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The Neuropsychiatry of Stroke

  • Conference paper
Contemporary Neuropsychiatry

Summary

Although stroke represents a major public health problem throughout much of the world, relatively little work has been directed toward identifying and treating the common neuropsychiatric disorders that occur following stroke. Depression, anxiety disorder, catastrophic reactions, pathological crying, and psychosis have all been associated with stroke. Depressive and anxiety disorders have been shown to inhibit physical and cognitive recovery from stroke and lead to increase mortality. Although there are very few controlled trials examining the effectiveness of treatments for these disorders after stroke, both depression and pathological crying have been shown to be effectively treated with antidepressant medications.

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References

  1. Bonita R (1992) Epidemiology of stroke. Lancet 339:342–344

    Article  CAS  PubMed  Google Scholar 

  2. American Heart Association (1989) Stroke facts. American Heart Association, Dallas

    Google Scholar 

  3. Bronstein KS (1991) Psychological components in stroke implications for adaptation. Nursing Clin N Am 26:1007–1017

    CAS  Google Scholar 

  4. King RB (1996) Quality of life after stroke. Stroke 27:1467–1472

    Article  CAS  PubMed  Google Scholar 

  5. Clark MS, Smith DS (1997) Abnormal illness behavior in rehabilitation from stroke. Clin Rehabil 11:162–170

    Article  CAS  PubMed  Google Scholar 

  6. Gustafson Y, Olsson T, Eriksson S (1991) Acute confusional states in stroke patients. Cerebrovasc Dis 1:257–264

    Article  Google Scholar 

  7. Starkstein SE, Robinson RG (1989) Affective disorders and cerebral vascular disease. Br J Psychiatry 154:170–182

    Article  CAS  PubMed  Google Scholar 

  8. Harrington C, Salloway S (1997) The diagnosis and treatment of post-stroke depression. Med Health 80:181–187

    CAS  Google Scholar 

  9. Fedoroff JP, Starkstein SE, Parikh RM, et al (1991) Are depressive symptoms nonspecific in patients with acute stroke? Am J Psychiatry 148: 1172–1176

    CAS  PubMed  Google Scholar 

  10. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders-DSM-IV,4th edn. American Psychiatric Press, Washington, DC

    Google Scholar 

  11. Morris PLP, Robinson RG, Raphael B, Bishop D (1991) The relationship between the perception of social support and post-stroke depression in hospitalized patients. Psychiatry 54:306–315

    CAS  PubMed  Google Scholar 

  12. Downhill JE Jr, Robinson RG (1994) Longitudinal assessment of depression and cognitive impairment following stroke. J Nerv Ment Dis 182:425–431

    Article  PubMed  Google Scholar 

  13. Paradiso S, Robinson RG (1999) Minor depression after stroke. An initial validation of the DSM-IV construct. Am J Geriatr Psychiatry 7:244–251

    Article  CAS  PubMed  Google Scholar 

  14. Morris PLP, Robinson RG, Raphael B (1990) Prevalence and course of depressive disorders in hospitalized stroke patients. Int J Psychiatry Med 20:349–364

    Article  CAS  PubMed  Google Scholar 

  15. Astrom M, Olsson T, Asplund K (1993) Different linkage of depression to hypercortisolism early versus late after stroke: a 3-year longitudinal study. Stroke 24:52–57

    Article  CAS  PubMed  Google Scholar 

  16. Astrom M, Adolfsson R, Asplund K (1993) Major depression in stroke patients: a 3-year longitudinal study. Stroke 24:976–982

    Article  CAS  PubMed  Google Scholar 

  17. Morris PLP, Robinson RG, Raphael B, Hopwood MJ (1996) Lesion location and post-stroke depression. J Neuropsychiatry Clin Neurosci 8:399–403

    CAS  PubMed  Google Scholar 

  18. House A, Dennis M, Warlow C, et al (1990) Mood disorders after stroke and their relation to lesion location. A CT scan study. Brain 113:1113–1130

    Article  PubMed  Google Scholar 

  19. Gainotti G, Azzoni A, Marra C (1999) Frequency, phenomenology and anatomical-clinical correlates of major post-stroke depression. Br J Psychiatry 175:163–167

