Anxiety after stroke: A systematic review and meta-analysis
Open accessAbstract
Anxiety is common during the first year after you have been diagnosed with stroke, with one in three experiencing it.Today anxiety after stroke gets significantly less attention compared to other psychological problems after stroke and one has reported dissatisfaction with the provision of psychological services after stroke.Since anxiety significantly influences quality of life, it is prevalent, and could be a predictor for depression.In this review, we have looked at the prevalence of anxiety at different times after stroke.We found that 29.3% of the patients had some form of anxiety disorders during the first year after stroke.The highest frequency, 36.7%, was 0-2 weeks after stroke onset.We suggest that clinicians should be more aware of anxiety that further routine screening post stroke may be worth considering providing appropriate interventions.Objective: To update the evidence surrounding the presence of anxiety after stroke.Data sources: A search was conducted in EMBASE, MEDLINE, PsycINFO, Cochrane Library, AMED and CINAHL in May 2015 and repeated in April 2017.Study selection: Clinical diagnosis of stroke and assessed for anxiety symptoms on a rating scale in the first year after stroke.Data extraction: One reviewer screened and identified studies against the inclusion criteria.A second reviewer conducted a random check of approximately 10% of titles and abstracts.Two authors independently performed the final full-text review.Data synthesis: Overall pooled prevalence of anxiety disorders was 29.3% ((95% confidence interval 24.8-33.8%),(I 2 = 97%, p < 0.00001)) during the first year.Frequency 0-2 weeks post-stroke was 36.7%, 2 weeks to 3 months 24.1%, and 3-12 months 23.8%.There was a statistically high heterogeneity in this estimate (I 2 = 97%, p < 0.00001).Conclusion: Anxiety is common during the first year post-stroke.Since anxiety significantly influences quality of life and is a predictor for depression, it may be worth considering further routine screening post-stroke.
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ACT can be an effective treatment for ABI-related anxiety and depressive symptoms.
“Although treating these symptoms remains a challenge, evidence suggests that Acceptance and Commitment Therapy (ACT) can be an effective treatment for ABI-related anxiety and depressive symptoms (10–13).”
From Trial-based economic evaluation of the BrainACT study: acceptance and commitment therapy for anxiety and/or depressive symptoms after acquired brain injury. (2025) · cites this paper as [11]
The Discussion (page unavailable) addresses the prevalence and comorbidity of anxiety and depression after stroke, not the effectiveness of ACT. Searches for “Acceptance and Commitment Therapy,” “ACT,” and “effective treatment” found no passage in our copy assessing ACT for ABI-related symptoms. (LLM, conf=0.76)
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Zhao, Z., Xiao, G., Xia, J., Guo, H., Yang, X., Jiang, Q., Wang, H., Hu, J., & Zhang, C. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.09.018 · Cited by 31 · see citing works
Rafsten, L., Danielsson, A., Nordin, A., Björkdahl, A., Lundgren-Nilsson, A., Larsson, M. E. H., & Sunnerhagen, K. S. (2019) · BMC Neurology · doi:10.1186/s12883-019-1503-3 · Cited by 31 · see citing works
Self-citationFleming, M., Smejka, T., Macey, E., Luengo-Fernandez, R., Henry, A., Robinson, B., Kyle, S., Espie, C., & Johansen-Berg, H. (2023) · medRxiv · doi:10.1111/jsr.13971 · Cited by 32 · see citing works
“Mood disorders are highly prevalent after stroke (Jørgensen et al., 2016; Rafsten et al., 2018), and we found fewer symptoms of depression and anxiety following dCBT for insomnia.”
BackgroundMahadevan, S. K., Chan, M. F., Moghadas, M., Shetty, M., Burke, D. T., Al‐Rasadi, K., & Al‐Adawi, S. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163655 · Cited by 30 · see citing works
“Rafsten, Danielsson, and Sunnerhagen [80] conducted a systematic review and meta-analysis for the first year after stroke, covering J. Clin.”
