A comprehensive overview of post-stroke depression treatment options.

IF 2.1 3区 医学 Q3 PHARMACOLOGY & PHARMACY International Clinical Psychopharmacology Pub Date : 2024-05-01 Epub Date: 2023-12-27 DOI:10.1097/YIC.0000000000000532
Alberto Raggi, Alessandro Serretti, Raffaele Ferri
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Abstract

Nearly one-third of all stroke patients develop depression at any time after a stroke, and its presence is associated with unfavorable outcomes. This narrative review aims to provide a synopsis of possible pharmacological and non-pharmacological treatment modalities for post-stroke depression (PSD). Several studies have demonstrated the efficacy and safety of selective serotonin reuptake inhibitors in treating the symptoms of this clinical condition. The treatment of PSD has been recently enhanced by innovative approaches, such as cognitive-behavioral therapy, virtual reality, telehealth, repetitive transcranial magnetic stimulation, and non-conventional therapies, which might improve depression treatment in stroke survivors. Future high-quality randomized controlled trials are necessary to confirm this hypothesis.

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全面概述中风后抑郁治疗方案。
近三分之一的中风患者在中风后的任何时间都会患上抑郁症,而抑郁症的出现与不良预后有关。本综述旨在概述脑卒中后抑郁(PSD)的药物和非药物治疗方法。多项研究表明,选择性血清素再摄取抑制剂在治疗这种临床症状方面具有疗效和安全性。最近,认知行为疗法、虚拟现实、远程医疗、重复经颅磁刺激和非常规疗法等创新方法加强了 PSD 的治疗,这些方法可能会改善卒中幸存者的抑郁治疗。未来有必要开展高质量的随机对照试验来证实这一假设。
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来源期刊
CiteScore
4.40
自引率
23.10%
发文量
97
审稿时长
>12 weeks
期刊介绍: International Clinical Psychopharmacology provides an essential link between research and clinical practice throughout psychopharmacology. It reports on studies in human subjects, both healthy volunteers and patients, which relate the effects of drugs on psychological processes. A major objective of the journal is to publish fully refereed papers which throw light on the ways in which the study of psychotropic drugs can increase our understanding of psychopharmacology. To this end the journal publishes results of early Phase I and II studies, as well as those of controlled clinical trials of psychotropic drugs in Phase II and IV. Other topics covered include the epidemiology of psychotropic drug prescribing and drug taking, the sociology of psychotropic drugs including compliance, and research into the safety and adverse effects of these compounds.
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