Eastwood M R, Rifat S L, Nobbs H, Ruderman J
Department of Psychiatry, University of Toronto, Ontario, Canada.
Br J Psychiatry. 1989 Feb;154:195-200. doi: 10.1192/bjp.154.2.195.
Depression appears to be common after stroke, and therefore may have a bearing upon rehabilitation. To examine whether the depression is due to a specific brain lesion, or is reactive to the consequent disability, this study looked at the frequency and associations of depressed mood in a stroke rehabilitation unit in-patient population, unselected for site of lesion. Depression affected 50% of the patients; history of previous psychiatric disorder and cerebrovascular accident appeared to be important risk factors. There were hemispheric differences in the relationships between measures, with both the site-of-lesion and reactive viewpoints being upheld.
抑郁症在中风后似乎很常见,因此可能会影响康复。为了研究抑郁症是由于特定的脑损伤,还是对随之而来的残疾产生的反应,本研究观察了一家中风康复病房住院患者群体中抑郁情绪的发生频率及相关因素,这些患者未按损伤部位进行筛选。50%的患者受到抑郁症影响;既往精神疾病史和脑血管意外似乎是重要的危险因素。在各项测量指标之间的关系上存在半球差异,损伤部位和反应性两种观点均成立。