Lacunar Infarcts, depression, and anxiety symptoms one year after stroke

Arba, F., Ali, M. , Quinn, T. J. , Hankey, G. J., Lees, K. R. and Inzitari, D. (2016) Lacunar Infarcts, depression, and anxiety symptoms one year after stroke. Journal of Stroke and Cerebrovascular Diseases, 25(4), pp. 831-834. (doi:10.1016/j.jstrokecerebrovasdis.2015.12.018) (PMID:26778600)

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Abstract

Background: Mood disorders are frequent after stroke and are associated with poorer quality of life. Previous studies have reported conflicting results as to stroke subtype in the incidence of poststroke mood disorders. We explored the relationship between subcortical ischemic stroke subtype (lacunar) and presence of such symptoms at 1 year after stroke. Methods: Anonymized data were accessed from the Virtual International Stroke Trials Archive. Stroke subtypes were classified according to the Trial of Org 10172 in Acute Stroke Treatment classification. Depression and anxiety symptoms were assessed using Hospital Anxiety and Depression Scale. We investigated independent predictors of depression and anxiety symptoms using a logistic regression model. Results: Data were available for 2160 patients. Almost one fifth of the patients developed both anxiety and depression at 1-year follow-up. After adjusting for confounders, the lacunar subtype was least associated with both anxiety (odds ratio [OR] = .61; 95% confidence interval [CI] = .46-.80) and depression symptoms (OR = .71; CI = .55-.93) versus other stroke subtypes. Conclusions: Lacunar strokes have a weaker association with presence of anxiety and depression symptoms compared with other subtypes.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Lees, Professor Kennedy and Ali, Dr Myzoon and Arba, Dr Francesco and Quinn, Dr Terry
Authors: Arba, F., Ali, M., Quinn, T. J., Hankey, G. J., Lees, K. R., and Inzitari, D.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:Journal of Stroke and Cerebrovascular Diseases
Journal Abbr.:J Stroke Cerebrovasc Dis
Publisher:Elsevier
ISSN:1052-3057
Published Online:14 January 2016
Copyright Holders:Copyright © 2016 Elsevier
First Published:First published in Journal of Stroke and Cerebrovascular Diseases 25(4):831-834
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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