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Cited by 115Stroke Rehabilitation and RecoveryCancer survivorship and careAcute Ischemic Stroke Management

Psychosocial risk factors in poststroke depression: a systematic review

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Ouimet, MA, Primeau, F, Cole, MG·2001·The Canadian Journal of Psychiatry
DOI 10.1177/070674370104600905
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Abstract

Objective: To review systematically the psychosocial risk factors for poststroke depression. Methods: Medline was searched using the key words “poststroke depression” (PSD) for the period January 1, 1966, to June 30, 2000; using the key words “cerebrovascular disease” and “depression” it was searched from June 1, 1996, to June 30, 2000. Corollary articles were obtained from the bibliographies. Inclusion criteria were as follows: original research in French or English; prospective, case-control or cross-sectional study design; assessment of PSD in the first 6 months following the stroke; an acceptable definition of depression; an acceptable definition of stroke; and at least one psychosocial risk factor. Interrater reliability was tested for the selection and quality of the articles. A qualitative risk factor analysis was conducted. Results: The risk factors most consistently associated with PSD are a past history of depression, past personal psychiatric history, dysphasia, functional impairments, living alone, and poststroke social isolation. Risk factors not associated with PSD are dementia and cognitive impairment. Controversial risk factors are age, socioeconomic status (SES), prior social distress, dependency in regard to activities of daily living (ADL), and sex. Conclusions: Over approximately 30 years, some 25 qualitative studies have addressed psychosocial risk factors for PSD. Further studies should aim for quantitative analysis. The results suggest that identifying psychiatric history and preventing social deterioration and impairment should be part of multidisciplinary efforts to care for poststroke patients.

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Authors
Ouimet, M., Primeau, F., & Cole, M.
Affiliations
  • McGill University (CA)
  • St Mary's Hospital Centre (CA)
Corresponding author
  • Ouimet, MA
  • Primeau, F
ORCID
Ouimet, MA
Venue
The Canadian Journal of Psychiatry
Publisher
SAGE Publications
Published
2001-11
Volume
46
Issue
9
Pages
819-828
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
DOI
10.1177/070674370104600905
OpenAlex
W181739742
Cited by
115
References
44
Citations by year
2026: 2 · 2024: 2 · 2022: 6 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 7 · 2016: 4 · 2015: 12 · 2014: 8 · 2013: 7 · 2012: 4
FWCI
0.81
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The Canadian Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
post-stroke depression, psychosocial risk factors, stroke, history of depression, psychiatric history, dysphasia, functional disability, living alone, social isolation, dementia, cognitive impairment, socioeconomic status, activities of daily living, sex differences, age
MeSH terms
Activities of Daily Living, Dementia, Depressive Disorder, Humans, Risk Factors, Sick Role, Social Environment, Stroke

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