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Am J Geriatr Psychiatry 13:166-169, February 2005
© 2005 American Association for Geriatric Psychiatry


Brief Report

Pathological Correlates of Poststroke Depression in Elderly Patients

Vasilis P. Bozikas, M.D., Gabriel Gold, M.D., Enikö Kövari, M.D., Francois Herrmann, M.D., M.Sc., Athanasios Karavatos, M.D., Panteleimon Giannakopoulos, M.D., and Constantin Bouras, M.D.

Received December 2, 2003; revised May 4, June 10, 2004; accepted June 11, 2004. From the Department of Psychiatry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece (VPB, AK); Departments of Psychiatry (EK, CB, PG), and Rehabilitation and Geriatrics (GG, FRH), HUG Belle-Idée, University of Geneva School of Medicine, Geneva, Switzerland; Service of Old Age Psychiatry (PG), University of Lausanne School of Medicine, Lausanne, Switzerland. Send correspondence and reprint requests to Dr. Vasilis Bozikas, Department of Psychiatry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece, e-mail: vpbozikas{at}oneway.gr
© 2005 American Association for Geriatric Psychiatry

Objective: The authors examined the relationship between poststroke depression and location of stroke. Methods: They performed a clinicopathological analysis of 95 consecutively autopsied elderly initial-stroke survivors. Results: The severity of brain vessel arteriosclerosis and frequency of brain vascular lesions were not significantly different between 21 cases with poststroke depression and 74 cases without. Earlier death was the only variable significantly associated with poststroke depression. No lesion pattern characterized the depression group. Conclusions: Neuropathological data confirm that depression is associated with worse prognosis in elderly stroke patients and lend support to the hypothesis that psychological rather than neurological factors are the main determinants of poststroke depression.

Key Words: Depression • Stroke • Physical Comorbidity • Neuropathology




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R. G. Robinson
Vascular Depression and Poststroke Depression: Where Do We Go From Here?
Am J Geriatr Psychiatry, February 1, 2005; 13(2): 85 - 87.
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