Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Campbell Family Mental Health Research Centre, Centre for Addiction and Mental Health; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Stroke Vasc Neurol. 2024 Jun 21;9(3):189-193. doi: 10.1136/svn-2022-002146.
Stroke is a common neurological condition and among the leading causes of death and disability worldwide. Depression is both a risk factor for and complication of stroke, and the two conditions may have a complex reciprocal relationship over time. However, the secondary effects of depression on stroke are often overlooked, resulting in increased morbidity and mortality. In the previous concept of 'poststroke depression', stroke and depression were considered as two independent diseases. It often delays the diagnosis and treatment of patients. The concept 'stroke depression' proposed in this article will emphasise more the necessity of aggressive treatment of depression in the overall management of stroke, thus to reduce the incidence of stroke and in the meantime, improve the prognosis of stroke. Hopefully, it will lead us into a new era of acute stroke intervention.
中风是一种常见的神经系统疾病，也是全球范围内导致死亡和残疾的主要原因之一。抑郁症既是中风的一个风险因素，也是中风的一个并发症，这两种情况随着时间的推移可能会存在复杂的相互关系。然而，抑郁症对中风的继发影响往往被忽视，导致发病率和死亡率增加。在之前的“中风后抑郁症”概念中，中风和抑郁症被认为是两种独立的疾病。这往往会延迟患者的诊断和治疗。本文提出的“中风抑郁症”的概念将更加强调在中风的整体管理中积极治疗抑郁症的必要性，从而降低中风的发生率，并同时改善中风的预后。希望这将引领我们进入急性中风干预的新时代。
