Rajeev Kumar, M.D., D.P.M., Formerly of Department of Psychiatry, Christian Medical College, Vellore.
Indian J Psychiatry. 1996 Jul;38(3):172-7.
32 right handed patients who had developed stroke within six months prior to the study and were free from aphasia and impaired level of consciousness were subjected to detailed neurological and psychiatric evaluation. 30 of them also had CT scan of brain. 9 among the 32 patients (28.I %) had major depression as per DSM III R criteria and 5 among them (15.6%) fulfilled the criteria for major depression with melancholia. Occurrence of depression was not related to the age or sex of the patient or duration or type of stroke. Radiological evidence for stroke was present in 25 out of the 30 who had CT Scan. Though there was no correlation between presence of depression and the involvement of a particular hemisphere, MDD was more prevalent in those who had left frontal and right or left subcortical lesions.
32 名右手习惯的患者在研究前 6 个月内发生中风，且无失语症和意识障碍，对其进行了详细的神经和精神评估。其中 30 人还进行了脑部 CT 扫描。32 名患者中有 9 名（28.1%）符合 DSM-III-R 标准的重度抑郁症，其中 5 名（15.6%）符合重度抑郁症伴忧郁症的标准。抑郁的发生与患者的年龄、性别、中风持续时间或类型无关。在进行 CT 扫描的 30 名患者中，有 25 名患者的影像学证据显示存在中风。尽管抑郁的发生与特定半球的受累之间没有相关性，但 MDD 在那些有左侧额叶和右侧或左侧皮质下病变的患者中更为常见。
