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:5/24/2017)... ... May 24, 2017 , ... Dr. Manju R. Kejriwal, ... ClearCorrect orthodontics, with or without a referral. Dr. Kejriwal understands the emotional and ... convenient, clear braces in Cincinnati, OH. Patients no longer need to feel the esthetic ...
(Date:5/24/2017)... ... May 24, 2017 , ... Dr. Curry Leavitt, a ... (High-Performance Periodontal Practice) continuing education (CE) series. As a compassionate and dedicated clinician, ... by attending numerous CE courses each year. His recent course, Course II of ...
(Date:5/24/2017)... ... May 24, 2017 , ... If you are thinking of a visit to ... business architecture, October is the perfect time to visit. , Business Architecture Associates is pleased ... carte offering for individuals, as a 4-½ day package for individuals, and as 4-½ day ...
(Date:5/24/2017)... ... May 24, 2017 , ... Fiberstar, Inc., http://www.FiberstarIngredients.com ... food and beverage industry offers Citri-Fi®, a natural citrus fiber, to improve beverage ... process. As a result, labels need to deliver simple, transparent and clear messaging. ...
(Date:5/23/2017)... ... May 23, 2017 , ... Axiad IDS , a leading provider ... magazine has named the company a “Top 25 Cybersecurity Companies 2017.” Axiad ... help organizations simply and proactively address potential cybersecurity threats before they happen. The ...
Breaking Medicine News(10 mins):
(Date:5/9/2017)... , May 9, 2017  Demonstrating its ... board of directors for the Pharmaceutical Research and ... for membership. Biopharmaceutical companies will now have to ... order to be eligible to join PhRMA. ... the board is sending a clear message that ...
(Date:5/9/2017)...  Semler Scientific, Inc. (OTCQB: SMLR), an emerging ... the clinical effectiveness and efficiency of healthcare providers, ... ended March 31, 2017. "We ... identify when preventive care options are appropriate, which ... attacks or strokes occur," said Doug Murphy-Chutorian ...
(Date:5/8/2017)... , May 8, 2017  Diplomat Pharmacy, Inc. (NYSE: ... Inc. ("WRB"), a health care service center company ... WRB specializes in relationship management programs for leading ... WRB will join Envoy ... support services for manufacturers, biotech firms, and other service ...
Breaking Medicine Technology: