar
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