Skip to main content
Erschienen in: Journal of Behavioral Medicine 1/2016

01.02.2016

Age, subjective stress, and depression after ischemic stroke

verfasst von: Michael J. McCarthy, Heidi J. Sucharew, Kathleen Alwell, Charles J. Moomaw, Daniel Woo, Matthew L. Flaherty, Pooja Khatri, Simona Ferioli, Opeolu Adeoye, Dawn O. Kleindorfer, Brett M. Kissela

Erschienen in: Journal of Behavioral Medicine | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

The incidence of stroke among younger adults in the United States is increasing. Few studies have investigated the prevalence of depressive symptoms after stroke among different age groups or the extent to which subjective stress at the time of stroke interacts with age to contribute to post-stroke depression. The present study examined whether there exists an age gradient in survivors’ level of depressive symptoms and explored the extent to which financial, family, and health-related stress may also impact on depression. Bivariate analyses (N = 322) indicated significant differences in depression and stress by age group, as well as differences in age and stress by 3-month depression status. Linear regression analyses indicated that survivors between the ages of 25–54 and 55–64 years old had, on average, significantly higher depressive symptom scores. Those with financial, family, and health-related stress at the time of stroke, irrespective of age, also had significantly higher scores.
Literatur
Zurück zum Zitat Aikens, J. E., Fischer, J. S., Namey, M., & Rudick, R. A. (1997). A replicated prospective investigation of life stress, coping, and depressive symptoms in multiple sclerosis. Journal of Behavioral Medicine, 20, 433–445. doi:10.1023/A:1025547431847.PubMedCrossRef Aikens, J. E., Fischer, J. S., Namey, M., & Rudick, R. A. (1997). A replicated prospective investigation of life stress, coping, and depressive symptoms in multiple sclerosis. Journal of Behavioral Medicine, 20, 433–445. doi:10.​1023/​A:​1025547431847.PubMedCrossRef
Zurück zum Zitat Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10, 77–84.PubMed Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10, 77–84.PubMed
Zurück zum Zitat Ayerbe, L., Ayis, S., Wolfe, C., & Rudd, A. (2013). Natural history, predictors and outcomes of depression after stroke: Systematic review and meta-analysis. British Journal of Psychiatry, 202, 14–21.PubMedCrossRef Ayerbe, L., Ayis, S., Wolfe, C., & Rudd, A. (2013). Natural history, predictors and outcomes of depression after stroke: Systematic review and meta-analysis. British Journal of Psychiatry, 202, 14–21.PubMedCrossRef
Zurück zum Zitat Berndt, E. R., Koran, L. M., Finkelstein, S. N., Gelenberg, A. J., & Keller, M. B. (2000). Lost human capital from early-onset chronic depression. The American Journal of Psychiatry, 157, 940–947.PubMedCrossRef Berndt, E. R., Koran, L. M., Finkelstein, S. N., Gelenberg, A. J., & Keller, M. B. (2000). Lost human capital from early-onset chronic depression. The American Journal of Psychiatry, 157, 940–947.PubMedCrossRef
Zurück zum Zitat Carandang, R., Seshadri, S., Beiser, A., Kelly-Hayes, M., et al. (2006). Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years. Journal of the American Medical Association, 296, 2939–2946.PubMedCrossRef Carandang, R., Seshadri, S., Beiser, A., Kelly-Hayes, M., et al. (2006). Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years. Journal of the American Medical Association, 296, 2939–2946.PubMedCrossRef
Zurück zum Zitat Chollet, F., Niclot, P., Guillon, B., Moulin, T., Marque, P., Pariente, J., & Jaillard, A. (2011). Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): A randomised placebo-controlled trial. Lancet Neurology, 10, 123–130. doi:10.1016/S1474-4422(10)70314-8.PubMedCrossRef Chollet, F., Niclot, P., Guillon, B., Moulin, T., Marque, P., Pariente, J., & Jaillard, A. (2011). Fluoxetine for motor recovery after acute ischaemic stroke (FLAME): A randomised placebo-controlled trial. Lancet Neurology, 10, 123–130. doi:10.​1016/​S1474-4422(10)70314-8.PubMedCrossRef
Zurück zum Zitat Fure, B., Wyller, T. B., Engedal, K., & Thommessen, B. (2006). Emotional symptoms in acute ischemic stroke. International Journal of Geriatric Psychiatry, 21, 382–387.PubMedCrossRef Fure, B., Wyller, T. B., Engedal, K., & Thommessen, B. (2006). Emotional symptoms in acute ischemic stroke. International Journal of Geriatric Psychiatry, 21, 382–387.PubMedCrossRef
Zurück zum Zitat Goetzel, R. Z., Hawkins, K., Ozminkowski, R. J., & Wang, S. (2003). The health and productivity cost burden of the “Top 10” physical and mental health conditions affecting six large U.S. employers in 1999. Journal of Occupational and Environmental Medicine, 45, 5–14. doi:10.1097/00043764-200301000-00007.PubMedCrossRef Goetzel, R. Z., Hawkins, K., Ozminkowski, R. J., & Wang, S. (2003). The health and productivity cost burden of the “Top 10” physical and mental health conditions affecting six large U.S. employers in 1999. Journal of Occupational and Environmental Medicine, 45, 5–14. doi:10.​1097/​00043764-200301000-00007.PubMedCrossRef
Zurück zum Zitat Goldberg, J. H., Breckenridge, J. N., & Sheikh, J. I. (2003). Age differences in symptoms of depression and anxiety: Examining behavioral medicine outpatients. Journal of Behavioral Medicine, 26, 119–132. doi:10.1023/A:1023030605390.PubMedCrossRef Goldberg, J. H., Breckenridge, J. N., & Sheikh, J. I. (2003). Age differences in symptoms of depression and anxiety: Examining behavioral medicine outpatients. Journal of Behavioral Medicine, 26, 119–132. doi:10.​1023/​A:​1023030605390.PubMedCrossRef
Zurück zum Zitat Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adult: Criterion validity of the 10-item center for epidemiological studies depression scale (CES-D). Archives of Internal Medicine, 159, 1701–1704. doi:10.1001/archinte.159.15.1701.PubMedCrossRef Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adult: Criterion validity of the 10-item center for epidemiological studies depression scale (CES-D). Archives of Internal Medicine, 159, 1701–1704. doi:10.​1001/​archinte.​159.​15.​1701.PubMedCrossRef
Zurück zum Zitat Kessler, R. C. (1997). The effects of stressful life events on depression. Annual Review of Psychology, 48, 191–214.PubMedCrossRef Kessler, R. C. (1997). The effects of stressful life events on depression. Annual Review of Psychology, 48, 191–214.PubMedCrossRef
Zurück zum Zitat Kessler, R. C., Birnbaum, H., Bromet, E., Hwang, I., Sampson, N., & Shahly, V. (2010). Age differences in major depression: results from the National Comorbidity Survey Replication (NCS-R). Psychological Medicine, 40, 225–237.PubMedPubMedCentralCrossRef Kessler, R. C., Birnbaum, H., Bromet, E., Hwang, I., Sampson, N., & Shahly, V. (2010). Age differences in major depression: results from the National Comorbidity Survey Replication (NCS-R). Psychological Medicine, 40, 225–237.PubMedPubMedCentralCrossRef
Zurück zum Zitat Kleindorfer, D. O., Khoury, J., Moomaw, C. J., Alwell, K., Woo, D., Flaherty, M. L., & Kissela, B. M. (2010). Stroke incidence is decreasing in whites but not in blacks: A population-based estimate of temporal trends in stroke incidence from the greater cincinnati/northern kentucky stroke study. Stroke; a Journal of Cerebral Circulation, 41, 1326–1331. doi:10.1161/STROKEAHA.109.575043.PubMedPubMedCentralCrossRef Kleindorfer, D. O., Khoury, J., Moomaw, C. J., Alwell, K., Woo, D., Flaherty, M. L., & Kissela, B. M. (2010). Stroke incidence is decreasing in whites but not in blacks: A population-based estimate of temporal trends in stroke incidence from the greater cincinnati/northern kentucky stroke study. Stroke; a Journal of Cerebral Circulation, 41, 1326–1331. doi:10.​1161/​STROKEAHA.​109.​575043.PubMedPubMedCentralCrossRef
Zurück zum Zitat Kouwenhoven, S. E., Kirkevold, M., Engedal, K., & Kim, H. S. (2011). Depression in acute stroke: Prevalence, dominant symptoms and associated factors. A systematic literature review. Disability and Rehabilitation, 33, 539–556.PubMedCrossRef Kouwenhoven, S. E., Kirkevold, M., Engedal, K., & Kim, H. S. (2011). Depression in acute stroke: Prevalence, dominant symptoms and associated factors. A systematic literature review. Disability and Rehabilitation, 33, 539–556.PubMedCrossRef
Zurück zum Zitat Lackland, D. T., Roccella, E. J., Deutsch, A. F., Fornage, M., George, M. G., Howard, G., & Towfighi, A. (2014). Factors influencing the decline in stroke mortality: A statement from the American heart association/american stroke association. Stroke, 45, 315–353. doi:10.1161/01.str.0000437068.30550.cf.PubMedCrossRef Lackland, D. T., Roccella, E. J., Deutsch, A. F., Fornage, M., George, M. G., Howard, G., & Towfighi, A. (2014). Factors influencing the decline in stroke mortality: A statement from the American heart association/american stroke association. Stroke, 45, 315–353. doi:10.​1161/​01.​str.​0000437068.​30550.​cf.PubMedCrossRef
