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Pract Neurol. 2021 Oct;21(5):384-391. doi: 10.1136/practneurol-2020-002622. Epub 2021 May 14.

Depression after stroke.

Practical neurology

João Facucho-Oliveira, Daniel Esteves-Sousa, Pedro Espada-Santos, Nuno Moura, Margarida Albuquerque, Ana Margarida Fraga, Sandra Sousa, Pedro Cintra, Luis Mendonça, Fernando Pita

Affiliations

  1. Department of Mental Health and Psychiatry, Lusiadas Health Group, Lisboa, Portugal [email protected].
  2. Department of Mental Health and Psychiatry, Lusiadas Health Group, Lisboa, Portugal.
  3. Department of Mental Health and Psychiatry, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal.
  4. Department of Neurology, Lusiadas Health Group, Lisboa, Portugal.

PMID: 33990426 DOI: 10.1136/practneurol-2020-002622

Abstract

Stroke treatment has dramatically improved in recent decades. However, although new treatments have reduced its mortality and the severity of its physical and cognitive sequelae, many people still have incapacitating disabilities following a stroke. Depression is the most common psychiatric disorder following stroke; it is important to recognise and treat as it limits motor and cognitive rehabilitation. Antidepressant medication is an effective treatment and can improve adherence to clinically recommended physical and cognitive tasks, thereby enhancing functional remodelling of neuronal pathways and improving rehabilitation outcomes.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: depression; rehabilitation; stroke

Conflict of interest statement

Competing interests: None declared.

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