Abstract
In an effort to discern whether cerebral vascular injuries provoke specific emotional disturbances, 20 consecutively admitted stroke patients were compared with 10 orthopaedic patients. Both groups were examined for functional disabilities (Activities of Daily Living) and for psychiatric symptoms. Reliable and valid instruments, the Hamilton Rating Scale, the Visual Analogue Mood Scale, the Present State Exam, and the Mini-Mental State Exam were employed to display the psychopathology. More of stroke patients than orthopaedic patients were depressed (45% versus 10%) even though the level of functional disability in both groups was the same. Patients with right hemisphere stroke seemed particularly vulnerable and displayed a syndrome of irritability, loss of interest, and difficulty in concentration, in addition to depression of mood (70% of right hemisphere stroke patients versus 0% left hemisphere stroke patients and 0% orthopaedic patients). We conclude that mood disorder is a more specific complication of stroke than simply a response to the motor disability. We suggest that a controlled trial of antidepressant medication is indicated for patients with this complication.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1018-1020 |
| Number of pages | 3 |
| Journal | Journal of Neurology Neurosurgery and Psychiatry |
| Volume | 40 |
| Issue number | 10 |
| DOIs | |
| State | Published - 1977 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health
- Neuroscience(all)
- Neuropsychology and Physiological Psychology
Cite this
Mood disorder as a specific complication of stroke. / Folstein, Marshal F.; Maiberger, Richard; McHugh, Paul R.
In: Journal of Neurology Neurosurgery and Psychiatry, Vol. 40, No. 10, 1977, p. 1018-1020.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Mood disorder as a specific complication of stroke
AU - Folstein, Marshal F.
AU - Maiberger, Richard
AU - McHugh, Paul R
PY - 1977
Y1 - 1977
N2 - In an effort to discern whether cerebral vascular injuries provoke specific emotional disturbances, 20 consecutively admitted stroke patients were compared with 10 orthopaedic patients. Both groups were examined for functional disabilities (Activities of Daily Living) and for psychiatric symptoms. Reliable and valid instruments, the Hamilton Rating Scale, the Visual Analogue Mood Scale, the Present State Exam, and the Mini-Mental State Exam were employed to display the psychopathology. More of stroke patients than orthopaedic patients were depressed (45% versus 10%) even though the level of functional disability in both groups was the same. Patients with right hemisphere stroke seemed particularly vulnerable and displayed a syndrome of irritability, loss of interest, and difficulty in concentration, in addition to depression of mood (70% of right hemisphere stroke patients versus 0% left hemisphere stroke patients and 0% orthopaedic patients). We conclude that mood disorder is a more specific complication of stroke than simply a response to the motor disability. We suggest that a controlled trial of antidepressant medication is indicated for patients with this complication.
AB - In an effort to discern whether cerebral vascular injuries provoke specific emotional disturbances, 20 consecutively admitted stroke patients were compared with 10 orthopaedic patients. Both groups were examined for functional disabilities (Activities of Daily Living) and for psychiatric symptoms. Reliable and valid instruments, the Hamilton Rating Scale, the Visual Analogue Mood Scale, the Present State Exam, and the Mini-Mental State Exam were employed to display the psychopathology. More of stroke patients than orthopaedic patients were depressed (45% versus 10%) even though the level of functional disability in both groups was the same. Patients with right hemisphere stroke seemed particularly vulnerable and displayed a syndrome of irritability, loss of interest, and difficulty in concentration, in addition to depression of mood (70% of right hemisphere stroke patients versus 0% left hemisphere stroke patients and 0% orthopaedic patients). We conclude that mood disorder is a more specific complication of stroke than simply a response to the motor disability. We suggest that a controlled trial of antidepressant medication is indicated for patients with this complication.
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UR - http://www.scopus.com/inward/citedby.url?scp=0017565358&partnerID=8YFLogxK
U2 - 10.1136/jnnp.40.10.1018
DO - 10.1136/jnnp.40.10.1018
M3 - Article
C2 - 591971
AN - SCOPUS:0017565358
VL - 40
SP - 1018
EP - 1020
JO - Journal of Neurology, Neurosurgery and Psychiatry
JF - Journal of Neurology, Neurosurgery and Psychiatry
SN - 0022-3050
IS - 10
ER -