Brain Neurorehabil.  2015 Sep;8(2):65-72. 10.12786/bn.2015.8.2.65.

Poststroke Depression

Affiliations
  • 1Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Korea. mksohn@cnu.ac.kr

Abstract

Poststroke depression (PSD) is a common sequelae of stroke, which has negative impact on the physical and cognitive function, dependency in activities of daily living, longer hospital stays, and rehabilitation outcomes. Furthermore, PSD may also be associated with an increased risk of morbidity and mortality including death by suicide. Rates of diagnosed and treated PSD in routine clinical practice are low due to difficulty in assessment and no standard diagnostic criteria. Regular screening of PSD in stroke patient using validated instruments is recommended. Early treatment and prevention of PSD with proper medication and rehabilitation appeared to improve not only depressive symptoms but also neurological impairment, dependence and disability after stroke. The active rehabilitation treatment for improving independence of patient's functional level is very important in management of PSD.

Keyword

depression; stroke; rehabilitation; drug therapy
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