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Review
. 2020 Jun 19;10(6):125-138.
doi: 10.5498/wjp.v10.i6.125.

Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications

Shuo Zhang  1 , Michael Xu  2 , Zhi-Jun Liu  3 , Juan Feng  1 , Yan Ma  4
Affiliations
Review

Neuropsychiatric issues after stroke: Clinical significance and therapeutic implications

Shuo Zhang et al. World J Psychiatry. .

Abstract

A spectrum of neuropsychiatric disorders is a common complication from stroke. Neuropsychiatric disorders after stroke have negative effects on functional recovery, increasing the rate of mortality and disability of stroke survivors. Given the vital significance of maintaining physical and mental health in stroke patients, neuropsychiatric issues after stroke have raised concerns by clinicians and researchers. This mini-review focuses on the most common non-cognitive functional neuropsychiatric disorders seen after stroke, including depressive disorders, anxiety disorders, post-traumatic stress disorder, psychosis, and psychotic disorders. For each condition, the clinical performance, epidemiology, identification of the therapeutic implication, and strategies are reviewed and discussed; the main opinions and perspectives presented here are based on the latest controlled studies, meta-analysis, or updated systematic reviews. In the absence of data from controlled studies, consensus recommendations were provided accordingly.

Keywords: Anxiety; Depression; Neuropsychiatric disorders; Post-traumatic stress disorder; Psychosis; Stroke.

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Conflict of interest statement

Conflict-of-interest statement: The authors have no conflicts of interest to declare.

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