Stroke is the leading cause of disability in adults. But the victims are also at particular risk of developing depression, according to a study from the United States occupied.
With 270,000 annually affected in Germany, stroke is a common disease. Heavy physical consequences such as hemiparesis and speech disorders are well known. Only rarely is discussed that stroke sufferers develop mental illness.
Doctors at Columbia University, New York, have systematically psych examined how high is the risk of a so-called post-traumatic stress disorder (PTSD) after stroke. Here, the symptoms of the disease such as mood swings, sleep and concentration problems are clearly due to trauma - in this case the stroke - triggered.
1138 stroke patients were included in the study. Within the first year after the stroke risk for mental disorder was 23 percent. The longer was behind the stroke, the more it sank. Outside the time window of one year, it was still at 11 percent.
Rehabilitation physicians have for some time pointed out that mental illness can greatly affect the long-term rehabilitation outcome. The success of occupational therapy, physiotherapy and speech therapy from critically dependent on the motivation and cooperation of the patient. These can fall into a spiral when lack of therapeutic success press the mood getting stronger. Counter-concept could be an early antidepressant therapy with medication and psychotherapy. Whether this can improve psych the rehabilitation outcome, is currently being investigated in further studies.
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