Generalized Anxiety Disorder after Stroke
Abstract
A series of 309 admissions to a stroke unit was examined for anxiety symptoms. Patients were diagnosed with DSM-III-R generalized anxiety disorder (GAD) symptom criteria. They were divided into groups of no anxiety (59.2%), worried but not fulfilling GAD criteria (13.9%), and GAD (26.9%). Patients were then divided into depressed and nondepressed groups based on the existence of DSM-III major or minor (dysthymic) depression. These groups were not significantly different in their background characteristics, family or personal psychiatric history, social support or the severity of physical impairment. Anxiety plus depression was associated with left cortical lesions, whereas anxiety alone was associated with right hemisphere lesions. Patients with worry had anterior and patients with GAD had posterior right hemisphere lesions. These findings suggest that anxiety disorder (independent of depression) is not related to background characteristics or to severity of impairment but is, in part, influenced by the brain structures that are injured.
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Post-stroke anxiety is more frequent in women.
“Elle est plus fréquente en cas d'antécédents d'alcoolisme [6,11], chez les femmes [8,12] et chez les jeunes patients [12], mais elle ne serait pas nécessairement liée à la gravité des séquelles fonctionnelles [6,11,13].”
From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [12]
Post-stroke anxiety is more frequent in young patients.
“Elle est plus fréquente en cas d'antécédents d'alcoolisme [6,11], chez les femmes [8,12] et chez les jeunes patients [12], mais elle ne serait pas nécessairement liée à la gravité des séquelles fonctionnelles [6,11,13].”
From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [12]
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Frequency of Depression After Stroke: A Systematic Review of Observational Studies
Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005) · Stroke · doi:10.1161/01.str.0000165928.19135.35 · Cited by 1,464 · see citing works
Post stroke depression: epidemiology, pathophysiology, and biological treatment
Whyte, E. M., & Mulsant, B. H. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01424-5 · Cited by 488 · see citing works
Effect of mood symptoms on recovery one year after stroke
Donnellan, C., Hickey, A., Hevey, D., & O'Neill, D. (2010) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2482 · Cited by 132 · see citing works
The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients
Mok, E., & Pang Woo, C. (2004) · Complementary Therapies in Nursing and Midwifery · doi:10.1016/j.ctnm.2004.05.006 · Cited by 119 · see citing works
Clinical correlates of early-onset and late-onset poststroke generalized anxiety
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.8.1174 · Cited by 87 · see citing works
Self-citationWrapson, W., Dorrestein, M., Wrapson, J., Theadom, A., Kayes, N., Snell, D., Rutherford, S., Roche, M., Babbage, D. R., & Siegert, R. J. (2022) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2021.1950777 · Cited by 12 · see citing works
Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques
(2004) · Schweizer Archiv fur Neurologie und Psychiatrie · doi:10.4414/sanp.2004.01536 · Cited by 1 · see citing works
- Authors
- CASTILLO, C. S., STARKSTEIN, S. E., FEDOROFF, J. P., PRICE, T. R., & ROBINSON, R. G.
- Affiliations
- University of Iowa (US)
- ORCID
- FEDOROFF, J. PAUL
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1993-02
- Volume
- 181
- Issue
- 2
- Pages
- 100-106
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2084552854
- Cited by
- 159
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 6
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh040355-06)
- National Institute of Mental Health (MH 40355, MH 000163)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- generalized anxiety disorder, stroke, anxiety symptoms, depression, hemispheric lateralization, cortical lesions, worry, brain injury, stroke unit patients
- MeSH terms
- Activities of Daily Living, Anxiety Disorders, Mental Disorders, Brain, Cerebrovascular Disorders, Family, Female, Hospitalization, Humans, Functional Laterality, Male, Middle Aged, Nervous System Diseases, Psychiatric Status Rating Scales, Severity of Illness Index, Social Support
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