Navigation Links
Depressed Stroke Survivors May Face Higher Early Death Risk
Date:1/14/2013

By Amy Norton
HealthDay Reporter

FRIDAY, Jan. 11 (HealthDay News) -- People who develop depression after surviving a stroke may die sooner than those without the mental health disorder, a new study suggests.

Researchers found that of more than 10,000 Americans followed for two decades, those who developed depression after suffering a stroke were about three times more likely to die of any cause during the study period, versus people without either condition.

Stroke survivors without depression also faced a heightened death risk, but it was less pronounced: They were 80 percent more likely to die during the study period than people with no history of stroke or depression, the investigators found.

The findings are being released by the American Academy of Neurology, ahead of its annual meeting in San Diego in March. A similar link has been seen for heart attack survivors with depression, the study authors noted in an academy news release.

The reasons for the findings are not completely clear. The researchers were able to account for some factors, such as age, race and income. But they didn't have information on the severity of people's strokes, and whether they suffered any disabilities afterward, said lead researcher Dr. Amytis Towfighi, chair of neurology at the Rancho Los Amigos National Rehabilitation Center in Downey, Calif.

That's important because more severe strokes may leave people more vulnerable to depression.

It's also possible, though, that depression could have some direct effect on long-term survival after a stroke, according to Towfighi.

"There are both behavioral and physiological reasons postulated," she said.

On the behavior side, depression might hinder people from taking their medications properly, eating right or getting exercise. On the biological side, some researchers suspect that depression affects the functioning of blood cells involved in clot formation; blood clots are the cause of most strokes, and can also lead to heart attacks.

The study is a "worthy addition" to the research on stroke and depression, said Dr. Robert Robinson, a professor of psychiatry at the University of Iowa in Iowa City whose own work has found a link between post-stroke depression and mortality.

Depression is believed to be common after stroke -- affecting up to one-third of stroke sufferers. And there are probably multiple reasons, Robinson said.

Brain damage from the stroke may leave people vulnerable to depression. And research suggests that depression risk is linked to the severity of a person's post-stroke disabilities -- particularly problems with routine daily tasks, Robinson said.

He added, though, that studies suggest that depression can worsen those impairments; so it's not necessarily clear which comes first.

The current findings are based on 10,550 Americans aged 25 to 74 who enrolled in a national health study in the early 1970s. They reported on their history of stroke and were screened for depression; 48 people with a history of stroke had depression symptoms, while another 73 had survived a stroke but were not depressed.

Compared with people with neither condition, stroke sufferers had a higher death rate over two decades -- not surprisingly. But those with depression were at relatively greater risk.

Despite the high rate of post-stroke depression, there is no routine screening for the disorder.

"Most patients are not screened for depression and are missed by their doctors," Robinson said.

Towfighi suggested that stroke survivors and their loved ones be aware of potential depression symptoms, and talk with their doctor if they are concerned. She said those symptoms can include feeling down or hopeless, sleep problems, poor appetite or overeating, and having little interest in doing the things you once enjoyed.

Experts note that studies presented at meetings are generally considered preliminary until they are published in a peer-reviewed journal.

More information

Learn more about post-stroke depression from the U.S. National Institute of Mental Health.

SOURCES: Amytis Towfighi, M.D., chair, neurology, Rancho Los Amigos National Rehabilitation Center, Downey, Calif.; Robert Robinson, M.D., professor, psychiatry, University of Iowa Carver College of Medicine, Iowa City; American Academy of Neurology, news release, Jan. 11, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Behavior problems, not depression, linked to lower grades for depressed youths
2. Depressed Teens Who Respond to Treatment Less Likely to Abuse Drugs
3. Depressed Moms May Hinder Babies Sleep
4. Depressed moms behavior may play role in infants sleep problems
5. Artist Brushstrokes Launches Exclusive Beauty Strokes H.I.S Shaving Brushes on Amazon.com
6. Hospital of the University of Pennsylvania receives Comprehensive Stroke Center Certification
7. US Drug Watchdog Is Expanding Their Yaz-Yasmin Birth Control Pill Initiative and They Urge Victims to Contact the Johnson Law Group if They Had a Heart Attack or Stroke
8. Better stroke care, everywhere: NIH-funded study boosts local hospitals clotbuster use
9. Stroke drug kills bacteria that cause ulcers and tuberculosis
10. UGA research offers new targets for stroke treatments
11. US Drug Watchdog Now Urges Yaz Yasmin Birth Control Pill Users Who Suffered a Stroke, Blood Clots, or a Heart Attack to Call the Johnson Law Group for a Legal Review
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Depressed Stroke Survivors May Face Higher Early Death Risk
(Date:3/28/2017)... ... 2017 , ... In its ongoing effort to educate consumers ... and published an informational resource that addresses frequently asked questions. , “ ... site’s team of third party administrator (TPA) contributors regularly receives as employers, benefit ...
(Date:3/28/2017)... ... March 28, 2017 , ... Columbus OH. Dr. Justin ... one of few medical professionals in the country to sit on the 2017 National ... Aesthetics, in just 2 years Dr. Harper helped propel the clinic from a small ...
(Date:3/28/2017)... ... March 28, 2017 , ... ... offered by the American Association of Integrative Medicine and available for application on ... at the AutismOne 2017 Conference in Colorado Springs. , Ed Arranga, president of ...
(Date:3/28/2017)... ... March 28, 2017 , ... Public relations pros work ... a variety of business channels. , While many results are clear, much of PR ... program. , When it comes to measurement, firms should always take an all-inclusive ...
(Date:3/28/2017)... ... ... With expansion and efficiency in mind, Patten Seed Company completed relocation of its ... in Marshallville in 2006, and a bagging and shipping facility has been in place ... Seed operations to the Middle Georgia location from their previous home in Lakeland, Georgia. ...
Breaking Medicine News(10 mins):
(Date:3/28/2017)... , March 28, 2017 The ... to reach a value of USD 4.5 billion by ... Research, Inc. Proper closure of injured tissues post operation ... function. Postoperative leakages occur in 3% to 15% of ... are responsible for one third of postoperative deaths in ...
(Date:3/28/2017)... England , March 28, 2017 ... collaborative research with Cambridge ... Therapeutics Consortium   The Milner Therapeutics Institute today ... Consortium. Elysium Health has committed significant investment for collaborative projects ... the next four years. This is the first major research ...
(Date:3/27/2017)... March 27, 2017 Summary ... understand Eli Lilly and its partnering interests and activities since ... report provides an in-depth insight into the partnering activity of ... On demand company reports are prepared upon purchase to ensure ... data. The report will be delivered in PDF ...
Breaking Medicine Technology: