TY - JOUR
T1 - Phenomenological comparisons of major depression following stroke, myocardial infarction or spinal cord lesions
AU - Fedoroff, J. Paul
AU - Lipsey, John R.
AU - Starkstein, Sergio E.
AU - Forrester, Alfred
AU - Price, Thomas R.
AU - Robinson, Robert G.
PY - 1991
Y1 - 1991
N2 - Patients with major depression admitted to hospital with acute stroke (n = 44), acute myocardial infarction (n = 25), or acute spinal cord injury (n = 12) were examined for differences in their phenomenological presentation of major depression. Depressed stroke patients were found to have significantly higher scores on the syndrome clusters for generalized anxiety and ideas of reference than depressed cardiac or spinal cord injury patients. In addition, significantly more stroke patients met diagnostic criteria for generalized anxiety disorder compared with the other two groups. Although spinal cord injury patients were younger, more likely to be treated with benzodiazepines, and less likely to be treated with β-blockers, none of these factors distinguished stroke patients with anxious depression from stroke patients with depression only. These findings are consistent with the hypothesis that the etiology of depression following stroke may be different from that associated with myocardial infarction or spinal cord injury.
AB - Patients with major depression admitted to hospital with acute stroke (n = 44), acute myocardial infarction (n = 25), or acute spinal cord injury (n = 12) were examined for differences in their phenomenological presentation of major depression. Depressed stroke patients were found to have significantly higher scores on the syndrome clusters for generalized anxiety and ideas of reference than depressed cardiac or spinal cord injury patients. In addition, significantly more stroke patients met diagnostic criteria for generalized anxiety disorder compared with the other two groups. Although spinal cord injury patients were younger, more likely to be treated with benzodiazepines, and less likely to be treated with β-blockers, none of these factors distinguished stroke patients with anxious depression from stroke patients with depression only. These findings are consistent with the hypothesis that the etiology of depression following stroke may be different from that associated with myocardial infarction or spinal cord injury.
KW - Myocardial infarction
KW - Spinal cord lesions
KW - Stroke
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U2 - 10.1016/0165-0327(91)90088-A
DO - 10.1016/0165-0327(91)90088-A
M3 - Article
C2 - 1880312
AN - SCOPUS:0025859137
SN - 0165-0327
VL - 22
SP - 83
EP - 89
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
IS - 1-2
ER -