Higher Brain Function Research
Online ISSN : 1880-6554
Print ISSN : 1348-4818
ISSN-L : 1348-4818
Symposium : Apathy and its therapeutic approaches in rehabilitation
Poststroke depression and Apathy in the convalescent rehabilitation ward
Masanori Takahashi
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JOURNAL FREE ACCESS

2014 Volume 34 Issue 2 Pages 193-198

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Abstract

   It is known that subsequent to a stroke, depression(PSD)and apathy are manifested, but they are both sometimes confused, and even during rehabilitative care, are sometimes inappropriately handled. As such, we have studied the frequency of PSD and apathy during the convalescence stage, and the effects on func tional outcomes of administering SSRI and performing rehabilitation, and we discuss appropriate handling of PSD and apathy in the convalescent rehabilitation ward.
   Stroke patients in the convalescent rehabilitation ward underwent screening tests and psychological in terviews, and patients diagnosed with PSD were organized into a paroxetine administration group (paroxe tine group) and a nicergoline administration group (control group) , rehabilitation was conducted and the degree of severity of depression, walking ability and ADL were assessed. The frequency of PSD and apathy were 13.8% and 30.6%, and at the time the drug administration was completed, the paroxetine group showed greater improvement in depression compared to the control group, but there was no difference in walking ability and ADL.
   It is possible that in the convalescent rehabilitation ward, if PSD is diagnosed, drug therapy using SSRI and conducting rehabilitation may result in an improvement in depression and a reduction in the psychological burden. For apathy, instruction and guidance based on the treatment plan during hospitalization, and post-discharge, the use of welfare services and outpatient service to maintain the amount of activity are ef fective.

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© 2014 by Japan Society for Higher Brain Dysfunction
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