Journal

The Japanese journal of neuropsychology

[Vol.27 No.3 contents]
Japanese/English

Full Text of this Article
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ArticleTitle 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
Accepted
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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