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New opinion on the subtypes of poststroke depression in Chinese stroke survivors
AIM: Poststroke depression (PSD) is the most common complication of stroke. However, some stroke survivors with depression cannot meet the diagnostic criteria of PSD. The aim of this study was to propose the new conception of stroke patients with depression and then make them to receive reasonable d...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345901/ https://www.ncbi.nlm.nih.gov/pubmed/28293112 http://dx.doi.org/10.2147/NDT.S128429 |
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author | Yue, Yingying Liu, Rui Cao, Yin Wu, Yanfeng Zhang, Shining Li, Huajie Zhu, Jijun Jiang, Wenhao Wu, Aiqin Yuan, Yonggui |
author_facet | Yue, Yingying Liu, Rui Cao, Yin Wu, Yanfeng Zhang, Shining Li, Huajie Zhu, Jijun Jiang, Wenhao Wu, Aiqin Yuan, Yonggui |
author_sort | Yue, Yingying |
collection | PubMed |
description | AIM: Poststroke depression (PSD) is the most common complication of stroke. However, some stroke survivors with depression cannot meet the diagnostic criteria of PSD. The aim of this study was to propose the new conception of stroke patients with depression and then make them to receive reasonable diagnosis and treatment. METHODS: We first put forward the opinion that the general PSD should consist of PSD disorder (PSDD) and PSD symptoms (PSDS) according to the Diagnostic and Statistical Manual of Mental Disorder – Fifth Edition (DSM-5) and ZhongDa diagnostic criteria – first edition (ZD-1), respectively. The ZD-1 was established based on the suggestions of 65 Chinese chief doctors considering that the symptoms of PSDS might be different from those of PSDD and the duration of DSM-5 was too strict. Then, 166 stroke inpatients were recruited, and the study was conducted using the diagnosis and classification of PSD to verify the new concept. RESULTS: A total of 24 (14.46%) and 80 (48.19%) stroke patients were diagnosed with PSDD and PSDS, respectively, according to individual diagnosis criteria. Moreover, patients meeting the diagnostic criteria of PSDD should satisfy the criteria of PSDS first. The distribution frequencies of depressive symptoms were different, which suggested that there might be discrepant depressive symptoms between PSDS and PSDD. CONCLUSION: The present study proposes new opinion about the classification and diagnosis of depression in stroke survivors. The definition and criteria of PSDS are beneficial to explore phenomenological consistency and provide useful information for early recognition and appropriate interventions. |
format | Online Article Text |
id | pubmed-5345901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-53459012017-03-14 New opinion on the subtypes of poststroke depression in Chinese stroke survivors Yue, Yingying Liu, Rui Cao, Yin Wu, Yanfeng Zhang, Shining Li, Huajie Zhu, Jijun Jiang, Wenhao Wu, Aiqin Yuan, Yonggui Neuropsychiatr Dis Treat Original Research AIM: Poststroke depression (PSD) is the most common complication of stroke. However, some stroke survivors with depression cannot meet the diagnostic criteria of PSD. The aim of this study was to propose the new conception of stroke patients with depression and then make them to receive reasonable diagnosis and treatment. METHODS: We first put forward the opinion that the general PSD should consist of PSD disorder (PSDD) and PSD symptoms (PSDS) according to the Diagnostic and Statistical Manual of Mental Disorder – Fifth Edition (DSM-5) and ZhongDa diagnostic criteria – first edition (ZD-1), respectively. The ZD-1 was established based on the suggestions of 65 Chinese chief doctors considering that the symptoms of PSDS might be different from those of PSDD and the duration of DSM-5 was too strict. Then, 166 stroke inpatients were recruited, and the study was conducted using the diagnosis and classification of PSD to verify the new concept. RESULTS: A total of 24 (14.46%) and 80 (48.19%) stroke patients were diagnosed with PSDD and PSDS, respectively, according to individual diagnosis criteria. Moreover, patients meeting the diagnostic criteria of PSDD should satisfy the criteria of PSDS first. The distribution frequencies of depressive symptoms were different, which suggested that there might be discrepant depressive symptoms between PSDS and PSDD. CONCLUSION: The present study proposes new opinion about the classification and diagnosis of depression in stroke survivors. The definition and criteria of PSDS are beneficial to explore phenomenological consistency and provide useful information for early recognition and appropriate interventions. Dove Medical Press 2017-03-06 /pmc/articles/PMC5345901/ /pubmed/28293112 http://dx.doi.org/10.2147/NDT.S128429 Text en © 2017 Yue et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Yue, Yingying Liu, Rui Cao, Yin Wu, Yanfeng Zhang, Shining Li, Huajie Zhu, Jijun Jiang, Wenhao Wu, Aiqin Yuan, Yonggui New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title | New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title_full | New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title_fullStr | New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title_full_unstemmed | New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title_short | New opinion on the subtypes of poststroke depression in Chinese stroke survivors |
title_sort | new opinion on the subtypes of poststroke depression in chinese stroke survivors |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345901/ https://www.ncbi.nlm.nih.gov/pubmed/28293112 http://dx.doi.org/10.2147/NDT.S128429 |
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