Affiliation:
1. Department of Psychiatry, The Chinese University of Hong Kong, 11/F, Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR, China
2. Department of Medicine and Therapeutics, The Chinese University, Hong Kong
Abstract
Objective: There is a paucity of data on post-stroke psychiatric morbidity in Chinese populations. We examined the frequency of post-stroke psychiatric morbidity in Chinese first time stroke patients, including depressive and anxiety disorders, mania, and psychosis. Methods: One hundred and fifty-seven patients following their first stroke, who were consecutively admitted to a rehabilitation unit, participated in this prospective, cross-sectional study. All subjects were interviewed by a qualified psychiatrist using the SCID-DSM-III-R. Subjects’ cognitive function, neurological status, and level of functioning were also measured. Twenty-five (92.6%) of the subjects with the diagnosis of depression were followed up 6.0 ± 3.9 months after the initial assessment. Results: The frequency of all depressive disorders was 17.2%. Major depressive episodes, adjustment disorder with depressed mood, dysthymia, and generalized anxiety disorder were diagnosed in 7.6%, 8.2%, 1.3% and 0.6% of the subjects, respectively. No cases of other anxiety disorders, mania or psychosis were found. The majority of depressed subjects were in remission at the follow-up assessment. Conclusions: The low morbidity of affective disorders and their relatively favourable shortterm outcome in Chinese first time stroke patients warrants further investigation.
Subject
Psychiatry and Mental health,General Medicine
Cited by
31 articles.
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