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Psychol Res Behav Manag. 2010;3:109-18. doi: 10.2147/PRBM.S10035. Epub 2010 Dec 6.

Emerging strategies in the treatment of poststroke depression and psychiatric distress in patients.

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1
Department of Psychiatry, Walter Reed Army Medical Center, Washington, DC, USA.

Abstract

Poststroke depression (PSD) is a common sequela of stroke associated with increased morbidity and mortality among stroke survivors. PSD has been associated with poorer rehabilitative outcomes, longer inpatient stays, inefficient use of medical resources, worsened cognitive decline, and increased suicidality. This article reviews the definition and proposed etiology of PSD as well as current and emerging evidence-based prevention, screening, and treatment modalities. The timely use of prevention and treatment techniques including pharmacologic and nonpharmacologic methods may improve treatment outcomes and enhance the quality of life in stroke patients.

KEYWORDS:

CBT; SSRI; TCA; poststroke depression; stroke

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