    Article  CAS  PubMed  Google Scholar 

  20. Shimoda K, Robinson RG (1999) The relationship between post-stroke depression and lesion location in long-term follow-up. Biol Psychiatry 45:187–192

    Article  CAS  PubMed  Google Scholar 

  21. Robinson RG (1998) The clinical neuropsychiatry of stroke. Cambridge University Press, Cambridge

    Google Scholar 

  22. Robinson RG, Bolla-Wilson K, Kaplan E, et al (1986) Depression influences intellectual impairment in stroke patients. Br J Psychiatry 148:541–547

    Article  CAS  PubMed  Google Scholar 

  23. Folstein MF, Folstein SE, McHugh PR (1975) Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res 12:189–198

    Article  CAS  Google Scholar 

  24. Bolla-Wilson K, Robinson RG, Starkstein SE, et al (1989) Lateralization of dementia of depression in stroke patients. Am J Psychiatry 146:627–634

    CAS  PubMed  Google Scholar 

  25. House A, Dennis M, Warlow C, et al (1990) The relationship between intellectual impairment and mood disorder in the first year after stroke. Psychol Med 20:805–814

    Article  CAS  PubMed  Google Scholar 

  26. Starkstein SE, Fedoroff JP, Price TR, et al (1993) Catastrophic reaction after cerebrovascular lesions: frequency, correlates, and validation of a scale. J Neurol Neurosurg Psychiatry 5: 189–194

    CAS  Google Scholar 

  27. Reding MJ, Orto LA, Winter SW, et al (1986) Antidepressant therapy after stroke: a double-blind trial. Arch Neurol 43:763–765

    Article  CAS  PubMed  Google Scholar 

  28. Andersen G, Vestergaard K, Lauritzen L (1994) Effective treatment of post-stroke depression with the selective serotonin reuptake inhibitor citalopram. Stroke 25:1099–1104

    Article  CAS  PubMed  Google Scholar 

  29. Starkstein SE, Cohen BS, Fedoroff P, et al (1990) Relationship between anxiety disorders and depressive disorders in patients with cerebrovascular injury. Arch Gen Psychiatry 47:785–789

    Article  Google Scholar 

  30. Castillo CS, Schultz SK, Robinson RG (1995) Clinical correlates of early-onset and lateonset post-stroke generalized anxiety. Am J Psychiatry 152:1174–1179

    CAS  PubMed  Google Scholar 

  31. Aström M (1996) Generalized anxiety disorder in stroke patients: a 3-year longitudinal study. Stroke 27:270–275

    Article  PubMed  Google Scholar 

  32. Rickels K, Schweizer EE (1987) Current pharmacotherapy of anxiety and panic. In: Meltzer HY (ed) Psychopharmacology: the third generation of progress. Raven, New York, pp 1193–1203

    Google Scholar 

  33. Goldstein K (1939) The organism: a holistic approach to biology derived from pathological data in man. American Books, New York, p 35

    Book  Google Scholar 

  34. Robinson RG, Parikh RM, Lipsey JR, et al (1993) Pathological laughing and crying following stroke: validation of measurement scale and double-blind treatment study. Am J Psychiatry 150:286–293

    CAS  PubMed  Google Scholar 

  35. Rabins PV, Starkstein SE, Robinson RG (1991) Risk factors for developing a typical (schizophreniform) psychosis following stroke. J Neuropsychiatry Clin Neurosci 3:6–9

    CAS  PubMed  Google Scholar 

  36. Wade DT, Legh-Smith J, Hewer RA (1987) Depressed mood after stroke, a community study of its frequency. Br J Psychiatry 151:200–205

    Article  CAS  PubMed  Google Scholar 

  37. House A, Dennis M, Mogridge L, et al (1991) Mood disorders in the year after first stroke. Br J Psychiatry 158:83–92

    Article  CAS  PubMed  Google Scholar 

  38. Burvill PW, Johnson GA, Jamrozik KD, et al (1995) Prevalence of depression after stroke: the Perth Community Stroke Study. Br J Psychiatry 166:320–327

    Article  CAS  PubMed  Google Scholar 

  39. Robinson RG, Starr LB, Kubos KL, et al (1983) A two year longitudinal study of post-stroke mood disorders: findings during the initial evaluation. Stroke 14:736–741

