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Depression, anxiety, insomnia, stress, and the way of coping emotions as risk factors for ischemic stroke and their influence on stroke severity: A case –control study in Lebanon
ConclusionDespite several limitations, the findings of our study suggest that people who are depressed or stressed are more likely to have an ischemic stroke. Consequently, additional research into the causes and effects of depression and perceived stress may provide new directions for preventive strategies that can help reduce the risk of stroke. Since pre-stroke depression and perceived stress were also found to be strongly correlated with stroke severity, future studies should evaluate the association between pre-stroke depression, perceived stress, and stroke severity to gain a deeper understanding of the complex inter...
Source: Frontiers in Psychiatry - February 21, 2023 Category: Psychiatry Source Type: research

This Under-Utilized Drug Is Actually Critical for Treatment-Resistant Depression
Many people with clinical depression have tried an array of medication and still feel sick. Maybe they’ve tried different selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs). Maybe they’ve taken these antidepressants along with an antipsychotic (a common strategy to boost effectiveness). Either way, the lack of improvement can make individuals feel even more hopeless and fear the darkness will never lift. If this sounds all-too familiar, you’re definitely not alone. In fact, up to 30 percent of people with depression don’t respond to the first few antidepressants ...
Source: Psych Central - November 27, 2019 Category: Psychiatry Authors: Margarita Tartakovsky, M.S. Tags: Antidepressants Depression Disorders ECT General Medications Treatment Atypical Depression difficult to treat depression Managing Depression MAOIs medication for depression Monoamine Oxidase Inhibitors Severe Depression Treatin Source Type: news

Insomnia as an additional clinical correlate of suicidal ideation after stroke
Suicide-related behaviors are frequent among stroke survivors [1]. In a recent systematic review and meta-analysis [2], it has been shown that about one out of eight subjects suffering from stroke may have suicidal ideation afterward (i.e., thinking about, considering or planning suicide). Findings, based on 15 studies including 13 independent samples and 10,400 unique subjects, showed a pooled proportion of suicidal ideation of 11.8% (7.4% to 16.2%). Suicidal ideation was less likely in stroke survivors who were married, employed and had higher education levels.
Source: General Hospital Psychiatry - June 19, 2017 Category: Psychiatry Authors: Francesco Bartoli, Massimo Clerici, Cristina Crocamo, Giuseppe Carr à Tags: Letter to the Editor Source Type: research