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脑卒中后失语症患者的抑郁。

Depression in Poststroke Aphasia.

机构信息

Department of Communication Sciences and Disorders, Georgia State University, Atlanta.

Department of Psychology, Georgia State University, Atlanta.

出版信息

Am J Speech Lang Pathol. 2020 Nov 12;29(4):1798-1810. doi: 10.1044/2020_AJSLP-20-00040. Epub 2020 Jul 28.

Abstract

Purpose The aim of this tutorial is to provide speech-language pathologists with foundational knowledge of poststroke depression comorbidly occurring with aphasia. Given the negative effect of depression on functional outcomes and mortality, it is crucial that speech-language pathologists possess this knowledge in order to better advocate for and treat their patients. Method and Results Three areas of complementary expertise (speech-language pathology, psychology, and neurology) collaborated on this tutorial to address the following areas: (a) provide terminology associated with depression and related mood disorders, (b) describe the potential underlying pathophysiology of depression in the general population, (c) provide an overview of our existing understanding of comorbid poststroke depression and aphasia, and (d) summarize current assessment methods and interventions for poststroke depression in adults with aphasia. Conclusion Given the compounding impact aphasia and depression have on rehabilitation outcomes, it is imperative that speech-language pathologists understand terminology, assessment, and treatment practices for depression.

摘要

目的 本教程旨在为言语治疗师提供与失语症并发的脑卒中后抑郁的基础知识。鉴于抑郁对功能结局和死亡率的负面影响,言语治疗师掌握这些知识至关重要,以便更好地为患者提供治疗和支持。

方法和结果 三个互补的专业领域(言语病理学、心理学和神经病学)合作完成了本教程,以涵盖以下领域:(a)提供与抑郁和相关心境障碍相关的术语,(b)描述一般人群中抑郁的潜在潜在病理生理学,(c)概述我们对脑卒中后抑郁和失语症的现有理解,以及(d)总结目前针对失语症成人脑卒中后抑郁的评估方法和干预措施。

结论 鉴于失语症和抑郁对康复结果的复合影响,言语治疗师了解抑郁的术语、评估和治疗实践至关重要。

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