Featured Research

from universities, journals, and other organizations

Managing post-stroke depression improves physical functioning

Date:
March 15, 2011
Source:
Indiana University School of Medicine
Summary:
Stroke patients who are not successfully treated for depression are at higher risk of losing some of their capability to function normally, according to a new study.

Stroke patients who are not successfully treated for depression are at higher risk of losing some of their capability to function normally, according to a study in the March 15, 2011 issue of the journal Neurology.

Related Articles


Although as many as a third of those who experience a stroke develop depression, a new study by researchers from the Regenstrief Institute, the schools of health and rehabilitation sciences and of medicine at Indiana University-Purdue University Indianapolis and the Richard L. Roudebush VA Medical Center is the first to look whether managing post-stroke depression improves physical functioning.

They researchers report that individuals who remain depressed three months after a stroke are more likely to have decreased functional capabilities than those whose depression was successfully treated. Functional capabilities include getting dressed, feeding oneself, and accomplishing other tasks. These capabilities increased significantly in those individuals who were treated for depression.

Post-stroke depression appears to be linked to chemical changes in the brain, clinical evidence indicates.

"The relationship between post-stroke depression and recovery of function after a stroke has not been well understood. Previous researchers have looked at both depression and function after stroke but they did not investigate whether identifying and managing depression improved ability to accomplish tasks of daily living and other function related issues," said study first author Arlene A. Schmid, Ph.D., a Regenstrief Institute investigator, an assistant professor of occupational therapy at the IU School of Health and Rehabilitation Sciences and a VA Center of Excellence on Implementing Evidence Based Practice investigator.

The researchers in the new study report that successful depression management led to better functionality that might enable the individual to return to work or more thoroughly enjoy leisure functions while decreasing the caregiver burden.

"Restoring lost function after stroke is the number one reason individuals visit occupational therapists," said Dr. Schmid. "Since treating depression helps improve function, occupational therapists should screen for post-stroke depression and, in conjunction with other members of the patient's health care team, help manage depression."

In the Neurology study, whether an individual was depressed or not was determined through use of the Health Questionnaire-9 (PHQ-9), a widely used and easy to administer depression screening tool. The PHQ-9 was originally developed by Kurt Kroenke, M.D., a Regenstrief Institute investigator and IU School of Medicine professor of medicine. Dr. Kroenke, who is a co-author of the new study, has described the PhQ-9 as "a sort of a blood pressure cuff for depression."

According to Dr. Schmid, since occupational therapists are trained in mental health issues and see patients frequently, occupational therapists could use the PHQ-9 to screen for depression after stroke and alert a post-stroke patient's physician to the individual's mental status.

In addition to improving functionality, management of depression would lower health care costs associated with functional impairment and other post-stroke treatment issues.

"Post-stroke depression often impacts quality of life after stroke more than even functional impairments. Since it is treatable with common medications, cognitive behavioral therapy and exercise, it is important to recognize it so patients can be treated. This study is one of the first to show not just the link between depression and worse function post-stroke, but that successfully treating depression symptoms actually improves post-stroke outcomes," said Linda S. Williams, M.D., a Regenstrief Institute investigator, associate professor of neurology at the IU School of Medicine, and a VA Center of Excellence on Implementing Evidence Based Practice investigator.

The study was funded by the National Institute of Neurological Disorders and Stroke.


Story Source:

The above story is based on materials provided by Indiana University School of Medicine. Note: Materials may be edited for content and length.


Journal Reference:

  1. A. A. Schmid, K. Kroenke, H. C. Hendrie, T. Bakas, J. M. Sutherland, L. S. Williams. Poststroke depression and treatment effects on functional outcomes. Neurology, 2011; 76 (11): 1000 DOI: 10.1212/WNL.0b013e318210435e

Cite This Page:

Indiana University School of Medicine. "Managing post-stroke depression improves physical functioning." ScienceDaily. ScienceDaily, 15 March 2011. <www.sciencedaily.com/releases/2011/03/110315103741.htm>.
Indiana University School of Medicine. (2011, March 15). Managing post-stroke depression improves physical functioning. ScienceDaily. Retrieved November 21, 2014 from www.sciencedaily.com/releases/2011/03/110315103741.htm
Indiana University School of Medicine. "Managing post-stroke depression improves physical functioning." ScienceDaily. www.sciencedaily.com/releases/2011/03/110315103741.htm (accessed November 21, 2014).

Share This


More From ScienceDaily



More Mind & Brain News

Friday, November 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Milestone Birthdays Can Bring Existential Crisis, Study Says

Milestone Birthdays Can Bring Existential Crisis, Study Says

Newsy (Nov. 21, 2014) Researchers find that as people approach new decades in their lives they make bigger life decisions. Video provided by Newsy
Powered by NewsLook.com
Your Complicated Job Might Keep Your Brain Young

Your Complicated Job Might Keep Your Brain Young

Newsy (Nov. 20, 2014) Researchers at the University of Edinburgh found the more complex your job is, the sharper your cognitive skills will likely be as you age. Video provided by Newsy
Powered by NewsLook.com
100-Year-Old Woman Sees Ocean for First Time

100-Year-Old Woman Sees Ocean for First Time

AP (Nov. 20, 2014) Ruby Holt spent most of her 100 years on a farm in rural Tennessee, picking cotton and raising four children. She saw the ocean for the first time thanks to her assisted living center and a group that grants wishes to the elderly. (Nov. 20) Video provided by AP
Powered by NewsLook.com
Kids React to Lammily, The Realistic Barbie Alternative

Kids React to Lammily, The Realistic Barbie Alternative

Buzz60 (Nov. 19, 2014) Artist Nickolay Lamm's Kickstarter-funded Lammily doll, based on his 'What Would Barbie Look Like as a Real Woman' project, is finally available to buy. Jen Markham explains how the doll's realistic proportions are going over with a test group of second-graders who are used to the impossible measurements of Barbie dolls. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins