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The British Journal of Psychiatry 154: 195-200 (1989)
© 1989 The Royal College of Psychiatrists

Mood disorder following cerebrovascular accident

MR Eastwood, SL Rifat, H Nobbs and J Ruderman
Department of Psychiatry, University of Toronto, Ontario, Canada.

Depression appears to be common after stroke, and therefore may have a bearing upon rehabilitation. To examine whether the depression is due to a specific brain lesion, or is reactive to the consequent disability, this study looked at the frequency and associations of depressed mood in a stroke rehabilitation unit in-patient population, unselected for site of lesion. Depression affected 50% of the patients; history of previous psychiatric disorder and cerebrovascular accident appeared to be important risk factors. There were hemispheric differences in the relationships between measures, with both the site- of-lesion and reactive viewpoints being upheld.


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