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Depression after minor stroke: Prevalence and predictors
Shi Y.1; Xiang Y.2; Yang Y.1; Zhang N.1; Wang S.1; Ungvari G.S.3; Chiu H.F.K.4; Tang W.K.4; Wang Y.1; Zhao X.1; Wang Y.1; Wang C.1,5
2015
Source PublicationJournal of Psychosomatic Research
ISSN223999
Volume79Issue:2Pages:143
Abstract

Severity of stroke and disability after stroke are major predictors of post-stroke depression (PSD). The prevalence of PSD in patients with minor stroke is expected to be low because minor stroke is characterized by mild neurological dysfunction. The aim of this study was to investigate the prevalence and predictors of PSD in patients with minor ischemic stroke. Methods: Patients with first-ever minor ischemic stroke (n= 757) were followed up at 14. ± 2. days, 3. months, 6. months, and 1. year after stroke. Depression status was assessed at each follow-up. Patients that had PSD at follow-ups were classified into two groups according to the time point of the diagnosis of PSD: patients diagnosed at 14. ± 2. days formed the early-onset PSD group, and those who were diagnosed at any subsequent follow-ups constituted the late-onset PSD group. Results: The 1-year prevalence of PSD in patients with minor stroke was 29.0% (95% CI, 25.2-32.8). Female gender, current smoking at stroke onset, mild global cognitive impairment at 14. ± 2. days, and stroke recurrence were independently associated with a high risk of PSD over the 1-year follow-up. Predictors of early-onset PSD included female gender, current smoking, and mild global cognitive impairment at 14. ± 2. days, while predictors of late-onset PSD were current smoking and stroke recurrence. Conclusion: Approximately three in ten patients with first-ever minor ischemic stroke may develop depression during the first year after stroke. Female gender, smoking, mild global cognitive impairment, and stroke recurrence predict early-onset or late-onset PSD after minor ischemic stroke. © 2015 Elsevier Inc.

KeywordIschemic Stroke Minor Stroke Post-stroke Depression Smoking
DOI10.1016/j.jpsychores.2015.03.012
URLView the original
Indexed BySCI
Language英语
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000357766500010
The Source to ArticleScopus
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Cited Times [WOS]:31   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Institute of Chinese Medical Sciences
Corresponding AuthorWang C.
Affiliation1.Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China; Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China
2.Faculty of Health Sciences, University of Macau, Macao SAR, China
3.University of Notre Dame Australia/Marian Centre, Perth, Australia; School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
4.Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China
5.Department of Neuropsychiatry and Behavioral Neurology and Clinical Psychology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
Recommended Citation
GB/T 7714
Shi Y.,Xiang Y.,Yang Y.,et al. Depression after minor stroke: Prevalence and predictors[J]. Journal of Psychosomatic Research,2015,79(2):143.
APA Shi Y..,Xiang Y..,Yang Y..,Zhang N..,Wang S..,...&Wang C..(2015).Depression after minor stroke: Prevalence and predictors.Journal of Psychosomatic Research,79(2),143.
MLA Shi Y.,et al."Depression after minor stroke: Prevalence and predictors".Journal of Psychosomatic Research 79.2(2015):143.
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