Zurück zum Zitat Lawrence, M. (2010). Young adults’ experience of stroke: A qualitative review of the literature. British Journal of Nursing (Mark Allen Publishing), 19, 241–248.CrossRef Lawrence, M. (2010). Young adults’ experience of stroke: A qualitative review of the literature. British Journal of Nursing (Mark Allen Publishing), 19, 241–248.CrossRef
Zurück zum Zitat Low, J. T. S., Kersten, P., Ashburn, A., George, S., & McLellan, D. L. (2003). A study to evaluate the met and unmet needs of members belonging to young stroke groups affiliated with the Stroke Association. Disability and Rehabilitation, 25, 1052–1056.PubMedCrossRef Low, J. T. S., Kersten, P., Ashburn, A., George, S., & McLellan, D. L. (2003). A study to evaluate the met and unmet needs of members belonging to young stroke groups affiliated with the Stroke Association. Disability and Rehabilitation, 25, 1052–1056.PubMedCrossRef
Zurück zum Zitat Mazure, C. M. (1998). Life stressors as risk factors in depression. Clinical Psychology: Science and Practice, 5, 291–313. Mazure, C. M. (1998). Life stressors as risk factors in depression. Clinical Psychology: Science and Practice, 5, 291–313.
Zurück zum Zitat Mirowsky, J. & Kim, J. (2004). Age trajectories of depression: Growth-curve vectors, synthetic cohorts, and cross-sectional profiles. Paper presented at the annual meeting of the American Sociological Association, 08-14-2004, San Francisco, CA. Mirowsky, J. & Kim, J. (2004). Age trajectories of depression: Growth-curve vectors, synthetic cohorts, and cross-sectional profiles. Paper presented at the annual meeting of the American Sociological Association, 08-14-2004, San Francisco, CA.
Zurück zum Zitat Morris, P. L., Robinson, R. G., Andrzejewski, P., Samuels, J., & Price, T. R. (1993). Association of depression with 10-year poststroke mortality. The American Journal of Psychiatry, 150, 124–129.PubMedCrossRef Morris, P. L., Robinson, R. G., Andrzejewski, P., Samuels, J., & Price, T. R. (1993). Association of depression with 10-year poststroke mortality. The American Journal of Psychiatry, 150, 124–129.PubMedCrossRef
Zurück zum Zitat Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., & Turner, M. B. (2015). Heart disease and stroke statistics—2015 Update: A report from the American Heart Association. Circulation. doi:10.1161/CIR.0000000000000152. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., & Turner, M. B. (2015). Heart disease and stroke statistics—2015 Update: A report from the American Heart Association. Circulation. doi:10.​1161/​CIR.​0000000000000152​.
Zurück zum Zitat Naess, H., Lunde, L., Brogger, J., & Waje-Andreassen, U. (2010). Depression predicts unfavourable functional outcome and higher mortality in stroke patients: The Bergen stroke study: Depression and stroke. Acta Neurologica Scandinavica, 122, 34–38. doi:10.1111/j.1600-0404.2010.01373.x.CrossRef Naess, H., Lunde, L., Brogger, J., & Waje-Andreassen, U. (2010). Depression predicts unfavourable functional outcome and higher mortality in stroke patients: The Bergen stroke study: Depression and stroke. Acta Neurologica Scandinavica, 122, 34–38. doi:10.​1111/​j.​1600-0404.​2010.​01373.​x.CrossRef
Zurück zum Zitat Niedermaier, N., Bohrer, E., Schulte, K., Schlattmann, P., & Heuser, I. (2004). Prevention and treatment of poststroke depression with mirtazapine in patients with acute stroke. The Journal of Clinical Psychiatry, 65, 1619–1623. doi:10.4088/JCP.v65n1206.PubMedCrossRef Niedermaier, N., Bohrer, E., Schulte, K., Schlattmann, P., & Heuser, I. (2004). Prevention and treatment of poststroke depression with mirtazapine in patients with acute stroke. The Journal of Clinical Psychiatry, 65, 1619–1623. doi:10.​4088/​JCP.​v65n1206.PubMedCrossRef
Zurück zum Zitat Ouimet, M. A., Primeau, F., & Cole, M. G. (2001). Psychosocial risk factors in poststroke depression: A systematic review. Canadian Journal of Psychiatry, 46, 819–828.PubMed Ouimet, M. A., Primeau, F., & Cole, M. G. (2001). Psychosocial risk factors in poststroke depression: A systematic review. Canadian Journal of Psychiatry, 46, 819–828.PubMed
