Poststroke Depression

Min Kyun Son

doi:10.12786/bn.2015.8.2.65

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Son: Poststroke Depression

Review Article

Brain & Neurorehabilitation 2015; 8(2): 65-72.

Published online: 30 September 2015

DOI: https://doi.org/10.12786/bn.2015.8.2.65

Poststroke Depression

Min Kyun Son, M.D., Ph.D.

Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Korea.

Correspondence to: Min Kyun Son, Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, 266, Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: 042-338-2416, Fax: 042-256-6056, mksohn@cnu.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Poststroke depression (PSD) is a common sequelae of stroke, which has negative impact on the physical and cognitive function, dependency in activities of daily living, longer hospital stays, and rehabilitation outcomes. Furthermore, PSD may also be associated with an increased risk of morbidity and mortality including death by suicide. Rates of diagnosed and treated PSD in routine clinical practice are low due to difficulty in assessment and no standard diagnostic criteria. Regular screening of PSD in stroke patient using validated instruments is recommended. Early treatment and prevention of PSD with proper medication and rehabilitation appeared to improve not only depressive symptoms but also neurological impairment, dependence and disability after stroke. The active rehabilitation treatment for improving independence of patient's functional level is very important in management of PSD.

Keywords: depression, stroke, rehabilitation, drug therapy

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