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Total 1163 results found since Jan 2013.

Depressed Stroke Survivors Have Three Times Greater Risk of Death
According to a recently released study, depressed stroke survivors are three times more likely to die early and four times more likely to die from a stroke. "Up to one in three people who have a stroke develop depression" said study author Dr. Amytis Towfighi.  "This is something family members can help watch for that could potentially save their loved one."...Read Full Post
Source: About.com Depression - February 12, 2013 Category: Psychiatry Source Type: news

Cerebellum involvement in post-stroke mood: A combined ecological and MRI study
This study evaluated a new approach combining magnetic resonance imaging and the experience sampling method in the understanding of post-stroke mood pathophysiology. Findings revealed that emotional cognition after stroke may be related to phenotypic characteristics such as cerebellar volume, thereby suggesting that this combined approach could provide new insights into the pathophysiology of post-stroke mood disorders as well as other forms of comorbidity.
Source: Psychiatry Research: Neuroimaging - April 5, 2013 Category: Psychiatry Authors: Saioa Lassalle-Lagadec, Gwenaelle Catheline, Willy Mayo, Bixente Dilharreguy, Pauline Renou, Olivier Fleury, Michèle Allard, Joël Swendsen, Igor Sibon Tags: Brief Reports Source Type: research

Bipolar disorder after stroke in an elderly patient.
We present a BD secondary to multiple subcortical biparietal lacunar infarctions, a lacunar infarction in left putamen and an ischemic lesion at the cerebral trunk evolving the right median portion, in a 65-year-old male patient who experienced manic, hypomanic, and depressive episodes, after 6, 10, and 16 months, respectively, of the cerebrovascular events. PMID: 24991445 [PubMed]
Source: Case Reports in Psychiatry - July 6, 2014 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

The association between the severity of post-stroke depression and clinical outcomes after first-onset stroke in Korean patients
The purpose of the present study is to evaluate the association between post-stroke depression (PSD) and clinical outcomes in first-onset stroke patients who are undergoing a rehabilitation program.
Source: General Hospital Psychiatry - March 11, 2015 Category: Psychiatry Authors: Geun-Young Park, Sun Im, Chang Hoon Oh, Soo-Jung Lee, Chi-Un Pae Source Type: research

The effectiveness of dopamine agonists for treatment of neuropsychiatric symptoms post brain injury and stroke.
CONCLUSION: Our systematic review demonstrates an evolving evidence base to suggest some benefits in agitation and aggression, mood and attentional deficits. However, there are key limitations of the studies undertaken to date involving small numbers of participants, heterogeneous outcome measures, and variable study designs. There is a need for on-going large prospective double-blind RCTs in these medications using standardised criteria and outcomes to fully understand their effectiveness in this patient group. PMID: 25850757 [PubMed - as supplied by publisher]
Source: Acta Neuropsychiatrica - April 11, 2015 Category: Psychiatry Tags: Acta Neuropsychiatr Source Type: research

The effect of cigarette smoking on vitamin D level and depression in male patients with acute ischemic stroke
The association between low vitamin D levels and depression has been well-documented in non-stroke subjects. Accumulating evidence shows that low vitamin D levels may be also associated with depression post stroke. Cigarette smoking was associated with lower vitamin D levels. The purposes of this study were to compare vitamin D levels in smokers to nonsmokers and examine the association between vitamin D levels and depression symptoms in patients with acute ischemic stroke.
Source: Comprehensive Psychiatry - September 17, 2015 Category: Psychiatry Authors: Wenwei Ren, Yingying Gu, Lin Zhu, Liping Wang, Yaling Chang, Mengjiao Yan, Bin Han, Jincai He Source Type: research

Depression Symptoms in Chronic Left Hemisphere Stroke Are Related to Dorsolateral Prefrontal Cortex Damage.
This study examines relationships between depression symptoms and psychosocial factors and then uses multivariate lesion-symptom mapping to localize depression symptoms in people with chronic left hemisphere stroke. Depression symptoms relate inversely to education and directly to physical disability. Damage in the left dorsolateral prefrontal cortex is associated with greater depression symptoms. These results demonstrate a neurological contribution to depression symptoms in chronic left hemisphere stroke and provide evidence of convergent biological mechanisms for poststroke depression symptoms and major depression with ...
Source: Journal of Neuropsychiatry and Clinical Neurosciences - June 5, 2016 Category: Psychiatry Tags: J Neuropsychiatry Clin Neurosci Source Type: research

Folate and MMA Predict Cognitive Impairment in Elderly Stroke Survivors: A Cross Sectional Study
Elderly stroke survivors are at risk of malnutrition and long-term cognitive impairment. Vitamin B-related metabolites, folate and methylmalonic acid, have been implicated in cognitive function. We conducted a study exploring the relationship between blood folate, methylmalonic acid and post-stroke cognitive impairment. This is a cross sectional study of elderly Swedish patients (n = 149) 20 months post-stroke, assessed using the Mini Mental State Examination, serum blood levels of methylmalonic acid and red blood cell levels of folate.
Source: Psychiatry Research - June 14, 2016 Category: Psychiatry Authors: Michaela C. Pascoe, Thomas Linden Source Type: research

A Systematic Review and Meta-Analysis on Self-Management for Improving Risk Factor Control in Stroke Patients
Conclusion Self-management interventions appear to be effective at improving overall risk factor control; however, more high-quality research is needed to corroborate this observation. Self-management has a greater effect on lifestyle behaviour risk factors than medical risk factors, with the largest effect at improving medication adherence.
Source: International Journal of Behavioral Medicine - July 27, 2016 Category: Psychiatry Source Type: research

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

Impact of acute phase depression on functional outcomes in stroke patients over 1 year
Stroke is a common disease that endangers human health including disabilities. As a result, an extensive amount of research has been conducted to identify predictors of stroke outcomes (Alonso  et al., 2015). Recently, it was shown that post-stroke depression (PSD) is associated with poor outcomes, such as mortality and disability (Ayerbe et al., 2013). However, to date, a majority of studies have assessed the associations between depression and functional outcomes using cross-section al designs (Turner-Stokes and Hassan, 2002).
Source: Psychiatry Research - June 11, 2018 Category: Psychiatry Authors: Hee-Ju Kang, Kyung-Yeol Bae, Sung-Wan Kim, Eun-Hye Lee, Joon-Tae Kim, Man-Seok Park, Ki-Hyun Cho, Jae-Min Kim Tags: Short communication Source Type: research

Care and Discharge Outcome of Acute Stroke in Lebanon: A Hospital-Based Study
The present study was conducted to assess stroke care and outcomes in two Lebanese hospitals. Patients admitted in 2012 and 2013 were retrospectively selected. Data were extracted from medical records for time to hospital arrival, stroke severity, management, and discharge outcomes. A Cox regression analysis was then conducted to predict time to in-hospital death. A total of 201 patients were included (mean age = 69.2 years), among whom 50% arrived within a delay of 3.75 hours. Half underwent brain imaging in the first hour, and nine patients received an acute intervention. Forty-four patients died at the hospital; 142 wer...
Source: The Journal of Nervous and Mental Disease - August 1, 2018 Category: Psychiatry Tags: Original Articles Source Type: research

Combination of Alprazolam and Bailemian Capsule Improves the Sleep Quality in Patients With Post-Stroke Insomnia: A Retrospective Study
Insomnia is often ignored in the diagnosis and treatment of patients after stroke. The present study aimed to evaluate the efficacy of alprazolam (ALP) combined with Bailemian capsule (BC, a traditional Chinese patent medicine) in the treatment of post-stroke insomnia (PSI). A total of 231 stroke patients involved in this retrospective study were treated by ALP, BC, or ALP + BC for 3 weeks. The quality of sleep was evaluated by the Pittsburgh sleep quality index (PSQI) and polysomnography (PSG), while self-care ability was monitored by the modified Rankin Scale (mRS) before and after treatment. Compared to the baseline, th...
Source: Frontiers in Psychiatry - June 6, 2019 Category: Psychiatry Source Type: research

Lower Serum Uric Acid Is Associated With Post-Stroke Depression at Discharge
ConclusionsLower SUA levels on admission were found to be associated with PSD at discharge and the threshold effect was also revealed. For stroke patients, doctors should pay attention to the baseline SUA for screening high-risk PSD at discharge in clinical practice.
Source: Frontiers in Psychiatry - February 17, 2020 Category: Psychiatry Source Type: research

Study Documents Neurological, Psychiatric Complications From COVID-19
While previous studies and case reports have found that COVID-19 patients have experienced vascular and neurological problems, a newstudy inthe Lancet Psychiatry reports that patients are also showing symptoms of psychiatric disorders, including psychosis and depression.The study was the result of a collaborative effort of specialists in the United Kingdom to document COVID-19 complications.“To our knowledge, this is the first systematic, nationwide U.K. surveillance study of the breadth of acute complications of COVID-19 in the nervous system,” wrote Aravinthan Varatharaj, M.R.C.P., of University Hospital Southampton ...
Source: Psychiatr News - June 29, 2020 Category: Psychiatry Tags: Aravinthan Varatharaj brain hemorrhage brain inflammation cognition COVID-19 depression Lancet Psychiatry pain psychiatric disorders psychosis stroke United Kingdom weakness Source Type: research