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Depression and anxiety screening after stroke: adherence to guidelines and future directions

Morris, Reg, Jones, Jimmy, Wilcox, Julie and Cole, Samantha 2012. Depression and anxiety screening after stroke: adherence to guidelines and future directions. Disability & Rehabilitation 34 (9) , pp. 733-739. 10.3109/09638288.2011.619623

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Purpose: This article examines practical approaches to increasing rates of screening for depression and anxiety in hospital-based stroke services. Method: The literature on depression and anxiety following stroke is briefly reviewed together with evidence relating to screening. A small-scale trial of an educational and support package to improve screening rates compared 30 consecutive admissions before and after the intervention. An extended commentary on the outcome considered alternative approaches to improving screening. Results: The literature review confirmed that depression after stroke has multiple adverse effects and that screening is not universally applied. There has been less research into anxiety after stroke, but it is likely that anxiety screening is also incomplete. The trial of the intervention to promote screening demonstrated strong trends towards improvement for depression (23.3%; odds ratio 2.67; χ2 p = 0.067) and a trend for anxiety (16.7%; odds ratio 1.96; χ2 p = 0.20). Conclusions: Education and training about depression and anxiety screening and access to screening materials improved rates of screening to a limited degree. An extended commentary explored how screening rates might be further improved by considering the intervention strategy, the staffing model, the training approach and the screening methods themselves. Finally, consideration is given to treatment approaches for mood disorders.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords: Depression, mood, screening, stroke
Publisher: Informa Healthcare
ISSN: 0963-8288
Last Modified: 04 Jun 2017 04:40

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