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The Japanese journal of neuropsychology
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Full Text of this Article
in Japanese PDF (442K)
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ArticleTitle
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Post-stroke depression and apathy |
Language |
J |
AuthorList |
Mahito Kimura |
Affiliation |
Department of Mental Health, Nippon Medical School Chiba Hokusoh Hospital |
Publication |
Japanese Journal of Neuropsychology: 27 (3), 205-212, 2011 |
Received |
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Accepted |
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Abstract |
Post-stroke depression (PSD) is probably the most common emotional disorder associated with stroke. The mean prevalence rate for major depression was 20% and for minor depression was 20% by DSM criteria. PSD is associated with impaired recovery in activity of daily living, impaired recovery in cognitive function, and increased mortality. However, patients with PSD have frequently not been treated because their existence is not recognized. It is extremely important that appropriate diagnosis and treatment for PSD may significantly improve not only physical and cognitive impairment but also long-term survival. Post-stroke apathy is highly prevalent as well as PSD. Patients with non-depressed apathy may be treatable with dopaminergic or cholinergic medications, and they need activity behavioral therapy. In the future, it is very important for post-stroke patients to manage by the multidisciplinary medical team and to establish a community network providing care and support. |
Keywords |
cerebrovascular disorders, post-stroke depression, apathy, therapy |
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