Poststroke Depression In Western Progress

Background:Post-stroke depression (PSD) is considered as the most frequent and important neuropsychiatry consequence of stroke, since approximately one-third of stroke survivors experience major depression. Moreover this condition can have an adverse effect on cognitive function, functional recovery and survival. In recent years; post-stroke depression has attracted a worldwide interest.Methods and results:This article outlines the prevalence of this disorder, the debate on its etiology, and the current understanding of diagnosis and clinical management of post-stroke depression.Conclusion:the occurrence of PSD is high, and the epidemiology is complicated, Furthermore the cause of post stroke depression at a functional level is not clear. There is a variety of treatment, but no a standardized therapy. While antidepressant medication is the mainstay of treatment for PSD, psychotherapeutic interventions are important. Treatment should include patient and family education, reestablishment of sleep pattern, addressing functional difficulties, increasing community participation, improving diet and regular exercise. The efficacy of preventive strategies in PSD remains essentially undetermined.