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Specialty: Psychiatry

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Total 1727 results found since Jan 2013.

Relationship between the lesion location of acute ischemic stroke and early depressive symptoms in Japanese patients
Approximately one-third of stroke survivors suffer from post-stroke depression (PSD) in the acute or chronic stages. The presence of PSD in the acute stage after stroke is reportedly associated with poor patie...
Source: Annals of General Psychiatry - April 1, 2016 Category: Psychiatry Authors: Norifumi Metoki, Norio Sugawara, Joji Hagii, Shin Saito, Hiroshi Shiroto, Tetsu Tomita, Minoru Yasujima, Ken Okumura and Norio Yasui-Furukori 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

Persistent post-stroke depression in mice following unilateral medial prefrontal cortical stroke
Albert
Source: Translational Psychiatry - August 1, 2016 Category: Psychiatry Authors: F Vahid-Ansari D C Lagace P R Albert 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

Lower cognitive control network connectivity in stroke participants with depressive features
Lower cognitive control network connectivity in stroke participants with depressive features, Published online: 09 March 2018; doi:10.1038/s41398-017-0038-xLower cognitive control network connectivity in stroke participants with depressive features
Source: Translational Psychiatry - March 9, 2018 Category: Psychiatry Authors: Natalia Egorova Toby Cumming Chris Shirbin Michele Veldsman Emilio Werden Amy Brodtmann 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

Use of ECT in Major Vascular Neurocognitive Disorder with Treatment-Resistant Behavioral Disturbance following an Acute Stroke in a Young Patient.
Authors: Rodenbach KE, Varon D, Denko T, Peterson R, Andreescu C Abstract The following case describes the utilization of bitemporal ECT as a treatment of last resort in a 47-year-old woman with profoundly treatment-resistant behavioral disturbance poststroke. The use of ECT led to improvement in symptoms sufficient for discharge from an inpatient psychiatric unit to the nursing home. Neuropsychiatric sequelae of stroke include poststroke depression, anxiety, mania, psychosis, apathy, pathological laughter and crying, catastrophic reaction, and mild and major vascular neurocognitive disorders. Behavioral disturbanc...
Source: Case Reports in Psychiatry - May 30, 2019 Category: Psychiatry Tags: Case Rep Psychiatry 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

Role of D-serine in the beneficial effects of repetitive transcranial magnetic stimulation in post-stroke patients.
CONCLUSIONS: The results suggest that rTMS can modulate NMDAR-related amino acids in blood, producing beneficial effects. PMID: 31992382 [PubMed - as supplied by publisher]
Source: Acta Neuropsychiatrica - January 31, 2020 Category: Psychiatry Tags: Acta Neuropsychiatr 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

A Case of Ischemic Stroke Incidental to the Postelectroconvulsive Therapy Period
Electroconvulsive therapy (ECT) is a routine treatment for multiple psychiatric disorders including treatment-refractory mood and psychotic disorders. Although ECT is generally a safe and well-tolerated intervention, rare cerebrovascular and cardiovascular complications have been reported. The hemodynamic changes during the ECT seizure are well-recognized, with an initial parasympathetically mediated decrease in heart rate and blood pressure followed by a sympathetically mediated increase in these parameters. Despite intraoperative or postoperative blood pressure fluctuations, the risk of a hypertensive intracerebral bleed...
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Case Report 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