Neurobehavioral researchers have long decried the neglect of the neuropsychiatric consequences of stroke in favor of the classical emphasis on motor and speech deficits.
1In the last three decades, the situation has steadily changed, with increasing emphasis on post-stroke cognitive impairment
- Chemerinski E.
- Robinson R.G.
The neuropsychiatry of stroke.
Psychosomatics. 2000; 41: 5-14
- Mijajlović M.D.
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Post-stroke dementia—a comprehensive review.
BMC Med. 2017; 15: 11
3Much less attention has been paid to apathy, which occurs about as frequently as cognitive impairment and depression after stroke,
- Towfighi A.
- Ovbiagele B.
- El Husseini N.
- et al.
Poststroke depression: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association.
Stroke. 2017; 48: e30-e43
4and has a major impact on both the patient and their significant other.
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- Moll van Charante E.P.
- Nederkoorn P.J.
- et al.
Stroke. 2013; 44: 851-860
- Mayo N.E.
- Fellows L.K.
- Scott S.C.
- et al.
A longitudinal view of apathy and its impact after stroke.
Stroke. 2009; 40: 3299-3307
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- The neuropsychiatry of stroke.Psychosomatics. 2000; 41: 5-14
- Post-stroke dementia—a comprehensive review.BMC Med. 2017; 15: 11
- Poststroke depression: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association.Stroke. 2017; 48: e30-e43
- Poststroke apathy.Stroke. 2013; 44: 851-860
- A longitudinal view of apathy and its impact after stroke.Stroke. 2009; 40: 3299-3307
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Published online: December 11, 2017
Accepted: December 5, 2017
Received: December 3, 2017
© 2017 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
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- Baseline Vascular Cognitive Impairment Predicts the Course of Apathetic Symptoms After Stroke: The CASPER StudyThe American Journal of Geriatric PsychiatryVol. 26Issue 3
- PreviewApathy and depression are frequent neuropsychiatric symptoms after stroke, with prevalences ranging from 28% to 40%,1,2 and both are associated with poor quality of life3,4 and long-term prognosis.5 Cross-sectional studies have indicated that vascular cognitive impairment (VCI) is associated with poststroke depression (PSD),6 and according to longitudinal studies VCI also predicts long-term depressive symptoms.7–10 VCI is frequent after stroke, ranging from mild cognitive impairment to dementia, and is highly age-related, with an overall prevalence of 22% up to 15 years after stroke.