    Article  CAS  PubMed  Google Scholar 

  40. Ebrahim S, Barer D, Nouri F (1987) Affective illness after stroke. Br J Psychiatry 151:52–56

    Article  CAS  PubMed  Google Scholar 

  41. Starkstein SE, Robinson RG, Honig MA, Parikh RM, Joselyn P, Price TR (1989) Mood changes after right hemisphere lesion. Br J Psychiatry 155:79–85

    Article  CAS  PubMed  Google Scholar 

  42. Herrmann M, Bartles C, Wallesch C-W (1993) Depression in acute and chronic aphasia: symptoms, pathoanatomical-clinical correlations and functional implications. J Neurol Neurosurg Psychiatry 56:672–678

    Article  CAS  PubMed  Google Scholar 

  43. Folstein MF, Mairberger R, McHugh PR (1997) Mood disorders as a specific complication of stroke. J Neurol Neurosurg Psychiatry 40:1018–1020

    Article  Google Scholar 

  44. Finklestein S, Benowitz LI, Baldessarini RJ, et al (1982) Mood, vegetative disturbance, and dexamethasone suppression test after stroke. Ann Neurol 12:463–468

    Article  CAS  PubMed  Google Scholar 

  45. Sinyor D, Jacques P, Kaloupek DG, Becker R, Goldenberg M, Coopersmith H (1986) Post-stroke depression and lesion location: an attempted replication. Brain 109:539–546

    Article  Google Scholar 

  46. Finset A, Goffeng L, Landro NI, et al (1989) Depressed mood and intra-hemispheric location of lesion in right hemisphere stroke patients. Scand J Rehabil Med 21: 1–6

    CAS  PubMed  Google Scholar 

  47. Eastwood MR, Rifat SL, Nobbs H, et al (1989) Mood disorder following cerebrovascular accident. Br J Psychiatry 154:195–200

    Article  CAS  PubMed  Google Scholar 

  48. Schubert DSP, Taylor C, Lee S, Mentari A, Tamaklo W (1992) Detection of depression in the stroke patient. Psychosomatics 33:1–5

    Article  Google Scholar 

  49. Schwartz JA, Speed NM, Brunberg JA, et al (1993) Depression in stroke rehabilitation. Biol Psychiatry 33:694–699

    Article  CAS  PubMed  Google Scholar 

  50. Feibel JH, Springer CJ (1982) Depression and failure to resume social activities after stroke. Arch Phys Med Rehabil 63:276–277

    CAS  PubMed  Google Scholar 

  51. Robinson RG, Price TR (1982) Post-stroke depressive disorders: a follow-up study of 103 outpatients. Stroke 13:635–641

    Article  CAS  PubMed  Google Scholar 

  52. Collin SJ, Tinson D, Lincoln NB (1987) Depression after stroke. Clin Rehabil 1:27

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychiatry, The University of Iowa College of Medicine, Iowa City, IA 52242, USA

    Robert G. Robinson

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  1. Robert G. Robinson
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Editor information

Editors and Affiliations

  1. Department of Psychiatry, Kyoto University Graduate School of Medicine, 520 Saisho-Koh, Sakyo, Kyoto, 606-8397, Japan

    Koho Miyoshi (Former Professor) (Former Professor)

  2. The Toronto Hospital, Department of Psychiatry, University of Toronto, 399 Bathurst Street, Toronto, Ontario, M5T 2S8, Canada

    Colin M. Shapiro (Professor) (Professor)

  3. Division of Neuropsychiatry, Department of Psychiatry, University of Illinois at Chicago, 912 S. Wood Street, Chicago, IL, 60612, USA

    Moises Gaviria (Professor) (Professor)

  4. Hyogo Medical University, 1-1 Mukogawa, Nishinomiya, Hyogo, 663-8501, Japan

    Yoshio Morita (Professor) (Professor)

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© 2001 Springer Japan

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Robinson, R.G. (2001). The Neuropsychiatry of Stroke. In: Miyoshi, K., Shapiro, C.M., Gaviria, M., Morita, Y. (eds) Contemporary Neuropsychiatry. Springer, Tokyo. https://doi.org/10.1007/978-4-431-67897-7_17

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  • DOI: https://doi.org/10.1007/978-4-431-67897-7_17

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-67992-9

  • Online ISBN: 978-4-431-67897-7

  • eBook Packages: Springer Book Archive

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