Assessment and Treatment of Post-Stroke Depression. Dr John McCahill MBChB,MRCPsych,FRCPC, Geriatric Psychiatrist, Alberta Hospital,Edmonton. John.McCahill@capitalhealth.ca. Goals of presentation. Describe etiology and incidence of post-stroke depression (PSD).
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Dr John McCahill MBChB,MRCPsych,FRCPC,
Chemerinski & Robinson, 2000.
Chemerinski & Robinson, 2000
Location of stroke – left cortical and subcortical lesions risk is controversial
Exact neuroanatomical mechanism unknown
Presumed disruption in amine pathways
- cognitive impairment
previous psychiatric disturbance
Are greater contributors to PSD risk
Five or more of the following present during two week period
and representing a change in function, one symptom must be
either depressed mood or loss of interest
Hospital Anxiety and Depression Scale (HADS)
Geriatric Depression Scale (GRS)
Visual Analogue Mood Scale (VAMS)
Post-stroke Depression Rating Scale (PDRS)
Stroke Aphasia Depression Questionnaire
(SADQ-H 21 or SADQ-H 10)
Aphasic Depression Rating Scale (ADRS)
Signs of Depression Scale (SODS)