Mood disorder as a specific complication of stroke

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1018-1020
Number of pages3
JournalJournal of Neurology Neurosurgery and Psychiatry
Volume40
Issue number10
DOIs
StatePublished - 1977

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Mood Disorders
Stroke
Orthopedics
Affective Symptoms
Vascular System Injuries
Patient Rights
Activities of Daily Living
Psychopathology
Visual Analog Scale
Antidepressive Agents
Psychiatry

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 journalArticle

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