Diagnosis, phenomenology and treatment of poststroke depression
Diagnosing depression in stroke patients is a challenge in neuropsychiatry since depression symptoms may overlap neurological deficit signs. The best approach is to assess the presence of depressive symptoms using semi-structured psychiatric interviews, such as the Present State Exam, the Structured...
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| Acceso en línea: | http://hdl.handle.net/20.500.12110/paper_15164446_v24_n1_p44_Starkstein |
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todo:paper_15164446_v24_n1_p44_Starkstein2023-10-03T16:19:48Z Diagnosis, phenomenology and treatment of poststroke depression Starkstein, S.E. Lischinsky, A. Antidepressants Anxiety Depression Stroke antidepressant agent citalopram fluoxetine maprotiline mianserin nortriptyline placebo serotonin uptake inhibitor trazodone tricyclic antidepressant agent venlafaxine cerebrovascular disease clinical trial controlled clinical trial controlled study daily life activity depression disease severity double blind procedure drug efficacy drug induced disease gastrointestinal toxicity hemiplegia human insomnia major clinical study mental disease multicenter study poststroke depression randomized controlled trial rating scale review sedation seizure stroke treatment outcome Diagnosing depression in stroke patients is a challenge in neuropsychiatry since depression symptoms may overlap neurological deficit signs. The best approach is to assess the presence of depressive symptoms using semi-structured psychiatric interviews, such as the Present State Exam, the Structured Clinical Interview for DSM-IV or the Schedules for Clinical Assessment in Neuropsychiatry. The diagnosis of a depressive syndrome should be made according to standardized diagnostic criteria for mood disorders due to neurological disease such as in the DSM-IV or ICD-10. Depression rating scales such as the Hamilton Depression Scale and the Center for Epidemiologic Scales for Depression may be used to rate the depression severity and monitor the progression of antidepressant treatment. Most studies have reported the effectiveness of pharmacological treatment in patients with post-stroke depression, and there is preliminary evidence that the degree of impairment in activities od daily living (ADL) may improve as well. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_15164446_v24_n1_p44_Starkstein |
| institution |
Universidad de Buenos Aires |
| institution_str |
I-28 |
| repository_str |
R-134 |
| collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
Antidepressants Anxiety Depression Stroke antidepressant agent citalopram fluoxetine maprotiline mianserin nortriptyline placebo serotonin uptake inhibitor trazodone tricyclic antidepressant agent venlafaxine cerebrovascular disease clinical trial controlled clinical trial controlled study daily life activity depression disease severity double blind procedure drug efficacy drug induced disease gastrointestinal toxicity hemiplegia human insomnia major clinical study mental disease multicenter study poststroke depression randomized controlled trial rating scale review sedation seizure stroke treatment outcome |
| spellingShingle |
Antidepressants Anxiety Depression Stroke antidepressant agent citalopram fluoxetine maprotiline mianserin nortriptyline placebo serotonin uptake inhibitor trazodone tricyclic antidepressant agent venlafaxine cerebrovascular disease clinical trial controlled clinical trial controlled study daily life activity depression disease severity double blind procedure drug efficacy drug induced disease gastrointestinal toxicity hemiplegia human insomnia major clinical study mental disease multicenter study poststroke depression randomized controlled trial rating scale review sedation seizure stroke treatment outcome Starkstein, S.E. Lischinsky, A. Diagnosis, phenomenology and treatment of poststroke depression |
| topic_facet |
Antidepressants Anxiety Depression Stroke antidepressant agent citalopram fluoxetine maprotiline mianserin nortriptyline placebo serotonin uptake inhibitor trazodone tricyclic antidepressant agent venlafaxine cerebrovascular disease clinical trial controlled clinical trial controlled study daily life activity depression disease severity double blind procedure drug efficacy drug induced disease gastrointestinal toxicity hemiplegia human insomnia major clinical study mental disease multicenter study poststroke depression randomized controlled trial rating scale review sedation seizure stroke treatment outcome |
| description |
Diagnosing depression in stroke patients is a challenge in neuropsychiatry since depression symptoms may overlap neurological deficit signs. The best approach is to assess the presence of depressive symptoms using semi-structured psychiatric interviews, such as the Present State Exam, the Structured Clinical Interview for DSM-IV or the Schedules for Clinical Assessment in Neuropsychiatry. The diagnosis of a depressive syndrome should be made according to standardized diagnostic criteria for mood disorders due to neurological disease such as in the DSM-IV or ICD-10. Depression rating scales such as the Hamilton Depression Scale and the Center for Epidemiologic Scales for Depression may be used to rate the depression severity and monitor the progression of antidepressant treatment. Most studies have reported the effectiveness of pharmacological treatment in patients with post-stroke depression, and there is preliminary evidence that the degree of impairment in activities od daily living (ADL) may improve as well. |
| format |
JOUR |
| author |
Starkstein, S.E. Lischinsky, A. |
| author_facet |
Starkstein, S.E. Lischinsky, A. |
| author_sort |
Starkstein, S.E. |
| title |
Diagnosis, phenomenology and treatment of poststroke depression |
| title_short |
Diagnosis, phenomenology and treatment of poststroke depression |
| title_full |
Diagnosis, phenomenology and treatment of poststroke depression |
| title_fullStr |
Diagnosis, phenomenology and treatment of poststroke depression |
| title_full_unstemmed |
Diagnosis, phenomenology and treatment of poststroke depression |
| title_sort |
diagnosis, phenomenology and treatment of poststroke depression |
| url |
http://hdl.handle.net/20.500.12110/paper_15164446_v24_n1_p44_Starkstein |
| work_keys_str_mv |
AT starksteinse diagnosisphenomenologyandtreatmentofpoststrokedepression AT lischinskya diagnosisphenomenologyandtreatmentofpoststrokedepression |
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1807315289181782016 |