Article

The aim of this review was to provide a comprehensive analysis of the
state of knowledge about post-stroke depression (PSD) in
the acute phase,
focusing on: (a) the prevalence of depressive disorder and depressive symptoms,
(b) the dominant depressive symptoms, (c) the factors associated with PSD and (d)
the follow-up consequences. METHOD: A computer-aided search in MEDLINE, CINAHL,
PsychInfo, EMBASE, British Nursing index, Pub Med and Ovid Nursing Database was
performed. We systematically searched for studies including depression within the
first month after stroke. RESULTS: Forty articles including more than 5400
informants from 37 cohorts met the inclusion criteria. Only a few studies aimed
to describe the nature of PSD. The prevalence of depressive disorder and
depressive symptoms in the acute phase ranged widely from 5% to 54%. Multiple
tools were used for measuring depressive symptoms in the acute phase. An
association was found between early depressive symptoms and the continuation of
PSD 12 months after stroke. There is a correlation between depressive symptoms
and mortality at 12 and 24 months. CONCLUSION: Depressive symptoms are common in
the acute phase after stroke and associated with persistency of depression and
mortality after 12 months. A gold standard for the measurement of depressive
symptoms in relation to stroke is missing. The knowledge of PSD in the acute
phase is still limited, and there is a need for continued empirical research on
its profile and patterns.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS