| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
a Neurosciences Trials
Unit, Department of Clinical Neurosciences, The University of
Edinburgh, Bramwell Dott Building, Western General Hospital, Crewe Rd,
Edinburgh, EH4 2XU, UK, b Liaison Psychiatry
Correspondence to: Dr Martin Dennis, Neurosciences Trials Unit, Dept of Clinical Neurosciences, The University of Edinburgh, Bramwell Dott Building, Western General Hospital, Crewe Rd, Edinburgh, EH4 2XU, UK email MSD{at}skull.dcn.ed.ac.uk
Received 29 March 1999 and in revised form 2 August 1999;
Accepted 16 August
1999
OBJECTIVES
The impact
of stroke on the emotional outcome of patients is large. The aim was to
describe the emotional outcomes among a cohort of patients which was of
sufficient size to provide a precise estimate of their frequency and
help identify those factors which are associated with poor outcomes
after an acute stroke.
METHODS372
surviving patients, who had been referred to a hospital and entered
into a randomised trial to evaluate a stroke family care worker, were
asked to complete questionnaires at a 6 month follow up. These included
measures of emotional distress (general health questionnaire 30 item,
hospital anxiety and depression scale) and physical functioning
(modified Rankin, Barthel index). A regression analysis was used to
identify factors which were independently associated with poor outcomes.
RESULTS184 (60%)
surviving patients scored more than 4 on the GHQ-30, 55 (22%) more
than 8 on the HAD anxiety subscale, and 49 (20%) more than 8 on the
HAD depression subscale. Patients with severe strokes resulting in
physical disability were more likely to be depressed whereas there was
a less strong relation between disability and anxiety. Patients with
posterior circulation strokes had consistently better emotional
outcomes than those with anterior circulation strokes.
CONCLUSIONSThese data
may help identify those patients at greatest risk of poor emotional
outcomes and thus help in planning trials and delivering appropriate interventions.
This article has been cited by other articles:
|
|
 |
|
  P. G. Surtees, N.W.J. Wainwright, R. N. Luben, N. J. Wareham, S. A. Bingham, and K.-T Khaw Psychological distress, major depressive disorder, and risk of stroke Neurology, March 4, 2008; 70(10): 788 - 794. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Giaquinto, C. Spiridigliozzi, and B. Caracciolo Can Faith Protect From Emotional Distress After Stroke? Stroke, March 1, 2007; 38(3): 993 - 997. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Banks and C. A. Marotta Outcomes Validity and Reliability of the Modified Rankin Scale: Implications for Stroke Clinical Trials: A Literature Review and Synthesis Stroke, March 1, 2007; 38(3): 1091 - 1096. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Firbank, A. J. Lloyd, N. Ferrier, and J. T. O'Brien A Volumetric Study of MRI Signal Hyperintensities in Late-Life Depression Am J Geriatr Psychiatry, December 1, 2004; 12(6): 606 - 612. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Verdelho, H. Henon, F. Lebert, F. Pasquier, and D. Leys Depressive symptoms after stroke and relationship with dementia: A three-year follow-up study Neurology, March 23, 2004; 62(6): 905 - 911. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Bogousslavsky William Feinberg Lecture 2002: Emotions, Mood, and Behavior After Stroke Stroke, April 1, 2003; 34(4): 1046 - 1050. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Berg, H. Palomaki, M. Lehtihalmes, J. Lonnqvist, and M. Kaste Poststroke Depression: An 18-Month Follow-Up Stroke, January 1, 2003; 34(1): 138 - 143. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