Zurück zum Zitat Paradiso, S., & Robinson, R. (1998). Gender differences in poststroke depression. The Journal of Neuropsychiatry and Clinical Neurosciences, 10, 41–47.PubMedCrossRef Paradiso, S., & Robinson, R. (1998). Gender differences in poststroke depression. The Journal of Neuropsychiatry and Clinical Neurosciences, 10, 41–47.PubMedCrossRef
Zurück zum Zitat Roding, J., Lindstrom, B., Malm, J., & Ohman, A. (2003). Frustrated and invisible: Young stroke patients’ experiences of the rehabilitation process. Disability and Rehabilitation, 25, 867–874.PubMedCrossRef Roding, J., Lindstrom, B., Malm, J., & Ohman, A. (2003). Frustrated and invisible: Young stroke patients’ experiences of the rehabilitation process. Disability and Rehabilitation, 25, 867–874.PubMedCrossRef
Zurück zum Zitat Ronnlund, M., Sundstrom, A., Sorman, D. E., & Nilsson, L. (2013). Effects of perceived long-term stress on subjective and objective aspects of memory and cognitive functioning in a middle-aged population-based sample. Journal of Genetic Psychology, 174, 25–41.PubMedCrossRef Ronnlund, M., Sundstrom, A., Sorman, D. E., & Nilsson, L. (2013). Effects of perceived long-term stress on subjective and objective aspects of memory and cognitive functioning in a middle-aged population-based sample. Journal of Genetic Psychology, 174, 25–41.PubMedCrossRef
Zurück zum Zitat Rook, K. S., Catalano, R., & Dooley, D. (1989). The timing of major life events: Effects of departing from the social clock. American Journal of Community Psychology, 17, 233–258.PubMedCrossRef Rook, K. S., Catalano, R., & Dooley, D. (1989). The timing of major life events: Effects of departing from the social clock. American Journal of Community Psychology, 17, 233–258.PubMedCrossRef
Zurück zum Zitat Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., & Keller, M. B. (2003). The 16-item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54, 573–583. doi:10.1016/S0006-3223(02)01866-8.PubMedCrossRef Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., & Keller, M. B. (2003). The 16-item quick inventory of depressive symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54, 573–583. doi:10.​1016/​S0006-3223(02)01866-8.PubMedCrossRef
Zurück zum Zitat Taylor-Piliae, R. E., Hepworth, J. T., & Coull, B. M. (2013). Predictors of depressive symptoms among community-dwelling stroke survivors. Journal of Cardiovascular Nursing, 28, 460–467.PubMedCrossRef Taylor-Piliae, R. E., Hepworth, J. T., & Coull, B. M. (2013). Predictors of depressive symptoms among community-dwelling stroke survivors. Journal of Cardiovascular Nursing, 28, 460–467.PubMedCrossRef
Zurück zum Zitat Turner-Stokes, L., & Hassan, N. (2002). Depression after stroke: A review of the evidence base to inform the development of an integrated care pathway. Part 1: Diagnosis, frequency and impact. Clinical Rehabilitation, 16, 231–247. doi:10.1191/0269215502cr487oa.PubMedCrossRef Turner-Stokes, L., & Hassan, N. (2002). Depression after stroke: A review of the evidence base to inform the development of an integrated care pathway. Part 1: Diagnosis, frequency and impact. Clinical Rehabilitation, 16, 231–247. doi:10.​1191/​0269215502cr487o​a.PubMedCrossRef
Zurück zum Zitat Zisook, S., Lesser, I., Stewart, J. W., Wisniewski, S. R., et al. (2007). Effect of age at onset on the course of major depressive disorder. The American Journal of Psychiatry, 164, 1539–1546.PubMedCrossRef Zisook, S., Lesser, I., Stewart, J. W., Wisniewski, S. R., et al. (2007). Effect of age at onset on the course of major depressive disorder. The American Journal of Psychiatry, 164, 1539–1546.PubMedCrossRef
Metadaten
Titel
Age, subjective stress, and depression after ischemic stroke
verfasst von
Michael J. McCarthy
Heidi J. Sucharew
Kathleen Alwell
Charles J. Moomaw
Daniel Woo
Matthew L. Flaherty
Pooja Khatri
Simona Ferioli
Opeolu Adeoye
Dawn O. Kleindorfer
Brett M. Kissela
Publikationsdatum
01.02.2016
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 1/2016
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9663-0

Weitere Artikel der Ausgabe 1/2016

Journal of Behavioral Medicine 1/2016 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.