Alzheimer's, Dementia & Mental Health
About One-Third of Stroke Survivors Suffer Depression, Mostly Men
Reducing health ambiguity with proactive communication may be effective for reducing survivor distress: small study
2012 About 33% of stroke survivors struggle with depression and men are considerably more likely to suffer depression than are women,
according to a small study reported in the Archives of Physical Medicine and Rehabilitation. The survivors uncertainty about the
illness causes the depression.
"Male stroke survivors in the US who subscribe to traditional health-related beliefs may be accustomed to, and value
highly, being in control of their health," says lead investigator Michael J. McCarthy, PhD, of the University of Cincinnati College of Health
Sciences School of Social Work.
Depression in Middle Age or Later Linked to Increased
Risk of Dementia
Chronic depression during the life course may be etiologically associated with an increased risk of dementia, particularly vascular
dementia - May 8, 2012
Positive Attitude Appears to Offer Protection from Heart Attacks, Strokes
Greater well-being related to better biological function - lower blood pressure, healthier lipid (blood fat) profiles,
normal body weight
April 17, 2012
Brain Stimulation Improves Speech, Memory, Number Skill of
Elderly and Stroke Victims
tDCS can speed up word finding in healthy older people and stroke patients; helping to identify which parts of the brain
should be stimulated - see video on tDCS in story - April, 2, 2012
Read the latest news on
Alzheimer's, Dementia & Mental Health
"For these individuals, loss of control due to infirmity caused by stroke could be perceived as a loss of power and
prestige. These losses, in turn, may result in more distress and greater depressive syndromes."
Thirty-six survivors (16 female, 20 male) who had experienced their first stroke within the preceding 36 months
participated in the study. Survivors' depressive symptoms and ability to perform activities of daily living, such as bathing and cutting food
with a knife and fork, were measured.
The degree to which survivors were experiencing health ambiguity, or uncertainty about the outcomes of their illness, was
evaluated by their agreement with statements such as "I don't know what's wrong with me," and "I have a lot of questions without answers."
Investigators found health ambiguity was significantly associated with greater depression for both sexes, and the
association was stronger for male survivors than for females.
"These findings suggest that reducing health ambiguity through proactive communication with patients and family members
may be an effective approach for reducing survivor distress and, ultimately, for improving rehabilitation outcomes, Dr. McCarthy says.
"The also reinforce the importance of rehabilitation professionals acknowledging that health-related beliefs can have a
tangible impact on patient outcomes."
Dr. McCarthy notes that there was a wide variability in time since diagnosis in the study, and patients were likely at
different points in recovery with respect to health ambiguity and depressive syndromes.
The small sample size and lack of sample diversity may limit the generalizability of the findings to the broader stroke
"Future research, with more socioeconomically diverse samples, should examine how gender-based health-related beliefs
affect survivor outcomes, and explore the factors that protect female stroke survivors from the harmful effects of health ambiguity," he
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