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Depressed Mood After Stroke

A Community Study of its Frequency

Published online by Cambridge University Press:  02 January 2018

D. T. Wade ,
J. Legh-Smith  and
R. A. Hewer
D. T. Wade
Affiliation:
Frenchay Hospital
J. Legh-Smith*
Affiliation:
Frenchay Hospital
R. A. Hewer
Affiliation:
Frenchay Hospital
*
The Bristol Stroke Unit, Frenchay Hospital, Bristol BS16 ILE
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Extract

A community study on stroke registered 976 patients. Over 60% of survivors at three weeks, six months and 12 months after the stroke were assessed for depressed mood, using the Wakefield self-assessment depression inventory, and on other functional and social activities. At each point, 25–30% of those assessed were depressed; over 50% of patients depressed at three weeks remained so at one year. Factors associated with depression included loss of functional independence, a low level of other activities, a low reasoning ability, and being female and living with someone; path analysis showed that most depression was not explained by these factors. Few depressed patients at six months were on antidepressant medication.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 2 , August 1987 , pp. 200 - 205
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Adams, G. F. (1974) Cerebrovascular Disability and the Ageing Brain. Edinburgh: Churchill Livingstone.Google Scholar
Aho, K., Harmsen, P., Hataon, S., Marquardsen, J., Smirnov, V. E. & Strasser, T. (1980) Cerebrovascular disease in the community: results of a WHO collabarative study. Bulletin of the World Health Organisation, 58, 113–130.Google ScholarPubMed
Beck, A. T., Weissmann, A., Lester, D. & Trexler, L. (1974) The measurement of pessimism: the Hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861–865.CrossRefGoogle ScholarPubMed
Bergmann, K. (1982) Depression in the elderly. In Recent Advances in Geriatric Medicine (ed. Isaacs, B.). Edinburgh: Churchill Livingstone.Google Scholar
Blalock, H. M. (1971) Causal Models in the Social Sciences. London: Macmillan.Google Scholar
Carroll, B. J., Feinberg, M., Greden, J. F. et al (1981) A specific laboratory test for the diagnosis of melancholia. Archives of General Psychiatry, 38, 15–22.CrossRefGoogle ScholarPubMed
Demeurisse, G., Demol, O. & Robaye, E. (1980) Motor evaluation in vascular hemiplegia. European neurology, 19, 382–389.CrossRefGoogle ScholarPubMed
Feibel, J. H., Berk, S. & Joynt, R. J. (1979) The unmet needs of stroke patients. Neurology, 29, 592.Google Scholar
Feibel, 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 ScholarPubMed
Granger, C. V., Dewis, L. S., Peters, N. C., & Sherwood, C. C. (1979) Stroke rehabilitation: analysis of repeated Barthel Index measures. Archives of Physical Medicine and Rehabilitation, 60, 14–17.Google ScholarPubMed
Greene, S. M. (1981) Levels of measured hopelessness in the general population. British Journal of Clinical Psychology, 20, 11–14.CrossRefGoogle Scholar
Holbrook, M., & Skilbeck, C. E. (1983) An activities index for use with stroke patients. Age and Ageing, 12, 166–170.CrossRefGoogle ScholarPubMed
Holden, N. L. (1983) Depression and the Newcastle scale. Their relationship to the dexamethasone supression test. British Journal of Psychiatry, 142, 505507.CrossRefGoogle Scholar
Lipsey, J. R. & Robinson, R. G. (1984) Nortriptyline treatment of post-stroke depression. The Lancet, i, 297–300.CrossRefGoogle Scholar
Raven, J. C. (1965) Guide to Using the Coloured Progressive Matrices. London: H. K. Lewis.Google Scholar
Robinson, R. G. & Price, T. R. (1982) Post-stroke depressive disorders: a follow-up study of 103 out-patients. Stroke, 13, 635–641.CrossRefGoogle Scholar
Robinson, R. G., Tarr, L. B., Kubos, K. L. & Price, T. R. (1983) A two-year longitudinal study of post-stroke mood disorders: findings during the initial evaluation. Stroke, 14, 736–741.CrossRefGoogle ScholarPubMed
Robinson, R. G., Kubos, K. L., Starr, L. B., Rao, K. & Price, T. R. (1984a) Mood changes in stroke patients: importance of location of lesion. Brain, 107, 81–93.CrossRefGoogle ScholarPubMed
Robinson, R. G., Starr, L. B. & Price, T. R. (1984b) A two-year longitudinal study of mood disorders following stroke. Prevalence and duration at six months follow-up. British Journal of Psychiatry, 144, 256–262.CrossRefGoogle ScholarPubMed
Snaith, R. P., Ahmed, S. N., Mehta, S. & Hamilton, M. (1971) Assessment of the severity of primary depressive illness: Wakefield self-assessment depression inventory. Psychological Medicine, 1, 143–149.CrossRefGoogle ScholarPubMed
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