Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T02:29:28.628Z Has data issue: false hasContentIssue false
  • English
  • Français

Mood Disorder Following Cerebrovascular Accident

Published online by Cambridge University Press:  02 January 2018

M. R. Eastwood ,
S. L. Rifat ,
H. Nobbs  and
J. Ruderman
M. R. Eastwood*
Affiliation:
Departments of Psychiatry and Preventive Medicine, University of Toronto; Clarke Institute of Psychiatry
S. L. Rifat
Affiliation:
Departments of Epidemiology and Biostatistics and Geriatric Psychiatry
H. Nobbs
Affiliation:
Clarke Institute of Psychiatry
J. Ruderman
Affiliation:
Department of Family and Community Medicine, University of Toronto; Stroke Rehabilitation Unit, Queen Elizabeth Hospital, Toronto
*
∗Clarke Institute of Psychiatry, 250 College Street, Toronto, Ontario, Canada M5T 1R8
Get access Rights & Permissions [Opens in a new window]

Abstract

Depression appears to be common after stroke, and therefore may have a bearing upon rehabilitation. To examine whether the depression is due to a specific brain lesion, or is reactive to the consequent disability, this study looked at the frequency and associations of depressed mood in a stroke rehabilitation unit in-patient population, unselected for site of lesion. Depression affected 50% of the patients; history of previous psychiatric disorder and cerebrovascular accident appeared to be important risk factors. There were hemispheric differences in the relationships between measures, with both the site-of-lesion and reactive viewpoints being upheld.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 2 , February 1989 , pp. 195 - 200
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, T. P. & Kottke, F. J. (1978) Stroke rehabilitation: a reconsideration of some common attitudes. Archives of Physical Medicine and Rehabilitation, 59, 175–181.Google Scholar
Brink, T. L., Yesavage, J. A., Lum, O., et al (1982) Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–43.Google Scholar
Charatan, F. B. & Fisk, A. (1978) Mental and emotional results of strokes. New York State Journal of Medicine, 78, 1403–1405.Google ScholarPubMed
Ebrahim, S., Barer, D. & Nouri, F. (1987) Affective illness after stroke. British Journal of Psychiatry, 151, 52–56.CrossRefGoogle ScholarPubMed
Finkelstein, S., Benowitz, L. I., Baldessarini, R. J., et al (1982) Mood, vegetative disturbance, and dexamethasone suppression test after stroke. Annals of Neurology, 12, 463–468.CrossRefGoogle Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. (1975) Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Folstein, M. F., Maiberger, R. & McHugh, P. (1977) Mood disorder as a specific complication of stroke. Journal of Neurology, Neurosurgery and Psychiatry, 40, 1018–1020.CrossRefGoogle ScholarPubMed
Freibel, J. H. & Springer, C. J. (1982) Depression and failure to resume social activities after stroke. Archives of Physical Medicine and Rehabilitation, 63, 276–278.Google Scholar
Hamilton, M. A. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56.Google Scholar
House, A. (1987) Depression after stroke. British Medical Journal, 294, 76–78.CrossRefGoogle ScholarPubMed
Houser, O. W., Campbell, J. K., Baker, H. L., et al (1982) Radiologic evaluation of ischemic cerebrovascular syndromes with emphasis on computed tomography. Radiologic Clinics of North America, 20, 123–142.Google ScholarPubMed
Isaacs, B., Neville, Y. & Rushford, I. (1976) The stricken: the social consequences of stroke. Age and Ageing, 5, 188–192.Google Scholar
Lipsey, J. R., Robinson, R. G., Pearlson, G. D., et al (1984) Nortriptyline treatment of poststroke depression: a double-blind study. The Lancet, i, 297.Google Scholar
Lishman, W. A. (1968) Brain damage in relation to psychiatric disability after head injury. British Journal of Psychiatry, 114, 373–410.CrossRefGoogle ScholarPubMed
Mahoney, F. I. & Barthel, D. W. (1965) Functional evaluation: Barthel Index. Maryland State Medical Journal, 14, 61–65.Google ScholarPubMed
Modic, M. J. & Weinstein, M. A. (1983) Cerebrovascular disease of the brain. In Computed Tomography of the Whole Body (eds Haaga, T. & Alfidi, R. A.). Toronto: C. V. Mosby.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. & Szetela, B. (1980) Mood change following left hemisphere brain injury. Annals of Neurology, 9, 447–454.Google Scholar
Robinson, R. G. & Price, T. R. (1982) Poststroke depressive disorders: a follow-up study of 103 patients. Stroke, 13, 635–641.CrossRefGoogle ScholarPubMed
Robinson, R. G., Starr, L. B. & Price, T. R. (1984) A two-year longitudinal study of mood disorders following stroke: prevalence and duration at 6 months follow-up. British Journal of Psychiatry, 144, 256–262.Google Scholar
Ross, E. D. (1981) The aprosodias: functional-anatomical organization of the affective components of language in the right hemisphere. Archives of Neurology, 38, 745–748.CrossRefGoogle Scholar
Ross, E. D. & Rush, J. (1981) Diagnosis and neuroanatomical correlates of depression in braindamaged patients: implications for a neurology of depression. Archives of General Psychiatry, 38, 1344–1354.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Endicott, J. (1975) Schedule for Affective Disorders and Schizophrenia. New York: New York State Psychiatric Institute.Google Scholar
SPSS Inc. (1983) SPSSx User's Guide. Chicago: McGraw-Hill.Google Scholar
Wade, D. T., Legh-Smith, J. & Hewer, R. A. (1987) Depressed mood after stroke: a community study of its frequency. British Journal of Psychiatry, 151, 200–205.Google Scholar
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.