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Post Stroke Depression: the Mechanisms, Prevention and Therapy Through Holistic Treatment Approach
Author(s) -
Santos Maria
Publication year - 2019
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.2019.33.1_supplement.lb351
Subject(s) - medicine , stroke (engine) , depression (economics) , psychological intervention , nigerians , population , mood , gerontology , psychiatry , environmental health , mechanical engineering , political science , law , engineering , economics , macroeconomics
Background/Objectives Stroke is the third most common cause of disability and second most common cause of death worldwide. At least one‐third of stroke survivors suffer from depression. Depression is a common complication of stroke, leading to increased morbidity and mortality, and is defined as depressed mood on a daily basis for a minimum duration of two weeks. Objective is to investigate the causal associations between post stroke depression and its outcomes. To evaluate the associations between stroke and depression in Nigerians adults living American and in Nigeria Method Investigation of post stroke depression in American adults and Nigerian‐American adult living in America and Nigeria. Holistic clinical approach interventions when treating PSD for better outcome than pharmacological only approach. These includes: Adult day care, dietitian, speech therapy, social services, PT, OT, yoga, psycho‐therapy, primary care clinicians, family and friends. Results/discussion Study participants living with other people did better than those living alone P‐value 0.05. Conclusion Stroke has been identified as one of the prioritized non‐communicable diseases the hope is that the promotion and endorsement of new, more‐effective approaches for the prevention of stroke and CVD, in combination with prevention strategies, will change current practice worldwide, thereby saving millions of lives. By complementing cost‐effective individual health‐care interventions with population‐wide prevention strategies, to make a substantial impact on the global non‐communicable diseases. There are many factors that have effects on PSD. The severity of stroke is an important factor in the occurrence of PSD. Mental history is a possible predictor of PSD. Prevention of PSD requires social and family participation, and holistic therapy approach. RECOMMENDATIONS The recommendations listed below must be considered.For any successful outcome in treating PSD, nursing, social worker, family members, and power of attorney or guardians should team up for better living arrangement, because this study showed that patients living with others have better outcomes than those living alone. Social determinant factors cannot be ignored in this patient population. Considering social determinant factors such as level of poverty, less than high school education, median house income, employment, transportation factors all play a role for successful outcome in managing PSD.Support or Funding Information Einstein Institute ‐ USAT This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal .