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:4/29/2016)... ... April 29, 2016 , ... The Gluten-Free Certification Program ... to announce the launch of the GFCP Scoop in response to ... purpose of the GFCP Scoop site is to keep the gluten-free ...
(Date:4/29/2016)... ... April 29, 2016 , ... Dr. Robert Mondavi, one of the ... Cosmetic dentistry is a fast-growing field as more patients are discovering the many different ... more about the options currently available to them and which ones might work for ...
(Date:4/29/2016)... , ... April 29, 2016 , ... Reltok Nasal Products ... products for the head and neck/ear, nose and throat specialty, has added the KOTLER ... The KOTLER NASAL AIRWAY™ is a newly patented safety device secured by nasal ...
(Date:4/29/2016)... ... April 29, 2016 , ... Jvion, ... round of funding led by Eastside Partners, with participation from existing investor Martin ... customer base and accelerate its technology and product roadmap. , “Jvion ...
(Date:4/29/2016)... ... 2016 , ... Regenerative Medicine Solutions (RMS) scored 94.8124 out of ... them second place for Tampa’s Best Places to Work. They were ranked in the ... great accomplishment for our team,” says RMS Human Resources Manager Irene Miller. “We work ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... , April 28, 2016   Click here ... Pharmacy, Inc. (NYSE: DPLO), the nation,s largest independent ... a definitive agreement to acquire Valley Campus Pharmacy, ... ("TNH"), a leading specialty pharmacy that provides individualized ... California . In 2015, TNH generated approximately ...
(Date:4/28/2016)... April 28, 2016  The blood testing market in ... according to Kalorama Information and The Freedonia Group in ... nucleic acid testing.  The healthcare research firm said that ... developing blood collection stations and in improving testing at ... Information,s report, Blood Testing Market in China ...
(Date:4/28/2016)... 28, 2016   Acsis , a leading provider ... IT market research and advisory firm IDC has named ... MarketScape: Worldwide Pharmaceutical Track and Trace Software 2016 Vendor ... an assessment of the capabilities and business strategies of ... market. Logo - http://photos.prnewswire.com/prnh/20160427/360791LOGO ...
Breaking Medicine Technology: