Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-01-28T02:47:37.070Z Has data issue: false hasContentIssue false
  • English
  • Français

A Two Year Longitudinal Study of Mood Disorders Following Stroke

Prevalence and Duration at Six Months Follow-up

Published online by Cambridge University Press:  29 January 2018

Robert G. Robinson ,
Lyn Book Starr  and
Thomas R. Price
Robert G. Robinson
Affiliation:
Departments of Psychiatry and Neuroscience, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
Lyn Book Starr
Affiliation:
Department of Psychiatry and Social Work, University of Maryland Hospital, Baltimore, Maryland 21217, USA
Thomas R. Price
Affiliation:
Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland 21217
Get access Rights & Permissions [Opens in a new window]

Summary

We are conducting a two year longitudinal study of mood disorders in a group of 103 stroke patients. During the first six month period following the stroke the prevalence of symptoms of major depression increased from 23 per cent to 34 per cent while the frequency of symptoms of dysthymic depression increased from 20 per cent to 26 per cent. In addition, 10 of 13 patients who had major depresssive symptoms during the initial evaluation continued to have these symptoms at six months follow-up and 4 of 9 patients who had minor depression in hospital developed major depression, while 5 of 9 continued to have minor depressive symptoms. Thus, the duration of depression following stroke is more than six months and the prevalence of major depressive symptoms increases steadily for the first half year after a cerebral hemorrhage or ischemic lesion.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 144 , Issue 3 , March 1984 , pp. 256 - 262
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders. Washington D.C. 3rd edition.Google Scholar
Feibel, J. H., Berk, S. & Joynt, R. M. (1979) The unmet needs of stroke survivors. Neurology, 29, 592.Google Scholar
Finkelstein, S., Bernowitz, L. I., Baldessarini, R. J., Arana, G. W., Levine, D., Wood, E., Near, D., Moya, K. & Stroll, A. L. (1982) Mood vegetative disturbance and dexamethasone suppression test after stroke. Annals of Neurology, 12, 463–8.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–98.Google Scholar
Folstein, M. F., Maiberger, R. & McHugh, P. R. (1977) Mood disorder as specific complication of stroke. Journal of Neurology, Neurosurgery and Psychiatry, 40, 1018–20.Google Scholar
Gainotti, G. (1972) Emotional behavior and hemispheric side of the brain. Cortex, 8, 41–55.Google Scholar
Hamilton, M. A. (1969) A rating scale for depression. Journal Neurology, Neurosurgery and Psychiatry, 23, 56–62.CrossRefGoogle Scholar
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class and Mental Illness. New York: Wiley.Google Scholar
Kunitz, S. C., Hauekost, C. L. & Gross, C. R. (1979) Pilot data bank networks for neurological disorders. Third Annual Proceedings: Symposium of Computers in Medical Care.Google Scholar
Lipsey, J. R., Robinson, R. G., Pearlson, G. D., Rao, K. & Price, T. R. (1983) Mood change following bilateral hemisphere brain injury. British Journal of Psychiatry, 143, 266–73.Google Scholar
Pearlson, G. D. & Robinson, R. G. (1982) Lateralization of emotional or behavioral responses in intact and hemisphere damaged humans and rats. In The Expression of Knowledge (eds Isaacson, R. L. and Spear, N. E.). New York: Plenum.Google Scholar
Post, F. (1962) The significance of affective symptoms in old age. Maudsley Monograph, No. 10. London: Oxford University Press.Google Scholar
Rennie, T. A. G. (1942) Prognosis in manic-depressive psychoses. American Journal of Psychiatry, 98, 801–14.Google Scholar
Robinson, R. G. & Benson, D. F. (1981) Depression in aphasia patients: frequency, severity, and clinical pathology correlations. Brain and Language, 14, 282–91.CrossRefGoogle Scholar
Robinson, R. G. & Szetela, A. (1981) Mood change following left hemisphere brain injury. Annals of Neurology, 9, 447–53.Google Scholar
Robinson, R. G. & Price, T. R. (1982) Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke, 13, 635–41.Google Scholar
Robinson, R. G., Kubos, K. L., Starr, L. B., Rao, K. & Price, T. R. (1983a) Mood disorders in stroke patients: Importance of lesion location. Brain, In press.Google Scholar
Robinson, R. G., Kubos, K. L., Starr, L. B., Rao, K. & Price, T. R. (1983b) Mood changes in stroke patients: Relationship to lesion location. Comprehensive Psychiatry, 24, 555–66.Google Scholar
Robinson, R. G., Kubos, K. L., Starr, L. B. & Price, T. R. (1983c) A two-year longitudinal study of post-stroke mood disorders: Findings during the initial evaluation. Stroke, 14, 736–41.CrossRefGoogle ScholarPubMed
Robinson, R. G., Kubos, K. L., Starr, L. B. & Price, T. R. (1983d) Post-stroke affective disorders. In Cerebrovascular Diseases, Thirteenth Princeton Conference. (ed. Reivich, M. and Hurtig, H. I.). New York: Raven Press.Google Scholar
Ross, E. D. & Rush, A. J. (1981) Diagnosis and neuroanatomical correlates of depression in braindamaged patients. Archives of General Psychiatry, 38, 1344–54.Google Scholar
Starr, L. B., Robinson, R. G. & Price, T. R. (1983a) The social functioning exam: An assessment for stroke patients. Social Work Research and Abstracts, 18, 28–33.CrossRefGoogle Scholar
Starr, L. B., Robinson, R. G. & Price, T. R. (1983b) Reliability, validity and clinical utility of social functioning exam in the assessment of stroke patients. Experimental Aging Research, in press.Google Scholar
Wing, J. K., Cooper, J. E. & Sortorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wolf, P. A., Dawber, T. R., Thomas, H. E., Colton, T. & Kannel, W. B. (1977) Epidemiology of stroke. In: Advances in Neurology, Stroke (eds. Thompson, R. A. and Green, J. R.). New York: Raven Press, 16, 5–19.Google Scholar
Zung, W. W. K. (1965) A self rating depression scale. Achives of General Psychiatry, 12, 63–70.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.