BackgroundZrelak, P., Seagraves, K. B., Belagaje, S. R., Dusenbury, W., García, J. J., Hadidi, N. N., Keigher, K., Love, M., Pucciarelli, G., Schorr, E. N., et al. (2024) · Stroke · doi:10.1161/str.0000000000000471 · Cited by 15 · see citing works
“2,38,39 Stroke survivors living in nonclinical settings have been found to have anxiety levels that are nearly twice as high Facilitate access to a qualified mental health professional (eg, social worker, psychologist, psychiatric nurse practitioner) who can help patients process anxiety,…”
InfluentialMa, Y., Karako, K., Song, P., Hu, X., & Xia, Y. (2025) · BioScience Trends · doi:10.5582/bst.2025.01109 · Cited by 30 · see citing works
Hall, P., Lawrence, M., Blake, C. M., & Lennon, O. C. (2023) · Cerebrovascular Diseases · doi:10.1159/000531138 · Cited by 35 · see citing works
“Poor adherence with physical activity, healthy eating, smoking abstinence, and secondary prevention medication reported post-stroke [9, 11], alongside high levels of anxiety [46], present legitimate secondary prevention targets.”
BackgroundKim, S., Shin, Y. C., Oh, K., Shin, D., Lim, W., Kim, E., Cho, S. J., & Jeon, S. (2020) · Stress and Health · doi:10.1002/smi.2948 · Cited by 28 · see citing works
Wu, H., Huang, Z., Wang, X., Chen, M., Chen, W., Yao, H., Ren, J. H., Shen, L., Song, Y., Zhou, Y., et al. (2023) · Stroke and Vascular Neurology · doi:10.1136/svn-2022-002156 · Cited by 27 · see citing works
Kwon, C., Lee, B., Chung, S.-Y., & Kim, J. W. (2019) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2019.02.015 · Cited by 26 · see citing works
Naqvi, I. A., Montiel, T. C., Bittar, Y., Hunter, N., Okpala, M. N., Johnson, C., Weiner, M. G., Savitz, S. I., Sharrief, A. Z., & Beauchamp, J. E. S. (2021) · JMIR Formative Research · doi:10.2196/25123 · Cited by 26 · see citing works
“The prevalence of poststroke anxiety and depression ranges from 21% to 29% and from 29% to 31%, respectively [5-7].”
BackgroundFord, M. E., Geurtsen, G. J., Groet, E., Mishre, R. R., van Bennekom, C. A. M., & Someren, E. J. W. V. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13629 · Cited by 26 · see citing works
“%) at baseline is comparable or more severe compared to other CBT-I intervention studies (Nguyen et al., 2017a, 2017b; Theadom et al., 2017; Ymer et al., 2021) or acquired brain injury studies (Appelros, 2006; Medeiros et al., 2020; Rafsten et al., 2018; Whelan-Goodinson et al., 2009).”
ResultHjelle, E. G., Bragstad, L. K., Kirkevold, M., Zucknick, M., Bronken, B. A., Martinsen, R., Kvigne, K. J., Kitzmüller, G., Mangset, M., Thommessen, B., et al. (2019) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2585 · Cited by 25 · see citing works
“Approximately one-third of patients report depressive symptoms (3) or anxiety (4) the first year post-stroke.”
BackgroundPredicting new-onset post-stroke depression from real-world data using machine learning algorithm
Chen, Y.-M., Chen, P., Lin, W., Hung, K., Chen, Y. B., Hung, C., Wang, L., Wu, C., Hsu, C., & Kao, H. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1195586 · Cited by 25 · see citing works
“Anxiety symptoms after stroke are common, and a meta-analysis showed a 29% pooled prevalence of post-stroke anxiety disorder (34).”
BackgroundThe impact of education/training on nurses caring for patients with stroke: a scoping review
Zhao, Y., Xu, Y., Ma, D., Fang, S., Zhi, S., He, M., Zhu, X., Dong, Y., Song, D., Yiming, A., et al. (2024) · BMC Nursing · doi:10.1186/s12912-024-01754-x · Cited by 24 · see citing works
“These challenges arise due to the constantly changing conditions of individuals with stroke, as well as the presence of physical dysfunction, cognitive impairment, and psychosocial problems [10, 11].”
BackgroundSpectrum of neuropsychiatric symptoms in chronic post-stroke aphasia
Edelkraut, L., López-Barroso, D., Torres-Prioris, M. J., Starkstein, S., Jorge, R., Aloisi, J., Berthier, M., & Dávila, G. (2022) · World Journal of Psychiatry · doi:10.5498/wjp.v12.i3.450 · Cited by 23 · see citing works
Schwarzbach, C. J., Eichner, F. A., Rücker, V., Hofmann, A., Keller, M., Audebert, H. J., von Bandemer, S., Engelter, S. T., Geis, D., Gröschel, K., et al. (2023) · The Lancet Neurology · doi:10.1016/s1474-4422(23)00216-8 · Cited by 26 · see citing works
Ruthmann, F., Lo, J. W., Mendyk-Bordet, A.-M., Allart, E., Köhler, S., Klimkowicz-Mrowiec, A., Staals, J., Sachdev, P. S., Bordet, R., & Dondaine, T. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.10.099 · Cited by 23 · see citing works
Li, X., & Wang, X. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113074 · Cited by 22 · see citing works
Post-stroke Anxiety Analysis via Machine Learning Methods
Wang, J., Zhao, D., Lin, M., Huang, X., & Shang, X. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.657937 · Cited by 23 · see citing works
“Our results are consistent with the findings in previous studies (Burton et al., 2013; Broomfield et al., 2014; Knapp et al., 2017, 2020; Rafsten et al., 2018), i.e., 18–36.7% of patients with acute ischemic stroke experienced anxiety 0–2 weeks after stroke onset.”
BackgroundMethodResultInfluentialKirchberger, I., Wallner, F., Linseisen, J., Zickler, P., Ertl, M., Naumann, M. K., & Meisinger, C. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.852486 · Cited by 22 · see citing works
Basheti, I. A., Ayasrah, S. M., & Ahmad, M. M. (2018) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2018.10.005 · Cited by 20 · see citing works
“…the psychological consequences of stroke, such as post-stroke anxiety and depression, can negatively affect the outcomes in patients with stroke (Rafsten et al., 2018; Shi et al., 2017), as it has been associated with decreased compliance with therapy, resumption of social activities and…”
Kang, K., & Li, S. (2022) · Medicine · doi:10.1097/md.0000000000029603 · Cited by 20 · see citing works
“[7] Meanwhile, anxiety and depression are common psychological disorders in poststroke patients, and they are 2 significant predictors of poor functional outcomes in poststroke patients.[8,9] Thus, how to help stroke patients to rehabilitate cognitive impairment and alleviate anxiety and depression need to be solved.”
BackgroundThe prevalence of anxiety in adult‐onset isolated dystonia: A systematic review and meta‐analysis
Escobar, A. M., Martino, D., & Goodarzi, Z. (2021) · European Journal of Neurology · doi:10.1111/ene.15050 · Cited by 20 · see citing works
“These estimates are comparable to those in other neurological conditions, such as stroke (24%– 33%) [25], Parkinson's disease (24%– 46%) [26] and mild cognitive impairment (16%– 26%) [27].”
ResultHuang, H., Lu, M., Zhang, P., Xiao, L., Zhang, W., Xu, Y., Zhong, J., Dong, Y., Chao, X., Fang, Y., et al. (2024) · Aging Clinical and Experimental Research · doi:10.1007/s40520-024-02892-7 · Cited by 19 · see citing works
Global prevalence of anxiety and PTSD in immigrants: a systematic review and meta-analysis
Amiri, S. (2022) · Neuropsychiatrie · doi:10.1007/s40211-022-00411-6 · Cited by 19 · see citing works
“Anxiety is associated with several risk factors, including stroke [5] and diabetes [6].”
BackgroundAw, P. Y., Pang, X. Z., Wee, C. F., Tan, N. H. W., Peck, E.-W., Teo, Y. N., Teo, Y. H., Syn, N. L. X., Chan, M. Y., Tan, B. Y., et al. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111141 · Cited by 19 · see citing works
Impact of spiritual care programs on stroke patients' death anxiety: A randomized controlled trial
Torabi, M., Yousofvand, V., Azizi, A., Kamyari, N., & Khazaei, M. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100650 · Cited by 19 · see citing works
Westerlind, E., Hörsell, D., & Persson, H. (2020) · BMC Neurology · doi:10.1186/s12883-020-01840-y · Cited by 19 · see citing works
Neuropsychiatric Complications after Stroke
Nemani, K., & Gurin, L. J. (2021) · Seminars in Neurology · doi:10.1055/s-0040-1722723 · Cited by 19 · see citing works
Circadian Rhythm Disturbance in Acute Ischemic Stroke Patients and Its Effect on Prognosis
Yu, S.-Y., Sun, Q., Chen, S., Wang, F., Chen, R., Chen, J., Liu, C., & Li, J. (2023) · Cerebrovascular Diseases · doi:10.1159/000528724 · Cited by 18 · see citing works
Zhang, X., Sha, K., Ma, X., Li, X., & Zhang, M. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15781 · Cited by 18 · see citing works
Analysis of post-stroke anxiety (PSA) factors during the COVID-19 pandemic in Indonesia
Mufidah, N., Suhron, M., & Wahyudi, R. (2021) · International journal of health & medical sciences · doi:10.21744/ijhms.v5n1.1807 · Cited by 17 · see citing works
“Patients with PSA are worried about stroke recurrence, decreased ability to work, and the risk of falling so that it can reduce their quality of life (Rafsten et al., 2018).”
