About Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Risk of Depression and Dementia Increases in Bleeding Stroke Survivors

Font : A-A+

Highlights
  • Bleeding stroke or Intracerebral hemorrhage is when a weakened blood vessel ruptures and bleeds into the brain.
  • Depression and anxiety are not often recognised or diagnosed in people who have had a stroke.
  • Depression and anxiety can make it hard for people to manage the treatment for their stroke.
  • Within a year of bleeding stroke, 7% of patients are diagnosed with depression and are more likely to have dementia.

Risk of Depression and Dementia Increases in Bleeding Stroke Survivors

People who survive brain bleeds or Intracerebral hemorrhage - the most lethal form of stroke - are at significantly higher risk of later developing depression and dementia, according to research presented at the American Stroke Association's International Stroke Conference 2017.

Intracerebral Hemorrhage

Advertisement


Intracerebral hemorrhage is a stroke caused when a weakened blood vessel ruptures and bleeds into the brain. Previous studies of depression and stroke have focused on ischemic stroke (caused by blockages in blood vessels), but little is known about depression among survivors of hemorrhagic stroke.

"Our study changes the way we look at depression after a hemorrhagic stroke," said lead author Alessandro Biffi, M.D., Assistant in Neurology at Massachusetts General Hospital in Boston and Director of the Aging and Brain Health Research group.
Advertisement

Study Details

Researchers followed 695 survivors of intracerebral hemorrhage with no pre-stroke history of depression for five years. Participants were 50 percent women, approximately 75 percent white, and most had one or more of the known cardiovascular and cerebrovascular risk factors (hypertension, diabetes, or hyperlipidemia).

Researchers surveyed the study participants over the phone every six months asking about mood, anxiety, and cognitive performance to monitor the onset of depression and dementia.

Depression after Bleeding Stroke

The findings point out that 40 percent of the study participants developed depression during the first 50 months of follow-up after intracerebral hemorrhage, a rate of approximately 7 percent per year, which is higher than that found in the general population of the same age and gender.

The researchers also found that risk factors normally associated with the risk of having another hemorrhagic stroke -- lower educational levels, evidence of disease of the white matter of the brain, and carrying a variant of the apolipoprotein E gene -- also predicted the risk of developing depression.

Finally, patients who developed depression were also highly likely to develop dementia later in the course of the study. The overlap of depression and dementia was present in 63 percent of study participants; and among them, depression was diagnosed before the onset of dementia in 80 percent of cases, on average 18 months in advance.

The need to treat Depression

"Depression is not just an isolated phenomenon following a hemorrhagic stroke. It may identify those who are likely to develop dementia, and this is important when these patients are evaluated, particularly in outpatient care settings."

Depression and anxiety can make it hard for people to manage the treatment for their stroke effectively.

People with untreated mental health problems can find it difficult to concentrate, stay motivated, keep appointments and stick to treatment plans, including medication. Carers, family members and friends of people who have a stroke can often have depression as well. 

"When caring for hemorrhagic stroke patients, healthcare providers tend to focus on preventing another stroke," Biffi said. "We have found that even among patients who do not have a second stroke, the incidence of depression and subsequently dementia are very high, and healthcare providers need to be on the lookout for it in order to counsel patients and families."

Reference
  1. Alessandro Biffi et al., Bleeding stroke survivors at higher risk of depression, dementia, AHA/ASA International Stroke Conference (2017).
  2. https:strokefoundation.org.au/about-stroke/help-after-stroke/stroke-resources-and-fact-sheets/depression-and-anxiety-after-stroke-fact-sheet.


Source: Medindia

Citations   close

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Julia Samuel. (2017, February 27). Risk of Depression and Dementia Increases in Bleeding Stroke Survivors. Medindia. Retrieved on Aug 07, 2022 from https://www.medindia.net/news/healthwatch/risk-of-depression-and-dementia-increases-in-bleeding-stroke-survivors-168159-1.htm.

  • MLA

    Julia Samuel. "Risk of Depression and Dementia Increases in Bleeding Stroke Survivors". Medindia. Aug 07, 2022. <https://www.medindia.net/news/healthwatch/risk-of-depression-and-dementia-increases-in-bleeding-stroke-survivors-168159-1.htm>.

  • Chicago

    Julia Samuel. "Risk of Depression and Dementia Increases in Bleeding Stroke Survivors". Medindia. https://www.medindia.net/news/healthwatch/risk-of-depression-and-dementia-increases-in-bleeding-stroke-survivors-168159-1.htm. (accessed Aug 07, 2022).

  • Harvard

    Julia Samuel. 2021. Risk of Depression and Dementia Increases in Bleeding Stroke Survivors. Medindia, viewed Aug 07, 2022, https://www.medindia.net/news/healthwatch/risk-of-depression-and-dementia-increases-in-bleeding-stroke-survivors-168159-1.htm.

Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
Baldness can be Cured and Prevented: let us see How!
Drinking Beer or Wine Every Day Could Cause Age-related Diseases
Low-Calorie Diet for Diabetes
View all
Recommended Reading
News Archive
Date
Category
Advertisement
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Adolescence Depression Alzheimers Disease Depression Bell´s Palsy Diet Lifestyle and Heart Disease Mitral Valve Stenosis And Mitral Valve Replacement Congenital Heart Disease Stress Relief Through Alternative Medicine Stress and the Gender Divide Andropause / Male Menopause 

Most Popular on Medindia

Color Blindness Calculator Blood - Sugar Chart Vent Forte (Theophylline) Iron Intake Calculator Turmeric Powder - Health Benefits, Uses & Side Effects How to Reduce School Bag Weight - Simple Tips Drug - Food Interactions Find a Hospital Indian Medical Journals Hearing Loss Calculator
This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use