82. Depression after Stroke

  1. Mohammed T. Abou-Saleh2,
  2. Cornelius Katona3 and
  3. Anand Kumar4
  1. Peter Knapp and
  2. Allan House

Published Online: 13 DEC 2010

DOI: 10.1002/9780470669600.ch82

Principles and Practice of Geriatric Psychiatry, Third Edition

Principles and Practice of Geriatric Psychiatry, Third Edition

How to Cite

Knapp, P. and House, A. (2010) Depression after Stroke, in Principles and Practice of Geriatric Psychiatry, Third Edition (eds M. T. Abou-Saleh, C. Katona and A. Kumar), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470669600.ch82

Editor Information

  1. 2

    Division of Mental Health, St George's, University of London, Cranmer Terrace, London SW17 0RE, UK

  2. 3

    Department of Mental Health Sciences, University College London, Charles Bell House, 7-73 Riding House Street, London WIW 7EJ, UK

  3. 4

    Department of Psychiatry, University of Illinois-Chicago, 912 South Wood Street, Chicago, IL 60637, USA

Author Information

  1. School of Healthcare, University of Leeds, Leeds LS2 9JT, UK

Publication History

  1. Published Online: 13 DEC 2010
  2. Published Print: 17 DEC 2010

ISBN Information

Print ISBN: 9780470747230

Online ISBN: 9780470669600



  • depression after stroke;
  • depression, affecting quality of life - greater risk of mortality;
  • diagnosis of depression - confused by facial palsy and speech prosody disturbance;
  • post-stroke depression, distinct subtype - unequivocal evidence supporting claim;
  • diagnosis of depression after stroke - communicative or cognitive impairment;
  • depression, in patients perceiving stroke - as a threat;
  • depression after stroke - for pharmacological or psychological treatments;
  • services, intervening - preventing onset of depression after stroke;
  • depression after stroke - multiple biological, psychological and social in other physical illnesses


Stroke patients have high rates of all types of depressive disorder, although estimates of the prevalence of depression within the first month of stroke vary greatly. The claim that post-stroke depression is a distinct subtype is discussed. Diagnosis can be complicated by the presence of communicative or cognitive impairment. The chapter also considers the role of neurological damage, lesion location and psychosocial factors. Pharmacological and psychological treatments are briefly described. Prevention of depression after stroke is also considered.