Depression but not anxiety predicts recurrent cerebrovascular events

Sungwook Yu, H. Arima, C. Bertmar, Y. Hirakawa, M. Priglinger, K. Evans, M. Krause

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: Depression and anxiety after stroke occur frequently and have been suggested to have negative influence on functional outcomes. However, the effect of emotional symptoms on stroke recurrence is uncertain. The aim of this study was to define the effect of emotional symptoms on recurrent cerebrovascular events in patients with ischemic stroke. Materials and methods: This was a hospital-based cohort study including patients with ischemic stroke who participated in a Community Stroke Care Program that provided secondary stroke prevention strategies during 6 months transition period after discharge. We examined the association between depression and anxiety and the risk of recurrent cerebrovascular events using logistic regression model. Depression and anxiety were defined as a score of 7 or more in Hospital Anxiety and Depression Scale at 2 weeks after discharge. Recurrent cerebrovascular events comprised any recurrent stroke and transient ischemic attack (TIA) occurring during 6 months after discharge. Results: Among 182 patients, 29 (15.9%) were depressed and 41 (22.5%) had anxiety symptoms. During the follow-up period, 9 patients experienced recurrent cerebrovascular events (5 of stroke and 4 of TIA). Depression was associated with recurrent cerebrovascular events at 6 months after adjustment for age, sex, and stroke severity (OR 5.22, 95% CI 1.08-25.12; P = 0.04), whereas anxiety was not (OR 0.98, 95% CI 0.2-4.92; P = 0.982). Conclusions: Depression occurring early after stroke was associated with the increased risk of recurrent cerebrovascular events in ischemic stroke survivors. Care plan to detect and manage depression should be implemented to prevent recurrent stroke.

Original languageEnglish
Pages (from-to)29-34
Number of pages6
JournalActa Neurologica Scandinavica
Volume134
Issue number1
DOIs
Publication statusPublished - 2016 Jul 1

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Anxiety
Stroke
Depression
Transient Ischemic Attack
Logistic Models
Secondary Prevention
Survivors
Cohort Studies
Recurrence

Keywords

  • Anxiety
  • Cerebrovascular event
  • Depression
  • Recurrent stroke

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Yu, S., Arima, H., Bertmar, C., Hirakawa, Y., Priglinger, M., Evans, K., & Krause, M. (2016). Depression but not anxiety predicts recurrent cerebrovascular events. Acta Neurologica Scandinavica, 134(1), 29-34. https://doi.org/10.1111/ane.12503

Depression but not anxiety predicts recurrent cerebrovascular events. / Yu, Sungwook; Arima, H.; Bertmar, C.; Hirakawa, Y.; Priglinger, M.; Evans, K.; Krause, M.

In: Acta Neurologica Scandinavica, Vol. 134, No. 1, 01.07.2016, p. 29-34.

Research output: Contribution to journalArticle

Yu, S, Arima, H, Bertmar, C, Hirakawa, Y, Priglinger, M, Evans, K & Krause, M 2016, 'Depression but not anxiety predicts recurrent cerebrovascular events', Acta Neurologica Scandinavica, vol. 134, no. 1, pp. 29-34. https://doi.org/10.1111/ane.12503
Yu S, Arima H, Bertmar C, Hirakawa Y, Priglinger M, Evans K et al. Depression but not anxiety predicts recurrent cerebrovascular events. Acta Neurologica Scandinavica. 2016 Jul 1;134(1):29-34. https://doi.org/10.1111/ane.12503
Yu, Sungwook ; Arima, H. ; Bertmar, C. ; Hirakawa, Y. ; Priglinger, M. ; Evans, K. ; Krause, M. / Depression but not anxiety predicts recurrent cerebrovascular events. In: Acta Neurologica Scandinavica. 2016 ; Vol. 134, No. 1. pp. 29-34.
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