Wednesday 6 August 2008

Depression After Stroke: A Neglected Problem

�People wHO have had a stroke and the people wHO are close to them need more support in order to manage the consequences of stroke. As well as the physical disabilities, the psychological load is hard to coping with. It is not only stroke patients wHO become depressed: their friends and relatives often become depressed also. The German Institute for Quality and Efficiency in Health Care (IQWiG) has now assessed research on treatments for depression after a stroke. They constitute that using antidepressants later on a stroke does not have the effect it is expected to have. Because of their inauspicious effects and interactions with other drugs, antidepressants should only be used with caution.





The success of treatment depends on motivation and good support






It is a great deal difficult, even for doctors, to know whether people are feeling down after having a stroke or whether they have slid into a depression which needs treatment. Appropriate discourse is non only important for the person's mental health; beingness depressed can delay their physical retrieval too. There is not enough cognisance about this problem. The Institute has therefore promulgated information about this for patients, their friends and relatives today on http://www.informedhealthonline.org/.





"The success of stroke rehabilitation also depends on patients playing an active persona in their own handling," says the Institute's Director, Professor Peter Sawicki. "Rehabilitation is demanding, requiring a lot of patience and motivation. If people become depressed, it is very difficult for them to have the necessary motivation."





For treatment to be successful in the long term, it is important that doctors, nurses, occupational therapists, physiotherapists, patients, their relatives and friends work closely together. Occupational therapy and physiotherapy rump help multitude restore their physical abilities and regain more independence. Research has shown that intensive support like this can likewise help with depression.





Antidepressants are not as effective as hoped and increase the risk of drug-drug interactions






Scientific studies have suggested that antidepressants may generally be less efficacious in the treatment of depression after a stroke. Because these drugs can have adverse effects and may influence the result of other drugs, researchers urge