AHA News: Post-Stroke Depression Common Among Black, Hispanic Survivors



Often, it's the long-term physical complications that get the most attention, problems ranging from temporary weakness or permanent paralysis to difficulty swallowing, talking or thinking.

There are frequently psychological obstacles, too, according to new research that found about one-third of black and Hispanic stroke survivors experience depression, with those born outside the United States particularly at risk.

"There is a gap in the understanding of post-stroke depression, specifically in black and Hispanic stroke survivors," said the study's lead researcher, Adebayo Ogunlade, of the Center for Healthful Behavior Change at NYU School of Medicine. "These groups have been under-represented in stroke survivor studies."

The findings will be reported this week at the American Stroke Association's International Stroke Conference in Honolulu. The study included interviews with 445 black and Hispanic stroke survivors with uncontrolled high blood pressure taking part in an ongoing clinical trial at stroke centers in New York City.

Post-stroke depression was reported by 32 percent of survivors, which is consistent with previous research among stroke survivors overall. Depressed survivors were more likely to have cognitive and physical disabilities, be women, be on disability, have an annual income below $25,000, or have at least three other health problems.

The study is the first to suggest that depression is more common among foreign-born than U.S.-born stroke survivors. The possible reasons, Ogunlade said, are they may "suffer from more social isolation, the absence of supportive caregivers and inability to navigate the (medical) system."

"Depression is common after stroke for a multitude of reasons which are still incompletely understood," said neurologist Dr. Amytis Towfighi, who was not involved in the study. This may be because stroke can have "broad-ranging effects on an individual's life, relationships, roles and independence and there are likely biological factors at play, with changes in the neurotransmitters and pathways in the brain," said Towfighi, chief of neurology at the Los Angeles County Department of Health Services, which is affiliated with the University of Southern California's Keck School of Medicine.

Previous studies have found that stroke survivors who experience depression are less likely to have a full recovery, have a poorer quality of life and have a higher risk of dying than stroke survivors who don't experience depression.

For the new study, the researchers were not able to look at whether participants were depressed or taking an antidepressant prior to their stroke. Noting this limitation, Ogunlade said his team is now reviewing participants' medical records to find out.

But for now, he said the findings underscore why "doctors should screen all stroke patients for depression."

Towfighi agreed screening is important. But she emphasized it is only beneficial if there is a process in place to manage patients who are depressed by providing them with the proper treatment, follow-up and referrals.

"(More) research is needed to further understand the key driving forces behind post-stroke depression," she said, "and determine optimal methods for identifying and managing depression in vulnerable populations."


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Post - stroke depression common



Explore further, american Heart Association News covers heart and brain health. Jorge RE, Robinson RG, Arndt S, Starkstein. Each year in the United States, there are an estimated 700,000 strokes and 163,000 stroke-related deaths.1 Among the many complications that can result from stroke, depression is one of the most commonly reported. "There is a gap in the understanding of post-stroke rethinking Blood Pressure Readings depression, specifically in black and Hispanic stroke survivors said the study's lead researcher, Adebayo Ogunlade, of the Center for Healthful Behavior Change at NYU School of Medicine. Various studies and meta-analyses indicate that depression occurs in roughly one-third of those who survive a stroke, compared with 5 to 13 of adults without a history of stroke.2 In the. By american heart association news anaheim, California Chemicals used to make some popular e-cigarette surgery Restores Movement to Kids With Polio-Like Illness liquid flavorings including cinnamon, clove, citrus and floral may cause changes or damage to heart muscle cells, new research indicates. Treatment for...

Diagnostic and Statistical Manual of Mental Disorders, 5th edition, mood disorders that occur following stroke include depressive features, major depressive-like episode, and mixed-mood features. According to researchers, patients were also offered sleep apnea screening with a portable respiratory monitor and were screened about 13 days after a stroke. Poststroke depression: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. If you have questions or comments about this story, please email.