Cited by 257Stroke Rehabilitation and RecoveryCardiac Health and Mental HealthCancer survivorship and care

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Anxiety after stroke: A systematic review and meta-analysis

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Rafsten, L, Danielsson, A, Sunnerhagen, K·2018·Journal of Rehabilitation Medicine

DOI 10.2340/16501977-2384

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Abstract

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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“…a topic that is still not fully understood, especially in post-stroke populations. immediately post stroke, patients tend to have increased anxiety 19 caused by a change to personal routine and future uncertainty, which typically dissipates with time. anxiety can moderate user experience when…”
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Management of suicidality in stroke patients with and without aphasia—a national survey among healthcare professionals in Sweden
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“It is estimated that depression affects one in three stroke survivors 4 and can persist for years without intervention 5 , while anxiety affects more than one in four stroke survivors 6,7 .”
Vision-Related Quality of Life, Anxiety and Depression in Congolese Patients with Polypoidal Choroidal Vasculopathy
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A non-immersive virtual reality serious game to assess distractor inhibition and spatial attention in post-stroke individuals
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Music Therapy in Post-Stroke Patient Anxiety Problems: Scoping Review
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Background
An observational, cross-sectional and monocentric study assessing psychological and cognitive features as main predictors of psychological well-being in stroke survivors
Curatoli, C., Marcassoli, A., Guastafierro, E., Leonardi, M., Bersano, A., Boncoraglio, G. B., Canavero, I., & Raggi, A. (2023) · International Journal of Rehabilitation Research · doi:10.1097/mrr.0000000000000605 · Cited by 1
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“Furthermore, stroke is associated with an increased risk of mental health issues, including depression and anxiety (Medeiros et al., 2020; Rafsten et al., 2018), and individuals with aphasia are particularly vulnerable to depression and social isolation (Sjöqvist Nätterlund, 2010; Zanella et al.,…”
Anxiety and depression one year after the first stroke among Lebanese survivors: proportions, changes, and predictors
Boutros, C. F., Khazaal, W., Taliani, M., Sadier, N. S., Salameh, P., & Hosseini, H. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06997-9 · Cited by 1
“Widely recognized for its validity and reliability, the HADS is among the most frequently employed tools for screening anxiety and depression post-stroke [2, 6, 43–46].”

Authors: Rafsten, L., Danielsson, A., & Sunnerhagen, K.
Affiliations: Sahlgrenska University Hospital (SE)
University of Gothenburg (SE)
Corresponding author: Rafsten, L
ORCID: Rafsten, L
Danielsson, A
Sunnerhagen, K
Venue: Journal of Rehabilitation Medicine
Publisher: MJS Publishing, Medical Journals Sweden AB
Published: 2018
Volume: 50
Issue: 9
Pages: 769-778
ISSN: 1650-1977 (ISSN-L)
DOI: 10.2340/16501977-2384
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
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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Anxiety after stroke: A systematic review and meta-analysis

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