Recent advance in clinical identification and intervention strategy of post-stroke affective disorders
10.3760/cma.j.cn115354-20250205-00053
- VernacularTitle:卒中后情感障碍临床识别和干预策略的研究进展
- Author:
Zhen WEI
1
;
Xu ZHANG
1
;
Xiulong JIANG
1
;
Yinzhou WANG
1
;
Yongkun LI
1
Author Information
1. 福州大学附属省立医院/福建医科大学省立临床医学院神经内科，福州 350001
- Publication Type:Journal Article
- Keywords:
Post-stroke affective disorder;
Post-stroke depression;
Post-stroke anxiety;
Post-stroke apathy;
Post-stroke mania;
Post-stroke anger proneness;
Epidemiolog
- From:
Chinese Journal of Neuromedicine
2025;24(7):739-745
- CountryChina
- Language:Chinese
-
Abstract:
Post-stroke affective disorders (PSTD) are common complications, which significantly affect neurological function recovery and quality of life in stroke patients. Common PSTD includes post-stroke depression, post-stroke anxiety or post-stroke depression-anxiety co-morbidity, post-stroke apathy, post-stroke mania, and post-stroke anger proneness, with post-stroke depression being the most commonly concerned. PSTD is not easily recognized and intervened clinically due to its hidden nature. At present, clinical identification mainly relies on clinical assessment and psychological scale tests; PTSD intervention mainly includes drug treatment, psychological treatment and physical treatment. This review summarizes the recent advances in these 5 major PSTD subtypes, encompassing their pathophysiological mechanisms, clinical identification criteria, diagnostic approaches, and evidence-based intervention strategies, aiming to provide practical references for optimizing clinical management of PSTD.
