title: Post-stroke depression and post-stroke anxiety: prevalence and predictors.
abstract: BACKGROUND
  Epidemiological research on post-stroke affective disorders has been mainly focusing on post-stroke depression (PSD). In contrast, research on post-stroke anxiety (PSA) is in its early stages. The present study proposes a broad picture on post-stroke affective disorders, including PSD and PSA in German stroke in-patients during rehabilitation. In addition, we investigated whether lifetime affective disorders predict the emergence of PSD and PSA.
  
  
  METHODS
  289 stroke patients were assessed in the early weeks following stroke for a range of mood and anxiety disorders by means of the Structured Clinical Interview relying on the Diagnostic and Statistical Manual of Mental Disorders IV. This assessment was conducted for two periods: for post-stroke and retroactively for the period preceding stroke (lifetime). The covariation between PSD and PSA was investigated using Spearman-ρ correlation. Predictors of PSD and PSA prevalence based on the respective lifetime prevalence were investigated using logistic regression analyses.
  
  
  RESULTS
  PSD prevalence was 31.1%, PSA prevalence was 20.4%. We also found significant correlations between depression and anxiety at post-stroke and for the lifetime period. Interestingly, lifetime depression could not predict the emergence of PSD. In contrast, lifetime anxiety was a good predictor of PSA.
  
  
  CONCLUSIONS
  We were able to highlight the complexity of post-stroke affective disorders by strengthening the comorbidity of depression and anxiety. In addition, we contrasted the predictability of PSA based on its lifetime history compared to PSD which was not predictable based on lifetime depression.
authors.affiliation: Institute of Psychology,Osnabrück University,Knollstr. 15,49069 Osnabrück,Germany.
authors.forename: Henning
authors.initials: H
authors.lastname: Schöttke
authors.affiliation: Institute of Psychology,Osnabrück University,Knollstr. 15,49069 Osnabrück,Germany.
authors.forename: Claire-Marie
authors.initials: CM
authors.lastname: Giabbiconi
mesh_terms: D000368:Aged; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology*; D003863:Depression / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D020521:Stroke / Q000150:complications* / Q000523:psychology
keywords: comorbidity; lifetime prevalence; post-stroke anxiety; post-stroke depression; post-stroke prevalence; stroke