BackgroundInfluencing factors of kinesiophobia among stroke patients with hemiplegia: A mixed methods study
Chen, X., Yang, X., Li, Y., Zhang, X., Zhu, Y., Du, L., Cai, J., & Xu, X. (2024) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2024.108254 · Cited by 17 · see citing works
Psychometric properties of a patient‐reported outcome set in acute stroke patients
Philipp, R., Lebherz, L., Thomalla, G., Härter, M. C., Appelbohm, H., Frese, M., & Kriston, L. (2021) · Brain and Behavior · doi:10.1002/brb3.2249 · Cited by 16 · see citing works
“As for mental disorders, systematic reviews and metaanalyses on post-stroke anxiety (PSA) and post-stroke depression (PSD) report prevalences between 29% and 31% (Ayerbe et al., 2013; Hackett & Pickles, 2014; Rafsten et al., 2018).”
BackgroundWelten, J. J. E., Cox, V. C., Kruithof, W. J., Visser‐Meily, J. M. A., Post, M. W. M., Heugten, C. M. V., & Schepers, V. P. M. (2022) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2022.2051564 · Cited by 17 · see citing works
“This is reflected in an increased prevalence of mood disorders in patients after stroke, both in the acute and chronic phase (Mitchell et al., 2017; Rafsten et al., 2018; Schöttke & Giabbiconi, 2015).”
BackgroundResultPsychological Outcome after Hemorrhagic Stroke is Related to Functional Status
Ecker, S., Lord, A. S., Gurin, L. J., Olivera, A., Ishida, K., Melmed, K. R., Torres, J., Zhang, C., Frontera, J. A., & Lewis, A. K. (2022) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2022.106492 · Cited by 17 · see citing works
Olivé‐Gadea, M., Cano, D., Rodrigo‐Gisbert, M., Muchada, M., Montiel, E., Baladas, M., Sánchez, E., Paredes, C., García‐Tornel, Á., Rubiera, M., et al. (2022) · Stroke · doi:10.1161/strokeaha.122.040409 · Cited by 17 · see citing works
MacKay-Lyons, M. J., Gubitz, G. J., Phillips, S. J., Giacomantonio, N., Firth, W., Thompson, K. J., Theriault, C., Wightman, H., Slipp, S., Marsters, D., et al. (2021) · Neurorehabilitation and neural repair · doi:10.1177/15459683211060345 · Cited by 17 · see citing works
Northcott, S., Behn, N., Monnelly, K., Moss, B., Marshall, J., Thomas, S., Simpson, A., McVicker, S. J., Flood, C., Goldsmith, K., et al. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1922520 · Cited by 16 · see citing works
Tereza, D. M., Baldasso, G., Paes, R. S., de Sá, A. R., Giehl, M. W. C., & Dutra, R. (2022) · Anais da Academia Brasileira de Ciências · doi:10.1590/0001-3765202220211492 · Cited by 10 · see citing works
“It is estimated that approximately 20% of stroke patients experience anxiety to varying degrees after the event (Campbell Burton et al. 2013, Rafsten et al. 2018).”
