Navigation Links
Depression after stroke: A neglected problem
Date:7/9/2008

This release is available in German.

People who have had a stroke and the people who are close to them need more support in order to manage the consequences of stroke. As well as the physical disabilities, the psychological burden is difficult to cope with. It is not only stroke patients who become depressed: their friends and relatives often become depressed too. The German Institute for Quality and Efficiency in Health Care (IQWiG) has now assessed research on treatments for depression after a stroke. They found that using antidepressants after a stroke does not have the effect it is expected to have. Because of their adverse effects and interactions with other drugs, antidepressants should only be used with caution.

The success of treatment depends on motivation and good support

It is often difficult, even for doctors, to know whether people are feeling down after having a stroke or whether they have slid into a depression which needs treatment. Appropriate treatment is not only important for the person's mental health; being depressed can delay their physical recovery too. There is not enough awareness about this problem. The Institute has therefore published information about this for patients, their friends and relatives today on www.InformedHealthOnline.org.

"The success of stroke rehabilitation also depends on patients playing an active role in their own treatment," says the Institute's Director, Professor Peter Sawicki. "Rehabilitation is demanding, requiring a lot of patience and motivation. If people become depressed, it is very difficult for them to have the necessary motivation."

For treatment to be successful in the long term, it is important that doctors, nurses, occupational therapists, physiotherapists, patients, their relatives and friends work closely together. Occupational therapy and physiotherapy can help people restore their physical abilities and regain more independence. Research has shown that intensive support like this can also help with depression.

Antidepressants are not as effective as hoped and increase the risk of drug-drug interactions

Scientific studies have suggested that antidepressants may generally be less effective in the treatment of depression after a stroke. Because these drugs can have adverse effects and may influence the effect of other drugs, researchers urge caution in the use of antidepressants.

Professor Sawicki: "Psychotropic drugs can have adverse effects and cause drug-drug interactions, particularly in older people, because they often take several drugs at the same time. Many questions remain unanswered. For example, not enough is known about how much antidepressants influence the risk of falls and seizures." People who have certain stroke-related disabilities, such as difficulty speaking or understanding, were not included in many trials.

Information for patients, their relatives and friends

Reliable information can be a great help to patients and those people close to them. Professor Sawicki: "The problem of depression after strokes has been neglected. Unfortunately there is not much readily available information on this problem in Germany and elsewhere. Relatives and friends who look after stroke patients need more support." With the information on coping psychologically after a stroke published today on www.InformedHealthOnline.org, the Institute is helping to fill this gap. The website also provides information on occupational therapy, physiotherapy and how people can support their friends and family members who are depressed. If you would like to be kept up-to-date with the latest articles published on this independent health information website, you can subscribe to the Informed Health Online at www.informedhealthonline.org


'/>"/>

Contact: Hilda Bastian
hilda.bastian@iqwig.de
Institute for Quality and Efficiency in Health Care
Source:Eurekalert

Related medicine news :

1. Clinical depression linked to abnormal emotional brain circuits
2. Depression Taking Toll on Returning U.S. Vets
3. Damp, Moldy Homes May Cause Depression
4. Treating depression may improve recovery of heart rate variability following coronary syndromes
5. Study finds primary care depression treatment often does not follow quality guidelines
6. Hot ice, measuring depression, perfect invisibility and flu vaccine incentives
7. Depression May Be Worlds Most Disabling Disease
8. Depression Pushes Middle-Aged Workers to Retire
9. Maternal depression and controlling behavior associated with increased stress response in infants
10. Brain atrophy in elderly leads to unintended racism, depression and problem gambling
11. Lauren Marangell, M.D. to Join Lilly; Internationally Recognized Expert in Depression Joins as Distinguished Lilly Scholar
Post Your Comments:
*Name:
*Comment:
*Email:
(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 , ... Myers Jackson is well known for ... to sell luxury homes anywhere on the planet. The luxury home market is alive ... to Houston city-scapes. A quick search of “11 Spyglass Hill Auction will enlighten you ...
(Date:5/24/2017)... ... May 24, 2017 , ... Medic CE , ... Surprising Truth about Pediatric Septic Shock” hosted by the Journal of Emergency Medical Services ... p.m. Eastern time, will be presented by Captain Rommie Duckworth, LP, a career fire ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... pediatric dentistry options for its patients on Long Island, New York. , ... well being, and is one of the biggest trends in dentistry today. ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... ingredient solutions for the food and beverage industry offers Citri-Fi®, a natural citrus ... during the purchasing decision process. As a result, labels need to deliver simple, ...
Breaking Medicine News(10 mins):
(Date:5/9/2017)... 2017  Semler Scientific, Inc. (OTCQB: SMLR), an ... improve the clinical effectiveness and efficiency of healthcare ... quarter ended March 31, 2017. ... to identify when preventive care options are appropriate, ... heart attacks or strokes occur," said Doug ...
(Date:5/6/2017)... SKANEATELES FALLS, N.Y. , May 5, 2017 /PRNewswire/ ... expansion that will add approximately 100,000 square feet to ... announced in September 2016 its commitment to bring more ... York , where Welch Allyn has maintained a ... facility will help accommodate these new positions, a large ...
(Date:5/4/2017)... Israel , May 4, 2017  DarioHealth Corp. ... mobile health and big data solutions, today announced that ... A&D Company, and STI Technologies Limited to lower diabetes ... immediately. Through STI,s innoviCares card, which is available throughout ... , DarioHealth customers will be eligible for additional savings ...
Breaking Medicine Technology: