title: [Post-stroke depression, another handicap].
abstract: BACKGROUND
  Post-stroke depression is a severe complication affecting 30-50% of patients during the first year. Experienced medical and paramedical staff in stroke units, using validated scales, can now identify initial signs of depression in the first days after stroke onset.
  
  
  METHODS
  This review of the literature is based on a Medline search for the terms stroke, depression, and epidemiology. It discusses problems of pathophysiology, diagnosis, prognosis, and therapeutics.
  
  
  RESULTS
  Depression is an emergency in stroke patients because it impedes rehabilitation and family and social insertion. Early diagnosis is difficult, but possible with clinical somatic and cognitive symptoms. Post-stroke depression may also be a marker of pending cognitive decline. Management requires both antidepressants and psychotherapy.
  
  
  CONCLUSIONS
  There is a pressing need for further research to improve clinical practice in this area of stroke care.
authors.affiliation: Service de Psychiatrie, CHU, Dijon.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Pinoit
authors.forename: Yannick
authors.initials: Y
authors.lastname: Bejot
authors.forename: Olivier
authors.initials: O
authors.lastname: Rouaud
authors.forename: Isabelle
authors.initials: I
authors.lastname: Benatru
authors.forename: Guy-Victor
authors.initials: GV
authors.lastname: Osseby
authors.forename: Bernard
authors.initials: B
authors.lastname: Bonin
authors.forename: André
authors.initials: A
authors.lastname: Gisselmann
authors.forename: Maurice
authors.initials: M
authors.lastname: Giroud
mesh_terms: D000203:Activities of Daily Living; D000928:Antidepressive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003072:Cognition Disorders / Q000209:etiology; D003625:Data Collection; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D007406:Interview, Psychological; D015995:Prevalence; D011379:Prognosis; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D012008:Recurrence; D012307:Risk Factors; D020521:Stroke / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors
chemical_list: D000928:Antidepressive Agents