BackgroundJiang, L., Ding, H., Ma, Q.-S., Gao, S., Zhang, X., & Chun, B. (2025) · BMC Neurology · doi:10.1186/s12883-025-04035-5 · Cited by 16 · see citing works
Atigossou, O. L. G., Ouédraogo, F., Honado, A. S., Alagnide, E., Kpadonou, T. G., & Batcho, C. S. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2083703 · Cited by 16 · see citing works
Predictors and prognoses of new onset post-stroke anxiety at one year in black Africans
Ojagbemi, A., Akinyemi, J. O., Owolabi, M. O., Akinyemi, R., Arulogun, O., Gebregziabher, M., Akpa, O. M., Olaniyan, O. A., Salako, B. O., & Ovbiagele, B. I. (2020) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2020.105082 · Cited by 16 · see citing works
The Role of Spirituality in Stroke Survivors and Their Caregivers: A Systematic Review
Ambrosca, R., Bolgeo, T., Zeffiro, V., Alvaro, R., Vellone, E., & Pucciarelli, G. (2024) · Journal of religion and health · doi:10.1007/s10943-024-02029-0 · Cited by 17 · see citing works
“Although several authors tried to identify variables that could improve the stroke survivors’ and caregivers’ outcomes, such as anxiety (Rafsten et al., 2018), depression (Ezema et al., 2019), caregiver burden (Hu et al., 2018), QOL (Ramos-Lima et al., 2018) and physical functioning (Saunders et…”
BackgroundExploring Psychoneurological Symptom Clusters in Acute Stroke Patients: A Latent Class Analysis
Dong, X., Yang, S., Guo, Y., Lv, P., & Liu, Y. (2022) · Journal of Pain Research · doi:10.2147/jpr.s350727 · Cited by 15 · see citing works
Posa, S., Wasilewski, M. B., Mercer, S. W., Simpson, S., Robinson, L. R., & Simpson, R. (2022) · International Journal of Rehabilitation Research · doi:10.1097/mrr.0000000000000542 · Cited by 17 · see citing works
Zhang, L., Zhang, Z., Mei, Y., & Liu, Q. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14495 · Cited by 15 · see citing works
Nerdal, V., Gjestad, E., Saltvedt, I. T., Munthe‐Kaas, R., Ihle‐Hansen, H., Ryum, T., Lydersen, S., & Grambaitė, R. (2022) · BMC Neurology · doi:10.1186/s12883-022-02756-5 · Cited by 16 · see citing works
Taroza, S., Rastenytė, D., Burkauskas, J., Podlipskytė, A., & Mickuvienė, N. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.04.018 · Cited by 15 · see citing works
A qualitative study—Patient experience of tactile massage after stroke
Cronfalk, B. S., Åkesson, E., Nygren, J., Nyström, A., Strandell, A., Ruas, J. L., & von Euler, M. (2020) · Nursing Open · doi:10.1002/nop2.515 · Cited by 15 · see citing works
“Another recent review found anxiety to be present in one third of patients during the first 2 weeks after stroke (Rafsten et al., 2018).”
BackgroundGonzález, P. B., González, R. M., Mesa, A. L., González, R. L., Mancebo‐Salas, N., Camacho‐Arroyo, M. T., Muriel, A., & García-Sastre, M. (2024) · Journal of Neurology · doi:10.1007/s00415-023-12043-z · Cited by 14 · see citing works
“A low level of anxiety is described as a problem or worry, and a high level of anxiety appears as panic or fear, manifesting itself physically as stress [6].”
BackgroundResultInfluentialKarlsson, J., Hammarström, E., Fogelkvist, M., & Lundqvist, L. (2024) · PLoS ONE · doi:10.1371/journal.pone.0306754 · Cited by 14 · see citing works
“By screening for mood disorders, we can identify stroke patients at risk of PSD and PSA and offer them appropriate treatment [5, 8].”
BackgroundAromatherapy in Stroke Patients: Is it Time to Begin?
Contrada, M., Cerasa, A., Tonin, P., Bagetta, G., & Scuteri, D. (2021) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2021.749353 · Cited by 14 · see citing works
“3% of patients during the first-year post-stroke (Rafsten et al., 2018).”
BackgroundSocietal Cost of Ischemic Stroke in Romania: Results from a Retrospective County-Level Study
Strilciuc, Ș., Grad, D., Mixich, V., Stan, A., Buzoianu, A., Vladescu, C., & Vințan, M. (2021) · Brain Science · doi:10.3390/brainsci11060689 · Cited by 15 · see citing works
“Studies have shown that post-stroke patients experience a wide range of adverse outcomes, such as aphasia [2], post-stroke anxiety [3], and depression [4], among others.”
BackgroundLi, T., Ma, J., Hong, S., Luo, Y., Li, X., Li, T., & Jiang, L. (2021) · BMC Neurology · doi:10.1186/s12883-021-02112-z · Cited by 13 · see citing works
Ji, K., Bai, Z., Zhao, Y., Sang, L., Wang, D., & Chen, R. (2022) · Health and Quality of Life Outcomes · doi:10.1186/s12955-022-01925-x · Cited by 13 · see citing works
“In addition, many patients encounter anxiety, depression, and interpersonal conflicts, which negatively influence their daily existence and quality of life (QoL) [5, 6].”
BackgroundJuniper, A. R., & Connor, L. T. (2022) · Canadian Journal of Occupational Therapy · doi:10.1177/00084174221098876 · Cited by 13 · see citing works
Zhang, Q. C., Cao, X., Yang, H., Liu, X., Lou, S., Kong, L., Rong, L., Shan, J.-J., & Xu, Y. (2022) · Neural Regeneration Research · doi:10.4103/1673-5374.355759 · Cited by 13 · see citing works
“Furthermore, the incidence of post-stroke anxiety and depression is approximately 36.7% within 2 weeks after stroke (Pérez-Piñar et al., 2017; Rafsten et al., 2018).”
BackgroundInfluentialA cohort study on anxiety and perceived recovery 3 and 12 months after mild to moderate stroke
Nelsone, L., Rafsten, L., Abzhandadze, T., & Sunnerhagen, K. S. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1273864 · Cited by 12 · see citing works
“As a cutoff point, we chose ≥ 8 points for participants to have anxiety, which is consistent with other studies (9).”
BackgroundResultInfluentialSelf-citationTsai, S., Li, C., Tsai, S., Kao, S., & Pai, H. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16238 · Cited by 12 · see citing works
Jaywant, A., & Keenan, A. (2023) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2023.06.028 · Cited by 13 · see citing works
Histopathological lesions induced by stroke in the encephalon
Păun, O., Cercel, R. A., Radu, R., Raicea, V., Pîrșcoveanu, D., Honțaru, S., Zorilă, M., & Mogoantă, L. (2023) · Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · doi:10.47162/rjme.64.3.10 · Cited by 9 · see citing works
“In addition to physical disabilities, patients have various mental disorders, such as mood disorders, anxiety, depression, behavioral disorders, fatigue, etc., that sometimes compromise the recovery and rehabilitation processes [11–14].”
BackgroundMarkowska, A., & Tarnacka, B. (2024) · Biomedicines · doi:10.3390/biomedicines12071560 · Cited by 11 · see citing works
“Around one in three stroke survivors will develop clinically significant symptoms of depression [2], 30% will develop anxiety [3], and over 70% will suffer from cognitive deficits [4].”
BackgroundAssociation between depression and medication adherence in stroke survivor older adults
Srithumsuk, W., Chaleoykitti, S., Jaipong, S., Pattayakorn, P., & Podimuang, K. (2021) · Japan Journal of Nursing Science · doi:10.1111/jjns.12434 · Cited by 11 · see citing works
Clinical correlates of social cognition after an ischemic stroke: preliminary findings
de Souza, M. D. F. D., Cardoso, M. G. D. F., Vieira, É. L. M., Rocha, N. P., Ferreira-Vieira, T. H., Pessoa, A. E., Pedroso, V. S. P., Rachid, M. A., de Souza, L. C., Teixeira, A. L., et al. (2021) · Dementia & Neuropsychologia · doi:10.1590/1980-57642021dn15-020010 · Cited by 11 · see citing works
Basheti, I. A., Ayasrah, S. M., Ahmad, M. M., Abu‐Snieneh, H. M., & Abuadas, F. H. A. (2022) · Pharmacy Practice · doi:10.18549/pharmpract.2022.4.2736 · Cited by 11 · see citing works
Domain-specific neuropsychological investigation of CAA with and without intracerebral haemorrhage
Chan, E., Bonifacio, G., Harrison, C., Banerjee, G., Best, J. G., Benjamin, S., Harding, N., Mas, M. D. R. H., Jäger, H. R., Cipolotti, L., et al. (2023) · Journal of Neurology · doi:10.1007/s00415-023-11977-8 · Cited by 12 · see citing works
“These rates are similar to those found in large-scale meta-analyses of mood disorders following stroke [41, 42].”
ResultRafsten, L., Danielsson, A., & Sunnerhagen, K. S. (2020) · BMC Neurology · doi:10.1186/s12883-020-01982-z · Cited by 11 · see citing works
Self-citationPost-stroke Anxiety Among Patients in Jordan: A Multihospital Study
Ayasrah, S. M., Ahmad, M. M., Basheti, I. A., Abu‐Snieneh, H. M., & Al‐Hamdan, Z. M. (2021) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/08919887211060015 · Cited by 12 · see citing works
“Anxiety is reported to be a significant predictor of depression and clinicians should be more aware of anxiety so that further regular screening after a stroke may be considered and relevant treatments could be provided.(21) Stroke survivors who reported signs of anxiety should also be tested for depression, as receiv…”
BackgroundSubmission, H. E. (1997) · Journal of Geriatric Drug Therapy · doi:10.1300/j089v11n02_03 · Cited by 11 · see citing works
Le, H. T., Honma, K., Annaka, H., Sun, S., & Nomura, T. (2024) · Behavioral Sciences · doi:10.3390/bs14060446 · Cited by 10 · see citing works
“Regarding coping, premorbid coping styles may be risk factors for PTSD, a common sequela among stroke survivors, and are also correlated with pain or discomfort at one year after stroke [8,12,59,61–71].”
BackgroundXiang, W., Shen, Y., Li, Y., Chen, S., Cao, Q., & Xu, L. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.09.061 · Cited by 10 · see citing works
Zeng, H.-J., Zhao, W.-J., Zeng, J., Wang, R., Luo, H., Wen, C.-M., Liu, Y.-B., Li, D., & Zeng, X. (2024) · International Journal of Stroke · doi:10.1177/17474930241306916 · Cited by 11 · see citing works
Kim, S., Oh, K., Shin, D., Lim, W., Jeon, S. W., Kim, E., Cho, S. J., & Shin, Y. C. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.01.072 · Cited by 10 · see citing works
Kim, S.-H., & Lim, J.-H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031754 · Cited by 10 · see citing works
Narendrula, A., Ajani, K., Lang, J., Brinza, E. K., & Longenecker, C. T. (2023) · BMC Cardiovascular Disorders · doi:10.1186/s12872-023-03422-5 · Cited by 9 · see citing works
“Anxiety is also common following a stroke, especially in the first year [24].”
BackgroundWong, A. K. C., Kwok, V. W. Y., Wong, F. K. Y., Tong, D. W. K., Yuen, B. M. K., Fong, C. S., Chan, S. T., Li, W. C., Zhou, S., & Lee, A. Y. L. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15960 · Cited by 9 · see citing works
Zhao, B., Yao, Y., & Gao, T. (2024) · Medicine · doi:10.1097/md.0000000000040439 · Cited by 9 · see citing works
Gogoleva, A. G., & Zakharov, V. V. (2019) · Effective Pharmacotherapy · doi:10.33978/2307-3586-2019-15-34-36-44 · Cited by 9 · see citing works
Anxiety after subarachnoid hemorrhage: A systematic review and meta-analysis
Tang, W. K., Wang, L., Tsoi, K. K. F., Kim, J. M., Lee, S., & Kim, J. S. (2020) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2020.100060 · Cited by 9 · see citing works
- Authors
- Rafsten, L., Danielsson, A., & Sunnerhagen, K.
- Affiliations
- Sahlgrenska University Hospital (SE)
- University of Gothenburg (SE)
- Corresponding author
- Rafsten, L
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2018
- Volume
- 50
- Issue
- 9
- Pages
- 769-778
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2891418975
- Cited by
- 257
- References
- 58
- Citations by year
- 2026: 17 · 2025: 38 · 2024: 53 · 2023: 36 · 2022: 40 · 2021: 36 · 2020: 24 · 2019: 9 · 2018: 2 · 2017: 1
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- anxiety, stroke, post-stroke anxiety, prevalence, anxiety disorders, depression, quality of life, psychological screening
- MeSH terms
- Aged, Anxiety, Humans, Middle Aged, Quality of Life, Stroke
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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